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These organised screening programmes have been demonstrated to be effective [ 5, 6].
The performance of opportunistic screening programmes have been reported in Japan [ 7] and Hong Kong [ 8].
Mammography service screening programmes have been introduced in more than 20 countries (Shapiro et al, 1998).
Breast and cervical cancer screening programmes have been integrated with family planning services in 2010.
Therefore opportunistic screening or even systematic screening programmes have been advocated.
Breast cancer service screening programmes have been implemented on a regional basis in several Italian areas.
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In the field of preventive medicine, the introduction of some systematic screening programmes has been performed by government decision.
The cost-effectiveness of CRC screening programmes has been amply demonstrated, where it is eight times more cost-effective than screening for breast cancer in Spain.
In some developing countries, the cost-effectiveness of Pap smear screening programmes has been questioned because they have not resulted in declining cervical cancer rates due to inefficient screening programmes and poor quality tests [ 8].
Some of these screening programmes had been adapted, while others were terminated for organisational reasons or due to a lack of finances, especially as the Federal Sickness Fund had intervened in order to reduce the extra costs generated by these hearing tests.
As human papillomavirus (HPV) testing technology has developed, the inclusion of HPV testing within cervical screening programmes has been suggested, either as a triage for women presenting with borderline and mildly abnormal smears (Cox et al, 1995) or as a primary screen (Cuzick et al, 1999b; Cuzick et al, 2003).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com