Cancer Screening

Under-screening for cervical cancer (women aged 35-54 who were not screened in the last 5 years)

Women who were not screened for cervical cancer in the 5 previous years (numerator), among Women aged 35-54 (denominator)

Rational:

Cervical cancer used to be one of the most common causes of cancer death for American women; appropriate screening has reduced the mortality rate by more than 50 percent over the last 30 years, as early detection is highly effective [1]. In Israel, the Ministry of Health recommends screening with PAP test every three years in women aged 25 to 65 years; However, it is included in the “Health Basket” for women aged 35 to 54 only [2].

Numerator:

Women in the denominator who were not screened for cervical cancer (PAP test) in the 5 previous years

Denominator

Women aged 35-54

Notes:

None

Notes:

[1] American Cancer Society. Cancer Prevention & Early Detection Facts & Figures 2015-2016. Atlanta, Ga: American Cancer Society; 2015. Available: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-prevention-and-early-detection-facts-and-figures/cancer-prevention-and-early-detection-facts-and-figures-2015-2016.pdf  [Accessed: 22-Mar-2018]
[2] In Hebrew: חוזר המנהל הכללי בנושא: מניעה וגילוי מוקדם של מחלות ממאירות, 2012. משרד הבריאות Available: http://www.cancer.org.il/template/default.aspx?PageId=7655. [Accessed: 22-Mar-2018]

Results:

Under-screening for cervical cancer by year

Under-screening for cervical cancer by socio-economic position (1-lowest, 4-highest)