NBCCEDP program significantly reduces the death, disease of the cervical cancer -
Former federal program for the early detection and treatment of 23 years of cervical cancer reduced significantly disease and death in underserved, low-income women, but its impact was reduced by the fact that he has reached only 10 percent of the eligible population, finds a new study in the American Journal of Preventive Medicine .
To reduce disparities in the incidence of cervical cancer and mortality, the US Congress passed the Law on the Prevention and chest of cervical cancer deaths in 190, the researchers . The law authorizes the creation of the National Breast and early detection of cervical cancer program (NBCCEDP), which was enacted in 1991. Since then, more than 2.9 million women were screened for cervical cancer and 3,206 invasive cancers were detected.
lead author Donatus Ekwueme, Ph.D., explained that the research used a simulation model to measure three things: (1) the number of life years saved the program; (2) the quality of those years; and (3) the number of deaths averted. "We compared the 1.8 million women who have been screened by the NBCCEDP between 1991 and 07 at two groups of women women who received the screening program and the various women who did not receive any control , "he said. When the researchers compared the impact of NBCCEDP program compared to other screening programs, they found that the federal program has resulted in 325 lives, or 10.369 years of life saved. comparing NBCCEDP the participants in unscreened women in all, 3,829 lives have been saved, adding up to 101.509 years of life. the NBCCEDP has also improved the quality of life of health participants.
in addition to these direct benefits, Ekwueme noted, "it is important to understand that the NBCCEDP program provides many indirect benefits. it helped uninsured women access to the health care system, improving their health in other areas ". For example, many NBCCEDP participants also receive care through the WISEWOMAN (well integrated for screening and evaluation for women across the country) program that provides screening for heart disease and stroke risk.
Ronald Gray, MD, professor of population, family and reproductive health at Johns Hopkins Bloomberg School of Public Health, notes that finding that the screening program reduces mortality and improves survival is important, but not surprising given the impact of Pap screening is well documented.
Gray points out that "the study does not take into account new screening methods more sensitive and specific, such as HPV testing and does not reflect the" state of the art. "He also noted the low rate of poor participation in the program over the years the study covers. With only 10 percent of eligible women receiving services, 0 percent were screened for cancers of the cervix easily detected.
The researchers foresee the NBCCEDP reach more women eligible in the future, because poor women gain better insurance coverage under the Affordable Care Act. The authors wrote: "In the United States, access to cancer screening is highly dependent on access to affordable prices, acceptable" medical care by increasing insurance coverage for eligible NBCCEDP women. these women will benefit from improved access to preventive care.
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