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April 2014

April 2014. Cervical Cancer Screening Guidelines Across Canada . Environmental Scan. Background.

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April 2014

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  1. April 2014 Cervical Cancer Screening Guidelines Across Canada Environmental Scan

  2. Background • Quarterly, the Canadian Partnership Against Cancer collects information from the provinces/territories and international organizations on the status of population-based cervical cancer screening programs and/or strategies. • This information compares current guidelines and evidence-based recommendations in order to identify leading practices. April 2014

  3. Presentation Outline • Canadian Task Force on Preventive Health Care Guidelines • Provincial and Territorial Guidelines • Cervical Cancer Screening Programs in Canada • Follow-up Test for Abnormal Results • Detection Methods • Colposcopy Services or Standards Across Canada • HPV DNA Testing • HPV Immunization • Information Technology Solutions in Cervical Screening Programs April 2014

  4. Canadian Task Force on Preventive Health Care Guidelines The Canadian Task Force on Preventive Health Care (2013) 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) For more information please visit: http://canadiantaskforce.ca/

  5. Cervical Cancer Screening Programs:Provincial and Territorial Guidelines

  6. Cervical Cancer Screening Programs:Provincial and Territorial Guidelines, cont’d • ** PEI guidelines revised October 2013

  7. Cervical Cancer Screening Programs in Canada

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

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

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

  11. Colposcopy Services or Standards Across Canada

  12. Colposcopy Services or Standards Across Canada • Which colposcopy services/standards are offered in your province/territory(check all those that apply) *Nunavut and Yukon excluded due to no data available

  13. Colposcopy Services or Standards Across Canada, cont’d • Which colposcopy services/standards are offered in your province/territory(check all those that apply) • * NS: Colposcopy Histopathology vs. Visual Follow Up Visit and Zoneseen = Yes - By Physician and Aggregate; Colposcopy Pre-Treatment Biopsy Result vs. Treatment Result – By Treatment - By Physician and Aggregate; Treatment Success By 12 Month Post Treatment Result – By Treatment - By Physician and Aggregate; % of ECC’s Performed By Physician and Aggregate

  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? April 2014

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

  16. HPV Immunization: Date , age first cohort immunized and catch-up April 2014

  17. HPV Immunization: Date , age first cohort immunized and catch-up April 2014 April 2014

  18. HPV Immunization:Size of population & 1st dosage received April 2014

  19. HPV Immunization:Size of population & 1st dosage received, cont’d

  20. 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) ** For Prince Edward Island, this information is not collected by the program but could be collected through Public Health Records ***Through medical record data

  21. Information Technology Solutions Used in Cervical Cancer Screening Programs • Which IT system/solution do you currently use in your cervical cancer screening program? April 2014

  22. Reference Slide Please use the following reference when citing information from this presentation: Cancerview.ca. Cervical Cancer Screening Guidelines Across Canada: Environmental Scan. Toronto: Canadian Partnership Against Cancer; [enter date]. Available from: [enter URL link] April 2014

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