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【medical-news】癌症专家呼吁加长巴氏子宫癌检验

Cut back on Pap smears, experts say
6th November 2006, 6:00 WST

Cancer experts have called for the recommended interval between Pap smears to be stretched from two to three years, after a new study found longer gaps between the invasive and uncomfortable tests appeared to have no impact on the number of deaths from cervical cancer.

The study, published in the latest edition of the Medical Journal of Australia, compared cervical cancer screening policy in Australia — where Pap smears are recommended every two years — and Britain, where the recommended interval is three years.

Despite the difference in timing between tests, the study found the average rates of cervical cancer in women aged between 20 and 69 fell 33 per cent in both Australia and Britain between 1991-93 and 1998-2000.

Deaths from cervical cancer fell 36 per cent in both countries during the same period.

Report co-author Karen Canfell, a cancer epidemiologist with the NSW Cancer Council, said the study results and the recent introduction of the new cervical cancer vaccine meant it was time to reconsider screening intervals in Australia.

“This could be done in conjunction with considering other future options, including the possible introduction of new test technologies and the implementation of prophylactic HPV vaccination,” she said.

Dr Canfell said the International Agency for Research on Cancer had recommended women aged between 25 and 49 have Pap smears every three years, and women over the age of 50 every five years.

Cervical cancer kills 270,000 women a year worldwide. In Australia, it strikes 1500 women and kills 250 each year.

The proposal to extend the gap between Pap smears has earned some support from cervical cancer experts.

In an editorial published alongside the study in the MJA, NSW Cervical Screening Program director Gerard Wain said Australia’s national screening program was “outstandingly successful” but needed broader changes than just extending the test interval.

Dr Wain said the introduction of the cervical cancer vaccine had the potential to cut the rate of the potentially deadly disease further, and reduce the burdens of the current program on women and resources.

But he said any review of the program would be difficult, because the Australian Screening Advisory Committee had been disbanded in May.

FRAN SPENCER

http://www.thewest.com.au/default.aspx?MenuID=145&ContentID=12184 本人已认领该文编译,48小时后若未提交译文,请其他战友自由认领 Cut back on Pap smears\, experts say
6th November 2006, 6:00 WST
专家建议延长两次宫颈细胞涂片检查的时间间隔
Cancer experts have called for the recommended interval between Pap smears to be stretched from two to three years, after a new study found longer gaps between the invasive and uncomfortable tests appeared to have no impact on the number of deaths from cervical cancer.
一项新的研究表明,两次侵入性检查的间隔时间延长并不会影响宫颈癌的死亡人数,肿瘤专家建议将原来推荐两次宫颈细胞涂片检查的时间间隔从2年延长到3年。
The study, published in the latest edition of the Medical Journal of Australia, compared cervical cancer screening policy in Australia — where Pap smears are recommended every two years — and Britain, where the recommended interval is three years.
这项发表在最新的澳大利亚医学杂志上的研究对比了澳大利亚和英国的宫颈癌筛选政策,在澳大利亚,医疗机构建议每两年做一次宫颈细胞涂片,而在英国则是每三年做一次这样的检查.
Despite the difference in timing between tests, the study found the average rates of cervical cancer in women aged between 20 and 69 fell 33 per cent in both Australia and Britain between 1991-93 and 1998-2000. Deaths from cervical cancer fell 36 per cent in both countries during the same period.
这项研究发现,尽管检测的时间间隔不同,澳大利亚和英国20岁到69岁的女性中宫颈癌的平均发病率在1991-93和1998-2000年间都下降了33%,宫颈癌死亡人数在同时期都下降了36%。
Report co-author Karen Canfell, a cancer epidemiologist with the NSW Cancer Council, said the study results and the recent introduction of the new cervical cancer vaccine meant it was time to reconsider screening intervals in Australia.
这篇报道的作者之一Karen Canfell说这项研究的结果以及近来新的宫颈癌疫苗的引入意味着在澳大利亚该重新考虑这种侵入性筛选试验的时间间隔了,Karen Canfell是新南威尔士州癌症协会的癌症流行病学学家。

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作者:admin@医学,生命科学    2010-10-30 17:11
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