Epidemiologists in Sweden have recently reviewed the literature on screening results. They found seventeen cancer registries large enough and existing long enough to evaluate the effects of screening. Incidence rates of cervical cancer fell by more than 25% in eleven of the registries ranging from 27% in Norway to 77% in Finland. Following the initial fall in incidence with the introduction of screening, the incidence of cervical cancer has remained stable over the last 20 years in developed countries.

Figure 21.6 shows the falling rates in the incidence of cervical cancer and deaths from the disease in the UK from 1955 1985. This fall has been associated with an increase in diagnosis and treatment of pre-malignancy. The GB age-standardised (European) incidence rate for cervical cancer has decreased by 45% since 1975.

Figure 1.2: Age-standardised (European) incidence rates, cervical cancer, females, GB

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

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