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March 2013

CERVICAL CANCER SCREENING PROGRAMS AND STRATEGIES IN CANADA Environmental Scan. March 2013. Background.

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March 2013

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  1. CERVICAL CANCER SCREENING PROGRAMS AND STRATEGIES IN CANADAEnvironmental Scan March 2013

  2. Background Quarterly, the Canadian Partnership Against Cancer collects information from the provinces/territories on the status of population-based cervical cancer screening programs and/or strategies. • The information is collected through provincial and territorial leads represented on the Pan-Canadian Cervical Cancer Screening Initiative supported by the Canadian Partnership Against Cancer.

  3. Presentation Outline • Canadian Task Force on Preventive Health Care Guidelines • Provincial and Territorial Guidelines • Cervical Cancer Screening Program Administration • HPV DNA Testing • HPV Immunization • Integration of Immunization and Screening/Information System Preparedness

  4. Canadian Task Force on Preventive Health Care Guidelines The Canadian Task Force on Preventive Health Care (2012) recommends the following for cervical cancer screening: • For women aged <20, routine screening not recommended (Strong recommendation, high quality evidence) • For women aged 20 to 24, routine screening not recommended (Weak recommendation; moderate quality evidence) • For women aged 25 to 29, routine screening is recommended every 3 years. (Weak recommendation; moderate quality evidence) • For women aged 30 to 69, routine screening is recommended every 3 years. (Strong recommendation; high quality evidence) • For women aged ≥70 who have been adequately screened (i.e. 3 successive negative Pap tests in the last 10 years), routine screening may cease. For women aged 70+ who have not been adequately screened should continue screening until 3 negative test results have been obtained. (Weak recommendation; low quality evidence)

  5. Cervical Cancer Screening Programs:Provincial and Territorial Guidelines

  6. Cervical Cancer Screening Programs: Provincial and Territorial Guidelines * NS currently under revision (Feb 2013)

  7. Population-Based Cervical Cancer Screening Program Administration

  8. Cervical Cancer Screening Practices • How are eligible individuals identified?

  9. Cervical Cancer Screening Practices • Does the screening program send recall letters?

  10. Cervical Cancer Screening Practices • Who receives normal/abnormal cervical cancer screening test results?

  11. Cervical Cancer Screening Practices • Does the screening program send reminders for follow up after abnormal Pap test results?

  12. Cervical Cancer Screening Practices • Detection methods in routine use in cervical cancer screening programs

  13. Cervical Cancer Screening Practices • When is a woman sent for a referral to colposcopy in your cervical cancer screening program?

  14. HPV DNA Testing • Is the use of HPV DNA testing a standard of practice in your province or territory? • If yes, in what capacity is it being used?

  15. HPV Immunization • Immunization program details ( Check all those that apply)

  16. HPV Immunization • Date and age first cohort immunized

  17. HPV Immunization • Size of population and number to receive first dose (or estimate)

  18. HPV Immunization • Does you cervical cancer screening program collect information for the following: * Through self-report data & school-based immunization program/ HPV School based registry (Public Health) **Through medical record data

  19. Screening and Immunization/Information System Integration • Registries and Databases currently available in your Province or Territory * School aged HPV Immunization by Public Health only

  20. Screening and Immunization/Information System Integration • If yes to Registry, what is current location?

  21. Screening and Immunization/Information System Integration • If yes to Registry, what are the personal identifiers?

  22. Screening and Immunization/Information System Integration • Can the Screening Registry be linked to:

  23. Reference Slide • Please use the following reference when citing information from this presentation: Cervical Cancer Screening in Canada: Programs and Strategies.  Cancer View Canada. Available at: [Enter Link], Accessed: [Enter Date Accessed].

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