PowerPointova predstavitev - NAACCR

PowerPointova predstavitev - NAACCR

ESTIMATING THE EFFICIENCY OF THREE NATIONAL CANCER SCREENING PROGRAMMES USING THE POPULATION-BASED CANCER REGISTRY DATA IN SLOVENIA Vesna ZADNIK MD, PhD Slovenian Cancer Registry Institute of Oncology Ljubljana ww.slora.si/en www.onko-i.si/en/crs [email protected] BACKGROUND: SLOVENIA

SLOVENIA App: 20,000 km2 2 million inhabitants BACKGROUND: SLOVENIAN CANCER REGISTY General cancer registry Population-based Compulsory notification since 1950

PIN Follow-up through Central Population Registry Linkage to screening registries database BACKGROUND: CERVICAL CANCER SCREENING ZORA started 2003 conventional cytology 3 years interval age 2064 participation 72%

BACKGROUND: COLORECTAL CANCER SCREENING SVIT started 2009 immunochemical fecal occult blood test, follow up colonoscopy 2 years interval age 5074 participation 62% BACKGROUND: BREAST CANCER SCREENING

DORA started 2008 in central region, countrywide in 2018 digital mammography 2 years interval age 5069 participation 73% METHODS SCR data: C53, C18-C20, C50

INCIDENCE TREND: APC (before/after screening) SCR data linked to screening registries: ATTENDANCE analysis of screened age groups NET SURVIVAL (screend/non-screened) RISK OF DYING (screend/non-screened) STAGE DISTRIBUTION (screend/non-screened) RESULTS: CERVICAL CANCER SCREENING incidence trend ZORA

Fifteen years after ZORA started, the incidence of cervical cancer has decreased for more than 50% RESULTS: CERVICAL CANCER SCREENING

net survival ZORA 5-yeat net survival: SCREENED / NON-SCREENED 92.1% / 63.7% HR: SCREENED / NON-SCREENED 0.18 (0.11 0.28)

RESULTS: CERVICAL CANCER SCREENING stage distribution ZORA RESULTS: COLORECTAL CANCER SCREENING incidence trend SVIT APC-males: 2001-2010: + 7.6%

2010-2015: - 5.2% APC-females: 2001-2010: + 3.9% 2010-2015: - 4.5% RESULTS: COLORECTAL CANCER SCREENING net survival SVIT 5-yeat net survival:

SCREENED / NON-SCREENED 88.4% / 57.1% HR: SCREENED / NON-SCREENED 0.26 (0.23-0.29) RESULTS: COLORECTAL CANCER SCREENING stage distribution SVIT

BACKGROUND: BREAST CANCER SCREENING net survival DORA 5-yeat net survival: SCREENED / NON-SCREENED 100% / 89% HR: SCREENED / NON-SCREENED

HR 0.17 (0.10-0.31). BACKGROUND: BREAST CANCER SCREENING stage distribution DORA 100% 80% 60%

40% 20% 0% I II III

IV CONCLUSIONS 1. Slovenian population-based cancer registry database is adequate for estimating the efficiency of three national cancer screening programmes. 2. Soon after the introduction of organised cancer screenings in Slovenia the two basic cancer burden indicators incidence and survival have improved dramatically. Pts with screen detected cancers are diagnosed in earlier

stages and have lower probability to die from cancer. 3. The two presented and many other cancer burden indicators reported by the PBCRs are (also in Slovenia) most important for planning and evaluation of national cancer screening programmes.

Recently Viewed Presentations

  • Chapter One: Introduction to Fiber Optics Communication System

    Chapter One: Introduction to Fiber Optics Communication System

    Unlike the copper form of transmission, fiber optics is not electrical in nature. A basic fiber optic system consists of: i) transmitting device that converts an electrical signal into a light signal, ii) optical fiber cable that carries the light,...
  • HSTP Region 8 Meeting

    HSTP Region 8 Meeting

    SFY 2019 Section 5311 Grant Applications continued. Not included this year. Quarterly reports, request for payments forms, reconciliation forms, year ending reports, etc. will become available on the Transit Section of the IDOT website prior to the start of the...
  • Phlebotomy TUBE GOLD TAN An integral part of

    Phlebotomy TUBE GOLD TAN An integral part of

    Phlebotomy. Phlebotomy is the act of drawing or removing blood from the circulatory system through a cut (incision) or puncture in order to obtain a sample for analysis and diagnosis. Phlebotomy is also done as part of the patient's treatment...
  • Using Evidence-Based Instructional Strategies for Career Skills Exploration

    Using Evidence-Based Instructional Strategies for Career Skills Exploration

    Dream Night is an adapted version the PATH process. This was adapted by Eaton County to work with their transition aged youths. The Dream Nigh process was successfully implemented for several years and has spread throughout the state primarily working...
  • Introduction to Formal Procurement

    Introduction to Formal Procurement

    Document, document, document! 04/09/2019. Step 4 in the formal procurement process is to award the contract. After evaluating the quotes, the program operator will select the responsible and responsive vendor that quotes the lowest price.
  • Cluster for Research Projects on the Internet of Things www ...

    Cluster for Research Projects on the Internet of Things www ...

    Cluster of European Research Projects on the Internet of Things <Event, Date> ... Facilitate networking of different RFID and IoT projects in Europe Coordinate research activities in IoT including RFID Leverage expertise, talents, and resources and maximize impact Establish synergies...
  • US History A: Final Exam - MR. SNELL&#x27;S HQ

    US History A: Final Exam - MR. SNELL'S HQ

    This question is an essay-response format, meaning you should go out of your way to fully support your ideas with examples. There will be major point deductions for short or rushed responses that lack detail. John Locke. Descartes. Adam Smith....
  • Chapter 14.1 and 15

    Chapter 14.1 and 15

    Chapter 14.1 and 15 . Exploration and the Discovery of a New World. Page 446