The Cost Effectiveness of Cervical Cancer Screening
Authors: Anthony B. Miller
Journal: Annals of Internal Medicine (1992)

Editorials15 September 1992The Cost Effectiveness of Cervical Cancer ScreeningAnthony B. Miller, MBAnthony B. Miller, MBSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-117-6-529 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptScreening for cancer of the uterine cervix is generally regarded as effective. Observational studies that have established the effectiveness of screening have included geographic comparisons of screened and unscreened groups combined with studies of the trends of incidence and mortality after the introduction of screening (1), studies that correlated the intensity of screening with reduction in mortality from the disease (2), and case-control studies (3). Although few countries have noted a dramatic reduction in disease incidence or mortality related directly to the introduction of screening, several Nordic countries in which organized programs were introduced have shown an impressive reduction in...References1. Hakama M. Trends in the incidence of cervical cancer in the Nordic countries. In: Magnus K; ed. Trends in Cancer Incidence. Washington DC, Hemisphere Publishing Co., 1982:279-92. Google Scholar2. Miller A, Lindsay J, and Hill G. Mortality from cancer of the uterus in Canada and its relationship to screening for cancer of the cervix. Int J Cancer. 1976;17:602-12. CrossrefMedlineGoogle Scholar3. Hakama M, Chamberlain J, Day N, Miller A, and Prorok P. Evaluation of screening programmes for gynaecological cancer. Br J Cancer. 1985;52:669-73. CrossrefMedlineGoogle Scholar4. Miller A, Chamberlain J, Day N, Hakama M, and Prorok P. Report on a workshop of the UICC project on evaluation of screening for cancer. Int J Cancer. 1990;46:761-9. CrossrefMedlineGoogle Scholar5. Eddy D. Screening for Cancer: Theory, Analysis, and Design. Englewood Cliffs, New Jersey: Prentice Hall; 1980. Google Scholar6. Yu S, Miller A, and Sherman G. Optimising the age, number of tests, and test interval for cervical screening in Canada. J Epidemiol Commun Health, 1982;36:1-10. CrossrefMedlineGoogle Scholar7. . Guidelines for the cancer-related check-up. Recommendations and rationale. CA. 1980;30:193-240. Google Scholar8. . Cervical Cancer Screening Programs. The Walton Report. Can Med Assoc J. 1976;114:1003-33. MedlineGoogle Scholar9. Boyes D, Morrison B, Knox E, Draper G, and Miller A. A cohort study of cervical cancer in British Columbia. Clin Invest Med. 1982;5:1-29. MedlineGoogle Scholar10. . Summary Chapter. In: Hakama M, Miller AB, Day NE; eds. Screening for Cancer of the Uterine Cervix. IARC Scientific Publications No. 76. Lyon: International Agency for Research on Cancer; 1986:133-42. Google Scholar11. Miller A, Knight J, and Narod S. The Natural History of Cancer of the Cervix, and the Implications for Screening Policy. In: Miller AB, Chamberlain J, Day NE, Hakama M, Prorok PC. Cancer Screening. Cambridge: Cambridge University Press; 1991a:141-52. Google Scholar12. Fink D. Change in American Cancer Society checkup guidelines for early detection of cervical cancer. CA, 1988;38:127-8. Google Scholar13. Early Detection Branch: Working guidelines for early cancer detection. Bethesda, Maryland: Division of Cancer Prevention and Control, National Cancer Institute; 1987. Google Scholar14. Fahs M, Mandelblatt J, Schecter C, and Muller C. Cost effectiveness of cervical cancer screening for the elderly. Ann Intern Med. 1992;117:520-7. LinkGoogle Scholar15. Miller A, Anderson G, Brisson J, Laidlaw J, Le Pitre N, and Malcolmson P. Report of a National Workshop on Screening for Cancer of the Cervix. Can Med Assoc J. 1991b;145:1301-25. MedlineGoogle Scholar16. Prorok P, Chamberlain J, Day N, Hakama M, and Miller A. UICC workshop on the evaluation of screening programmes for cancer. Int J Cancer. 1984;34:1-4. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Anthony B. Miller, MB PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDownstaging of cervical cancer in Tanzania over a 16-year periodPaying for preventionPREVENTION AND SCREENING IN THE NURSING HOMEHospital information system and patterns of cancer screening 15 September 1992Volume 117, Issue 6Page: 529-530KeywordsCancer screeningCervical cancer screeningCervixMortalityObservational studiesUterine cancer ePublished: 1 December 2008 Issue Published: 15 September 1992 PDF downloadLoading ...