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However, we must remember that the organised program was introduced after fifteen years of the spontaneous screening program.
In Turin, an organised cervical screening programme was introduced in a population where some spontaneous screening was already present.
We made use of the network of screening and assessment units that had already been set up during spontaneous screening.
During previous spontaneous screening campaigns women aged 40-49 were officially invited to participate in mammography screening.
Spontaneous screening tends to start and stop too early in a woman's life, and leaves too many women overscreened or unprotected.
In fact screening did not stop in the screened areas (either the official programme or spontaneous screening), and screening detected (anticipated or overdiagnosed) cancers continued to be added to the observed incidence figures.
Similar(47)
Two thousand women aged 26 45 years will be recruited from those attending a spontaneous Pap screening program (SPSW).
Invitation letters were sent to 2150 persons above the age of 55 insured with a German medical insurance company in the area of Rinteln, Lower Saxony with a baseline spontaneous annual screening colonoscopy uptake of 1%%.
The organised program was established in a smooth transition from the existing spontaneous mammography screening system, namely by introducing a written protocol, a personal invitation system, a training program, and by setting up a screening database allowing us to investigate performance and outcome parameters in detail.
To our knowledge, also in Europe a number of countries still have no organised mammography programs [ 15], and therefore the experience in Tyrol can make an important contribution to the question how to switch a health system with spontaneous mammography screening to an organised system that meets well-accepted quality guidelines.
Spontaneous mammography screening was introduced in Tyrol already in the early 1990 s. Thus, the underlying background incidence is defined by years 1988-1990, see Table 1. 1) Average number of incident cases per year and age-specific rate per 100,000 This study was conducted in conformity to the Helsinki Declaration [ 19].
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