Focus on Cervical Cancer: Key Messages. Cancer System Quality Index 2016
|
|
- Samantha Thompson
- 5 years ago
- Views:
Transcription
1 Focus on Cervical Cancer: Key Messages Cancer System Quality Index 2016
2 A first look at cervical cancer across the care continuum Cervical cancer starts in the cells of the cervix. The cervix is the lower part of the uterus or womb, and it part of the female productive system. Cervical cancer in Ontario In , cervical cancer was the thirteenth most common cancer and 3 rd most common gynaecological cancer Cervical cancer is more common in younger women. Incidence rates are highest in women aged There is also an increase in incidence in the year old age group as screening participation falls. From Prevention to Diagnosis Cervical cancer can be prevented Human papilloma virus infection (HPV) is the main cause of cervical cancer The HPV vaccine prevents infection due to HPV strains that cause the majority of cervical cancers Approximately 80% of eligible girls, which is less than the target, participated in Ontario s school-based HPV vaccination program The HPV vaccine is expected to decrease cervical cancer incidence rates in the future, but it is too early to see the impact from the school-based vaccination program Screening Ontario has an organized cervical cancer screening program While about 63% of eligible women participated in the program, this is below Ontario s participation target of 85% Screening with the Pap test detects precancerous conditions, and is largely responsible for the decrease in incidence and morality in recent decades Diagnosis About 50% of diagnosed invasive cervical cancers were early stage (stage I) In spite of our progress in preventing cervical cancer and identifying it earlier, there were still 1,954 Ontario women diagnosed over a 3 year period ( ). There needs to be greater attention to reducing the number of women who are diagnosed at a later stage 2
3 A first look at cervical cancer across the care continuum (continued) Treatment Surgery, radiation and chemotherapy (cancer drugs) are used alone or in combination to treat cervical cancer Prior to treatment women should have a discussion with their physician about impact of treatment on fertility and fertility-sparing options (where appropriate) Partly due to the relatively small number of cervical cancer cases, there are limited data about many aspects of cervical cancer care Psychosexual issues are among the most significant symptoms for women dealing with cervical cancer Follow-up and End-of-Life Care Follow-up Care Women should be closely monitored in follow-up visits to manage symptoms, late effects of treatment and any possible recurrence End-of-Life Care Women are still dying of cervical cancer Patients at the end-of-life continue to be seen by their healthcare team in order to address their symptoms, optimize their quality of life and receive support for themselves and their families. 3
4 Between , there were 1,953 new cases of cervical cancer diagnosed, and despite a well organized screening program it remains the 3rd most common gynecological cancer among Ontario women 4
5 Cervical cancer incidence is decreasing or stable for most age groups Cervical cancer incidence rate is decreasing or stable for almost all age groups due to screening The exception is women aged 35 49, where the incidence increased slightly from 2006 to 2012 The impact of the HPV vaccine is expected to further decrease incidence rates in the future 5
6 Cervical cancer patient journey HPV vaccine Take action to reduce other risk factors (e.g. smoking cessation, safer sex) According to the Ontario Cervical Screening Program guidelines Appropriate investigation of abnormal screening tests Appropriate investigation of cervical/clinical abnormalities Staging Surgery Radiation +/- Chemotherapy 6
7 Cervical cancer is largely preventable Almost all cervical cancers and their precursor lesions are caused by persistent infection with cancer-causing HPV sub-types HPV infections are very common; the majority clear by natural processes Women who smoke and/or are immune-compromised are less likely to clear an HPV infection HPV immunization prevents infection with most but not all cancer-causing HPV types Women who have received the HPV vaccine should still have regular cervical cancer screening Public Health Ontario reports that in the school year, participation in the school-based vaccination program was 80.2% 1 This is a significant improvement since the inception of the program although it does not meet the target of 90% 1. Public Health Ontario. (2014). Immunization coverage report for school pupils school year. Accessed on April 19, 2016 from: 7
8 Screening detects changes that can lead to cervical cancer Participation in cervical cancer screening is decreasing Between 2012 to 2014, 63% of eligible women were screened for cervical cancer. This is a decrease from the participation rate of 68% in 2009 to In 2013 the Ontario Cervical Screening Program began sending invitations, reminder and result letters to women eligible to participate in cervical cancer screening Participation data do not yet identify the potential impact of this process on participation rates 8
9 Participation in screening is not distributed evenly across the population Older women were less likely to be screened for cervical cancer. Women ages 30 to 39 had the highest participation rates (68%); women ages had the lowest (53%) Cervical cancer screening participation also varied by: Income: Participation was 68% in urban high income areas versus 57% in urban low income areas Urban/rural: Participation was highest in rural areas (66%) and lowest in rural-very remote areas (61%) Immigration: Participation was 66% in areas with lower proportions of immigrant residents versus 59% in areas with higher proportion of immigrant residents (selfreported data) 9
10 Colposcopy Colposcopy is used to investigate an abnormal Pap test, and involves magnified visual inspection of the cervix to identify abnormalities Abnormalities can be biopsied to reach a diagnosis and inform a treatment plan Colposcopy services in Ontario are not currently organized or integrated with the screening program; patients in need of colposcopy require a referral from their primary care provider to a colposcopy clinic or to an individual colposcopist. CCO has developed organizational recommendations for colposcopy services, including wait times and the conditions under which colposcopy care should be provided (The Organization of Colposcopy Services in Ontario: Recommended Framework). Current colposcopy data are very limited and will be a priority as CCO moves towards an organized colposcopy system 10
11 There were more pre-cancers than invasive cervical cancers identified Screening is intended to identify precancerous conditions (precursors) before they become cancer There were many more cases of cancer precursors identified by screening compared to number of cases of invasive cervical cancer Of invasive cervical cancers diagnosed in 2014, half were early stage (Stage I) Generally, early diagnosis improves outcomes Reducing the number of the women who are diagnosed at later stages is the most significant opportunity to improve outcomes for these women 11
12 Quote from a patient with cervical cancer I think about cancer and I tell people, cancer is just a name. You know. And knowing that if they hadn t found it in me, I would be overwhelmed by it. And I m really grateful that they did what they did, the tests, everything I had to have done. - Patient with cervical cancer 12
13 Surgery was the most common treatment for early stage cervical cancer I knew going in that I was going to lose my fertility. But once you are faced with the fact that you will never have children, even if you weren t sure you wanted them, it s really hard. - Patient with cervical cancer Status of cancer (size, stage, etc.) and desire to preserve fertility are main factors affecting type of surgery provided About 65% of women with stage IA cervical cancer and 24% of patients with stage IB had fertility sparing surgery. All women who undergo surgery for cervical cancer should have fertility-sparing options considered where appropriate 13
14 Cervical cancer patients who undergo surgery should be assessed by a gynecologic oncologist Based on CCO recommendations: Gynecologic Oncology Centres (GOCs) have been established to improve care and outcomes Most surgery for invasive cervical cancer was done by gynecologic oncologists at GOCs Eighty-three (83%) of cervical cancer surgeries in Ontario were done at a GOC in fiscal year 2014/2015 Plans for management should be balanced with patient desire to receive care close to home. Where appropriate, patients can receive some types of treatment close to home; other types of treatment are available only at specialized/designated centers (i.e. affiliated centres) CCO guidelines on Gynecologic Oncoloy Centres: Organization Guidelines for Gynecologic Oncology Services in Ontario 14
15 Chemotherapy is also used to treat cervical cancer When treating cervical cancer patients with radiation, concurrent chemotherapy is the standard of care offering optimal outcomes Chemotherapy can also be used in the palliative care setting There are currently no provincial chemotherapy indicators for cervical cancer treatment; such data would be useful in evaluating outcomes and patient experience The chemo nurses were phenomenal. Right from the beginning, the chemo nurses everyday asked How are you feeling? Are you having any symptoms? - Patient with cervical cancer 15
16 There is evidence that radiation (including brachytherapy, a type of internal radiation) completed within 56 days is associated with better outcomes In Ontario, about 80% of cervical cancer patients complete all their radiation treatments (both external beam and brachytherapy) within 56 days Improved outcomes associated with completing radiation treatment within 56 days includes better survival and pelvic control The majority of patients are completing radiation in an appropriate time 16
17 Symptoms and side effects Generic assessment of symptoms as captured by the Edmonton Symptom Assessment System (ESAS) shows: Anxiety - 11% of women with cervical cancer reported high severity, and 17% report moderate severity Tiredness - 14% of women with cervical cancer reported high severity and 24% report moderate severity Well-being - 10% of women with cervical cancer reported high severity, and 26% report moderate severity The data shown includes women diagnosed at different stages, and for whom symptoms may significantly vary The Edmonton Symptom Assessment System (ESAS) is a system assessment tool that looks at common symptoms. It is not specific to cervical cancer or its treatment. Among the most significant symptoms specific to cervical cancer patients is psychosexual dysfunction (vaginal dryness, pain during intercourse, decreased interest in sex, and relationship stress). We do not currently capture these data. 17
18 Addressing symptoms, late effects of treatment and quality of life are important components of follow-up care after treatment If cervical cancer recurs, it tends to do so within 2-3 years of treatment Follow-up visits are determined based on risk, and are typically scheduled more frequently in the first 3-5 years post-treatment. Discharge, in the absence of recurrent disease, and long-term surveillance is individualized I find I m a little more anxious since I don t know if everything worked. I feel like I m going to be living scan to scan. - Patient with cervical cancer CCO has published guidelines on the most appropriate follow-up strategy for cervical cancer patients after treatment: Follow-up for Cervical Cancer 18
19 Women are still dying of cervical cancer Between 2010 and 2012, about 500 women died from cervical cancer Patients at the end-of-life require adequate palliative care to optimize quality of life and to provide support for her and her family. In Ontario, limited survivorship and end-of-life data specific to cervical cancer patients are available. 19
20 Summary Cervical cancer is highly preventable HPV vaccine prevents infection from most common HPV strains causing cervical cancer Screening with Pap test detects precancerous lesions, which when treated appropriately, prevent progression to cervical cancer Organized screening is effective and needs to continue to be improved There is an opportunity for better integration of services, such as between screening and colposcopy Improvements to data collection are needed in many areas across the cervical cancer care continuum, including colposcopy, treatment, symptom management, recovery and end-of-life care 20
CERVICAL CANCER FACTSHEET. What is cervical cancer?
CERVICAL CANCER FACTSHEET What is cervical cancer? ENGAGe is releasing a series of factsheets to raise awareness of gynaecological cancers and to support its network to work at a grassroots level. Take-up
More informationCancer 376 Causes of cancer 376 Cancer can be cured if found and treated early 376
374 Cancer and Growths Chapter 24 In this chapter: Cancer 376 Causes of cancer 376 Cancer can be cured if found and treated early 376 Problems of the Cervix (the Opening of the Womb) 377 Common problems
More informationPRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES GYNECOLOGIC CANCER CERVIX
PRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES GYNECOLOGIC CANCER CERVIX Site Group: Gynecology Cervix Author: Dr. Stephane Laframboise 1. INTRODUCTION 3 2. PREVENTION 3 3. SCREENING AND
More informationand treating joins with the top of canal). at risk for cervical carcinomas, cervix.
CERVICAL CANCER Worldwide, cervical cancer is twelfth most common and the fifth most deadly cancer in women. It affects about 16 per 100,000 women per year and kills about 9 per 100,000 per year. Cervical
More informationPrevent You can prevent cancer of the cervix
Follow the PAP Strategy Plan Act Plan to have a Pap Test Make an appointment with your doctor Prevent You can prevent cancer of the cervix Learning Objectives To know what a Pap test is and why it is important
More informationCervical cancer is a disease in which malignant (cancer) cells form in the tissues of the cervix.
Cervical Cancer Cervical cancer is a disease in which malignant (cancer) cells form in the tissues of the cervix. The cervix is the lower, narrow end of the uterus (the hollow, pear-shaped organ where
More informationCancer 376 Causes of cancer 376 Cancer can be cured if found and treated early 376
374 Cancer and Growths Chapter 24 In this chapter: Cancer 376 Causes of cancer 376 Cancer can be cured if found and treated early 376 Problems of the Cervix (the Opening of the Womb) 377 Common problems
More informationHIV and AIDS Related Cancers DR GORDON AMBAYO UHS
HIV and AIDS Related Cancers DR GORDON AMBAYO UHS INTRODUCTION People with HIV/AIDS are at high risk for developing certain cancers, such as: Kaposi's sarcoma, non-hodgkin lymphoma, and cervical cancer.
More informationCervical Cancer. Introduction Cervical cancer is a very common cancer. Nearly one half million cases are diagnosed worldwide each year.
Cervical Cancer Introduction Cervical cancer is a very common cancer. Nearly one half million cases are diagnosed worldwide each year. Most cases of cervical cancer can be prevented by getting regular
More informationWhat Causes Cervical Cancer? Symptoms of Cervical Cancer
Cervical Health Awareness Month is a chance to raise awareness about how women can protect themselves from HPV (human papillomavirus) and cervical cancer. HPV is a very common infection that spreads through
More informationPap test results FOR WOMEN WITH AN ABNORMAL PAP TEST
Pap test results FOR WOMEN WITH AN ABNORMAL PAP TEST Introduction This booklet provides women with information about abnormal Pap test results. Many women feel anxious or worried when they are told their
More informationVaginal cancer: Know what to expect
Vaginal cancer: Know what to expect For women with vaginal cancer What is the vagina? The vagina is a hollow canal that connects the cervix and the uterus to the outside. of the body. When a woman gives
More informationScreening for Cervical Cancer: Demystifying the Guidelines DR. NEERJA SHARMA
Screening for Cervical Cancer: Demystifying the Guidelines DR. NEERJA SHARMA Cancer Care Ontario Cervical Cancer Screening Goals Increase patient participation in cervical screening Increase primary care
More informationPATIENT INFORMATION. about CERVICAL CANCER
PATIENT INFORMATION about CERVICAL CANCER What is Cervical Cancer? The cervix is the lower part of the uterus (womb) connecting the body of the uterus to the vagina (birth canal). Cancer of the cervix
More informationHPV and Cervical Cancer: Current Practice Update
HPV and Cervical Cancer: Current Practice Update Dr. Sheona Mitchell-Foster MD MPH FRCSC Assistant Professor University of British Columbia Fertility and Reproductive Medicine Symposium Disclosures None
More informationDepartment of Health Standard for the Cervical Cancer Screening Program. Approval Date: 08 May 2018 Effective Date: 13 May 2018
Document Title: Department of Health Standard for the Cervical Cancer Screening Program Document Ref. Number: DOH/CCSC/SD/1.0 Version: 1.0 Approval Date: 08 May 2018 Effective Date: 13 May 2018 Last Reviewed:
More informationNew Approaches to Survivor Health Care
New Approaches to Survivor Health Care May 14, 2007 Survivorship Care Models Mary S. McCabe, RN Ms. McCabe is the Director of the Cancer Survivorship Program at Memorial Sloan-Kettering Cancer Center.
More informationCervical Screening for Dysplasia and Cancer in Patients with HIV
Cervical Screening for Dysplasia and Cancer in Patients with HIV Adult Clinical Guideline from the New York State Department of Health AIDS Institute w w w.hivg uidelines.org Purpose of the Guideline Increase
More informationNHS cervical screening Helping you decide
NHS cervical screening Helping you decide What is cervical cancer? 2 What causes cervical cancer? 2 What is cervical screening? 3 Cervical screening results 6 What is a colposcopy? 8 Making a choice the
More informationCervical Cancer Treatment
Scan for mobile link. Cervical Cancer Treatment Cervical cancer overview Cervical cancer occurs in the cervix, the part of the female reproductive system that connects the vagina and uterus. Almost all
More informationMaking Sense of Your Pap and HPV Test Results
KNOW THE FACTS Cervical cancer is caused by a common virus called HPV. Anyone who ever had sex can get HPV. Cervical cancer can be prevented with regular screening tests and follow-up care. The Pap test
More informationUnderstanding My Pap Test Results
Form: D-8766 Understanding My Pap Test Results For patients of the Gynecology Oncology Clinic Read this pamphlet to learn more about: why you are having a Pap test how to understand your test results what
More informationHPV infections and potential outcomes
CONTENTS Preface by Silvia de Sanjosé... 33 Preface by Jacob Bornstein... 37 Author s note... 39 Acknowledgments... 45 CHAPTER 1 HPV infections and potential outcomes HPV: What it is, where it is and what
More informationONTARIO CANCER PLAN
ONTARIO CANCER PLAN 2011-2015 I want to live... I m still young, many people in my family have lived to be 100. I want to be around to watch my grandchildren grow up. Screening saved my life, I tell everybody
More informationSouth West Regional Cancer Program. Cancer Plan
South West Regional Cancer Program Cancer Plan 2016-2019 1. Cancer System Planning Cancer Care Ontario s role as the government s cancer advisor includes the development and implementation of a provincial
More informationPassport to Health Preventing and Recognizing Gynecologic Cancers
Passport to Health Preventing and Recognizing Gynecologic Cancers Presented by: Obstetrician/Gynecologist Leigh Bauer, M.D. They can sneak up on you. 2 Gynecologic cancers, that is. Knowing the facts can
More informationBREAST CANCER & CERVICAL CANCER SCREENING
BREAST CANCER & CERVICAL CANCER 1 BREAST Cancer WHAT IS BREAST CANCER? Breast cancer starts when cells in the breast begin to grow in an uncontrolled way and build up to form a lump (also known as a tumour).
More informationHPV & CERVICAL CANCER POLICY & LEGISLATIVE TOOLKIT, 3 RD EDITION
HPV Vaccine FAST FACTS: Payer & Reimbursement Strategies Medicaid: Many state Medicaid programs cover the HPV vaccine, though this coverage varies by state. Information on coverage can be found through
More informationWhat is a Pap Smear and What do the results mean? Maria E Daheri RN Cervical Nurse Case Harris Health System
What is a Pap Smear and What do the results mean? Maria E Daheri RN Cervical Nurse Case Manager @ Harris Health System What is a Pap Smear and when is it recommended? Pap smear The Pap smear is a screening
More informationHPV/Cervical Cancer Resource Guide for patients and providers
DHS: PUBLIC HEALTH DIVISION IMMUNIZATION PROGRAM HPV/Cervical Cancer Resource Guide for patients and providers Independent. Healthy. Safe. Oregon HPV Provider Resource Kit: Table of Contents Provider Information
More informationUnderstand Your Results
Understand Your Results The Pap test takes little time and may save your life. This simple screening test checks for cell changes in the cervix, the opening of the uterus. If your Pap results were abnormal,
More informationWhat is a Pap smear?
Pap smear What is a Pap smear? A Pap smear is a test that checks for changes in the cells of your cervix. The cervix is the lower part of the uterus that opens into the vagina. Developed over forty years
More informationGynecologic Cancer InterGroup Cervix Cancer Research Network. Management of Cervical Cancer in Resource Limited Settings.
Management of Cervical Cancer in Resource Limited Settings Linus Chuang MD Conflict of Interests None Cervical cancer is the fourth most common malignancy in women worldwide 530,000 new cases per year
More informationPap Smear Test Cancer is one of the most feared diseases falling under the genre of lifestyle diseases. The prevalence of cancer in women has increased rapidly over the past few decades. After breast
More informationWhat is cervical cancer?
What is cervical cancer? The cervix is the bottom part, or neck, of the uterus. Cervical cancer happens when normal cells in the cervix change into abnormal cells, and grow out of control. Most women whose
More informationWhat You Should Know. Exploring the Link between HPV and Cancer.
What You Should Know Exploring the Link between HPV and Cancer www.indianacancer.org What is HPV? The Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). An STI is a virus
More informationA Guide To Understanding Your Cervical Screening Test Results
A Guide To Understanding Your Cervical Screening Test Results INTRODUCTION This booklet provides you with information to help you better understand your Cervical Screening Test results. Your healthcare
More informationUPDATE IN THE MANAGEMENT OF INVASIVE CERVICAL CANCER
UPDATE IN THE MANAGEMENT OF INVASIVE CERVICAL CANCER Susan Davidson, MD Professor Department of Obstetrics and Gynecology Division of Gynecologic Oncology University of Colorado- Denver Anatomy Review
More informationEstimated New Cancers Cases 2003
Harvard-MIT Division of Health Sciences and Technology HST.071: Human Reproductive Biology Course Director: Professor Henry Klapholz Estimated New Cancers Cases 2003 Images removed due to copyright reasons.
More informationCervical Cancer Prevention Month. January 2011 Morehouse College
Cervical Cancer Prevention Month January 2011 Morehouse College What is Cervical Cancer? Cervical Cancer begins in the cervix (lower part of the womb, called the uterus). Cervical Cancer, at one point,
More informationCervical screening: it s best to take the test. Updated guidance
Cervical screening: it s best to take the test Updated guidance This leaflet gives information about cervical screening in Northern Ireland. It will help you to understand why it is important to be screened.
More informationA Timely Decision A STORY ABOUT FACING BARRIERS IN ORDERTO PREVENT CERVICAL CANCER
A Timely Decision A STORY ABOUT FACING BARRIERS IN ORDERTO PREVENT CERVICAL CANCER STARRING MARY Prof. YAYA LOLI BLANCA JULIA 1 Mary, Loli y Julia are friends who meet during English classes held at a
More informationCase Based Problems. Recommended Guidelines. Workshop: Case Management of Abnormal Pap Smears and Colposcopies. Disclosure
Disclosure Workshop: Case Management of Abnormal Pap Smears and Colposcopies Rebecca Jackson, MD Associate Professor Obstetrics, Gynecology & Reproductive Sciences and Epidemiology & Biostatistics This
More informationCervical Screening. What Pacific women need to know
Cervical Screening What Pacific women need to know To avoid cervical cancer and to stay well, Pacific women aged from 20 until they turn 70 need to have smear tests every three years. The smear tests look
More information2/6/ Allina Health System. Disclosure. Objectives
Survivorship Marketing Care for Update Breast Cancer Patients November February 26, 62013 th, 2016 Sarah Jax, MA, APRN, AOCNP Minnesota Oncology Disclosure There are no conflicts of interest or relevant
More informationCervical cancer presentation
Carcinoma of the cervix: Carcinoma of the cervix is the second commonest cancer among women worldwide, with only breast cancer occurring more commonly. Worldwide, cervical cancer accounts for about 500,000
More informationMichael G. Kelly, MD Gynecologic Oncologist University of Colorado Cancer Center
Michael G. Kelly, MD Gynecologic Oncologist University of Colorado Cancer Center 50 yo healthy postmenopausal female with BMI = 35 with screening PAP smear = AGUS. What is the next step? (1) Colposcopy
More informationPRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES GYNECOLOGIC CANCER VULVAR
PRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES GYNECOLOGIC CANCER VULVAR Last Revision Date July 2015 1 Site Group: Gynecologic Cancer Vulvar Author: Dr. Stephane Laframboise 1. INTRODUCTION
More informationHEALTH AWARENESS MONTH
HEALTH AWARENESS MONTH W H O THEME FOR 2017 D E P R E S S I O N : L E T S TA L K WHAT IS DEPRESSION? Depression is an illness characterized by persistent sadness, and loss of interest in activities that
More informationLargest efficacy trial of a cervical cancer vaccine showed Cervarix protects against the five most common cancercausing
FOR IMMEDIATE RELEASE Largest efficacy trial of a cervical cancer vaccine showed Cervarix protects against the five most common cancercausing virus types Published in The Lancet: Additional efficacy could
More informationCSQI BACKGROUNDER What is The Cancer Quality Council of Ontario (CQCO)? What does CQCO do? What is the Cancer System Quality Index?
CSQI BACKGROUNDER What is The Cancer Quality Council of Ontario (CQCO)? Established in 2002 by the Ministry of Health and Long-Term Care (MOHLTC), the Cancer Quality Council of Ontario (CQCO) is an arm
More informationSamuel B. Wolf, D.O., F.A.C.O.G. Emerald Coast Obstetrics and Gynecology Panama City Florida
Making sense of the new Pap smear screening guidelines. Samuel B. Wolf, D.O., F.A.C.O.G. Emerald Coast Obstetrics and Gynecology Panama City Florida Case 17 year old G1P0010 with first sexual encounter
More informationInformation for trans people
NHS Screening Programmes Public Health England leads the NHS Screening Programmes About this leaflet This leaflet is for trans (transgender) and non-binary people in England. It tells you about the adult
More informationIncreasing HPV Vaccine Uptake in Rural Populations
Increasing HPV Vaccine Uptake in Rural Populations Electra D. Paskett, PhD 1 The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
More informationPap Smears Pelvic Examinations Well Woman Examinations. When should you have them performed???
Pap Smears Pelvic Examinations Well Woman Examinations. When should you have them performed??? Arlene Evans-DeBeverly, PA-C Copyright 2012 There are always ongoing changes in gynecology, including the
More informationYou have been asked to come for a Colposcopy examination because your cervical screening test (smear) has shown evidence of abnormal cells.
Colposcopy Examination One Stops Patient Information Sheet Why do I need a Colposcopy examination at the one stop clinic? You have been asked to come for a Colposcopy examination because your cervical
More informationCervical Cancer Screening. David Quinlan December 2013
Cervical Cancer Screening David Quinlan December 2013 Cervix Cervical Cancer Screening Modest variation provincially WHO and UK begin at 25 stop at 60 Finland begin at 30 stop at 60 Rationale for
More informationQuestions and answers about HPV. Facts about the virus and the vaccine
Questions and answers about HPV Facts about the virus and the vaccine About the introduction of the human papillomavirus (HPV) vaccine Which countries have introduced the HPV vaccine? Over 100 countries
More informationNorth of Scotland Cancer Network Clinical Management Guideline for Endometrial Cancer
THIS DOCUMENT North of Scotland Cancer Network Clinical Management Guideline for Endometrial Cancer Based on WOSCAN CMG with further extensive consultation within NOSCAN UNCONTROLLED WHEN PRINTED DOCUMENT
More informationANNEX 07 - LATVIA MEDIA GUIDE on CERVICAL CANCER IN LATVIA
European Commission Directorate C Public Health and Risk Assessment Health & Consumer Protection Directorate general GRANT AGREEMENT n 2007121 EUROCHIP-III European Cancer Health Indicator Project-III
More informationCancer in Women. Lung cancer. Breast cancer
Cancer in Women You can get cancer at any age, but it is more likely as you get older. The types of cancer people get and the risk of dying from cancer are not the same for all ethnic groups. Here are
More informationKnowledge, Attitudes and Practices Regarding Cervical Cancer and Screening among Haitian Health Care Workers. KAP Survey
Supplementary Information Knowledge, Attitudes and Practices Regarding Cervical Cancer and Screening among Haitian Health Care Workers KAP Survey Healthcare Provider Survey about Cervical Cancer Thank
More informationGuideline for Fertility Preservation for Patients with Cancer
Guideline for Fertility Preservation for Patients with Cancer COG Supportive Care Endorsed Guidelines Click here to see all the COG Supportive Care Endorsed Guidelines. DISCLAIMER For Informational Purposes
More informationHPV Knowledge Survey Healthcare Providers
1. What is your age? m 20-24 m 25-35 m 36-45 m 46-55 m 56-65 m 66-75 2. What is your gender? m Male m Female m Other 3. Which ethnic group do you identify with (please tick all that apply)? m New Zealand
More informationChanges to cervical screening. Information for patients
Changes to cervical screening Information for patients On December 1, 2017, cervical cancer screening in Australia changed from two-yearly Pap testing to five-yearly HPV testing. Why has cervical screening
More informationWhat women should know about. cervical cancer. American Cancer Society Guidelines for the Early Detection of Cervical Cancer
What women should know about cervical cancer American Cancer Society Guidelines for the Early Detection of Cervical Cancer One of the best things you can do so you don t get cervical cancer is get regular
More informationProtect yourself: Get screened for breast cancer
B Protect yourself: Get screened for breast cancer reast cancer is the most common form of cancer in women with the exception of skin cancer. Women should get annual exams from their healthcare provider
More informationThe Pap Smear Test. The Lebanese Society of Obstetrics and Gynecology. Women s health promotion series
The Lebanese Society of Obstetrics and Gynecology Women s health promotion series The Pap Smear Test Since the Pap smear test started to be used the number of cases of cervical cancer was greatly reduced.
More informationThere are two supplemental tables presented here. The first, Table A.1, compares the items in the
Appendix There are two supplemental tables presented here. The first, Table A.1, compares the items in the modified Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS) to those included in the
More informationCERVIX MEASURE SPECIFICATIONS
Cancer Programs Practice Profile Reports (CP 3 R) CERVIX MEASURE SPECIFICATIONS Introduction The Commission on Cancer s (CoC) National Cancer Data Base (NCDB) staff has undertaken an effort to improve
More informationPalliative Care: Expanding the Role Throughout the Patient s Journey. Dr. Robert Sauls Regional Lead for Palliative Care
Palliative Care: Expanding the Role Throughout the Patient s Journey Dr. Robert Sauls Regional Lead for Palliative Care 1 Faculty/Presenter Disclosure Faculty: Dr. Robert Sauls MD, with the Mississauga
More informationPrevention, Diagnosis and Treatment of Gynecologic Cancers
Prevention, Diagnosis and Treatment of Gynecologic Cancers Jubilee Brown MD and Pamela T. Soliman MD, MPH Department of Gynecologic Oncology and Reproductive Medicine University of Texas MD Anderson Cancer
More informationCytology Update M Laing QEUH
Cytology Update M Laing QEUH Age change to 25 to 65 Age 25 to 50 Three yearly smear invitation Age 50 to 65 Five yearly smear invitation Women on non routine screening will be invited up to age 70 OUTCOME
More informationCervical Cancer Early Detection, Diagnosis, and Staging
Cervical Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis Catching cancer early often allows for more treatment options. Some early cancers may have signs and symptoms that can be
More informationCervical Cancer Screening in Canada: ENVIRONMENTAL SCAN
Cervical Cancer Screening in Canada: ENVIRONMENTAL SCAN Data collected in 2018 Acknowledgements Production of this environmental scan has been made possible through financial support from Health Canada
More informationAfter Soft Tissue Sarcoma Treatment
After Soft Tissue Sarcoma Treatment Living as a Cancer Survivor For many people, cancer treatment often raises questions about next steps as a survivor. What Happens After Treatment for Soft Tissue Sarcomas?
More information1/12/2016. I do not engage in any lucrative deals that require disclosure.
I do not engage in any lucrative deals that require disclosure. Sabrina Hofmeister, DO Assistant Professor Columbia St. Mary s Family Medicine Residency Program MCW Department of Family and Community Medicine
More informationYour Colposcopy Visit
Introduction Welcome to the colposcopy clinic. This booklet tells you about. The colposcopy examination.. Tests that are done in the colposcopy clinic.. What these tests look for Take a few minutes to
More informationEnglish for living in the UK. The Cervical Smear
English for living in the UK The Cervical Smear At a glance... Objective This class is aimed at teaching new arrivals to the UK about the need for cervical screening and to reduce the anxiety a smear test
More informationThe Cancer Journey. Bringing the patient home. Dr. Jan Owen, Primary Care Lead, SW Regional Cancer Program
The Cancer Journey Bringing the patient home Dr. Jan Owen, Primary Care Lead, SW Regional Cancer Program Proportion of deaths due to cancer and other causes, Canada, 2007 Other, 23.1% Cancer, 29.6% Kidney
More informationCancer Facts for People Over 50
National Institute on Aging AgePage Cancer Facts for People Over 50 Cancer strikes people of all ages, but you are more likely to get cancer as you get older, even if no one in your family has ever had
More informationGynecologic Cancer French Hospital Medical Center Cancer Committee Public Report
Table of Contents: PAGE 1 Community Cancer Center Program at French Hospital Medical Center PAGE 2 Gynecologic Oncology Program on the Central Coast PAGE 3 Gynecologic Cancer Basic Facts and Risk Factors
More informationGuideline for Fertility Preservation for Patients with Cancer
Guideline for Fertility Preservation for Patients with Cancer COG Supportive Care Endorsed Guidelines Click here to see all the COG Supportive Care Endorsed Guidelines. DISCLAIMER For Informational Purposes
More informationCervical screening: your results explained. Updated guidance
Cervical screening: your results explained Updated guidance This leaflet will explain the results of your cervical screening test which is designed to pick up any changes in cells on the cervix (lower
More informationSTOP Cancer, before it starts*
About your cervical screening (smear test) Going for screening could save your life. STOP Cancer, before it starts* This leaflet is available in Easy Read, BSL, audio and large print. www.cervicalscreeningwales.wales.nhs.uk
More informationA Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Follow-up for Cervical Cancer
Guideline 4-16 Version 2 A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Follow-up for Cervical Cancer L. Elit, E.B. Kennedy, A. Fyles, U. Metser, and the PEBC
More informationDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, 2. College of Medicine, Iowa City, I
Variation in staging and treatment of rectal cancer by National Cancer Institute (NCI) designation and medical school affiliation: Analysis of Surveillance, Epidemiology 1 Department of Epidemiology, University
More informationHuman Papillomavirus Immunisation Programme. Background
Human Papillomavirus Immunisation Programme Background Recommending the use of a human papillomavirus (HPV) vaccine was first signalled in the New Zealand Cancer Control Strategy Action Plan 2005-2010.
More informationAfter Adrenal Cancer Treatment
After Adrenal Cancer Treatment Living as a Cancer Survivor For many people, cancer treatment often raises questions about next steps as a survivor. Lifestyle Changes After Treatment for Adrenal Cancer
More informationFor all women aged Cervical Screening. Frequently Asked Questions. States of Guernsey Public Health Services
For all women aged 25-65 Cervical Screening Frequently Asked Questions States of Guernsey Public Health Services What is cervical screening? The Cervical Screening Programme now uses human papillomavirus
More informationPap Test. F r e q u e n t l y A s k e d Q u e s t i o n s
Pap Test Q: What is a Pap test? A: The Pap test, also called a Pap smear, checks for changes in the cells of your cervix. The cervix is the lower part of the uterus (womb) that opens into the vagina (birth
More informationASCCP Guideline Changes and Management of the Abnormal Pap Test Accurately Targeting Intervention
ASCCP Guideline Changes and Management of the Abnormal Pap Test Accurately Targeting Intervention Beryl Manning-Geist MD a,c, Allison Vitonis Sc. M. a, Michelle Davis MD a,b, Sarah Feldman MD MPH a,b a
More informationHPV, Cervical Dysplasia and Cancer
FACTSHEET HPV, Cervical Dysplasia and Cancer Summary Cervical dysplasia is an abnormal change in the cells of the cervix in the uterus. Early changes, called low-grade lesions by doctors, may persist and
More informationWhat Parents Should Know
What Parents Should Know Exploring the Link between HPV and Cancer www.indianacancer.org What is HPV? The Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). An STI is a
More informationCervical Cancer Research in South Africa
Gynecologic Cancer InterGroup Cervix Cancer Research Network Cervical Cancer Research in South Africa Lynette Denny Department Obstetrics and Gynaecology, University of Cape Town/ Groote Schuur Hospital
More informationNorth of Scotland Cancer Network Clinical Management Guideline for Carcinoma of the Uterine Cervix
THIS DOCUMENT North of Scotland Cancer Network Carcinoma of the Uterine Cervix UNCONTROLLED WHEN PRINTED DOCUMENT CONTROL Prepared by A Kennedy/AG Macdonald/Others Approved by NOT APPROVED Issue date April
More informationPutting evidence into practice: Dissemination and implementation of an evidencebased cervical cancer prevention project in Ethiopia
Putting evidence into practice: Dissemination and implementation of an evidencebased cervical cancer prevention project in Ethiopia Jennifer Kue, PhD Assistant Professor College of Nursing OBJECTIVES Describe
More informationNew guidelines for cervical cancer prevention and control
Dr Nathalie Broutet Reproductive Health and Research Department New guidelines for cervical cancer prevention and control PAHO Women's Cancer Initiative Washington DC, 5-7 February, 2013 WHO Mandate to
More informationFocus. International #52. HPV infection in High-risk HPV and cervical cancer. HPV: Clinical aspects. Natural history of HPV infection
HPV infection in 2014 Papillomaviruses (HPV) are non-cultivable viruses with circular DNA. They can establish productive infections in the skin (warts) and in mucous membranes (genitals, larynx, etc.).
More informationOvarian function and pregnancy after Hematopoietic Stem Cell Transplant
Ovarian function and pregnancy after Hematopoietic Stem Cell Transplant Factors that influence post transplantation fertility and ovarian function in women Total body irradiation (TBI) Drugs prescribed
More information