Thousands of Women’s Lives Depend on the Improvement of Poland’s Cervical Cancer Screening and Prevention Education as Well as Better Networking Strategies Amongst Cervical Cancer Facilities

Śniadecki, Marcin; Poniewierza, Patryk; Jaworek, Paulina; Szymańczyk, Ada; Andersson, Gorm; Stasiak, Maria; Brzeziński, Michał; Bońkowska, Małgorzata; Krajewska, Magdalena; Konarzewska, Joanna; Klasa-Mazurkiewicz, Dagmara; Guzik, Paweł; Wydra, Dariusz

doi:10.3390/diagnostics12081807

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…Cervical cancer is the fourth most diagnosed malignancy, responsible for approximately 604,000 new cases and 342,000 deaths annually worldwide [3]. Roughly 3000 patients are newly diagnosed each year in Poland, and according to the International Agency for Research on Cancer, its age-standard mortality rate of 4.9 deaths for every 100,000 women/ year gives Poland the seventh highest mortality rate in Europe [6,7]. The geographical area plays a crucial role in the incidence rate and stage of cervical cancer at the moment of diagnosis [3,8], which are highly dependent on access to screening programs allowing early identification of precancerous lesions.…”

Section: Epidemiology Of Cervical Cancermentioning

confidence: 99%

The management of vaginal bleeding in advanced cervical cancer

Olejniczak,

Zasowska-Nowak

2023

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Cervical cancer is the fourth most diagnosed malignancy worldwide. This narrative review aimed to assess various treatment methods for reducing or completely stopping vaginal bleeding, which is one of the most common and alarming complaints reported by women with cervical cancer. The treatment of bleeding depends on its intensity, potential causes (reversible and irreversible), stage of the disease, and prognosis. In advanced-stage patients receiving palliative care, interventional methods such as embolization or surgical ligation of internal iliac vessels, or epigastric or uterine arteries are usually not possible due to the patient's poor general condition. The treatment of choice is conservative therapy, which includes the performance of vaginal tamponade (usually using sterile gauze, haemostatic gauze, or cellulose sponges), the use of anti-haemorrhagic drugs (tranexamic acid, vitamin K), and, in selected clinical situations, palliative radiotherapy. The literature on the subject points to reports on the effectiveness of topical 4% formalin solution, Mohs paste, Monsel's solution, thrombin, or epinephrine in inhibiting vaginal bleeding. However, these are not supported by data from randomized clinical trials. Data available in databases on the alleviation of cervical vaginal bleeding are limited, so there is a need for further clinical research on this topic.

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Section: Epidemiology Of Cervical Cancermentioning

confidence: 99%

The management of vaginal bleeding in advanced cervical cancer

Olejniczak,

Zasowska-Nowak

2023

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Tertiary prevention strategies for micrometastatic lymph node cervical cancer: A systematic review and a prototype of an adapted model of care

Śniadecki,

Guani,

Jaworek

et al. 2024

Critical Reviews in Oncology/Hematology

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Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females

et al. 2023

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The low attendance rate for cancer screening tests in Poland is a major healthcare concern that requires specific analysis and the development of implementation recommendations for prevention, and both actions are likely to benefit culturally similar countries. Four female cancers account for approximately 20% of all cancer cases—breast cancer, cervical cancer, endometrial cancer, and ovarian cancer—suggesting that gynecologists have a significant preventative role. Of the four, breast cancer and cervical cancer are among the 10 most common malignant neoplasms globally, regardless of gender, occur only in women and are known to have effective screening measures. Our research aims to create a screening model that combines cervical cancer and breast cancer to maximize health outcomes for women at risk of both cancers. In the study protocol, we have created a model that maximizes benefits for patients with minimal additional costs to the health care system. To achieve the set goal, instead of regular clinical breast exams as recommended by the gynecological societies, we proposed an ultrasound examination, during which palpation may also be performed (in the absence of elastography). We present a scheme for such a protocol that takes into consideration all types of prevention in both cancers, and that emphasizes breast ultrasound as the most frequently missing element. Our study includes a discussion of the strengths and weaknesses of our strategy, and the crucial need for infrastructure and education for the successful implementation of the program. We conclude that our model merits consideration and discussion among health-care decision makers, as the screening changes we propose have significant potential benefits for the female population.

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Thousands of Women’s Lives Depend on the Improvement of Poland’s Cervical Cancer Screening and Prevention Education as Well as Better Networking Strategies Amongst Cervical Cancer Facilities

Cited by 3 publications

References 29 publications

The management of vaginal bleeding in advanced cervical cancer

The management of vaginal bleeding in advanced cervical cancer

Tertiary prevention strategies for micrometastatic lymph node cervical cancer: A systematic review and a prototype of an adapted model of care

Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females

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