EP386 Cervical cancer screening in PHC organization in poland

Introduction/Background Incidence and mortality of cervical cancer are high in Poland. The screening for cervical cancer in Poland is based on smear tests examined under optical microscope. Identification of pathological changes in cytology is a key outcome in preventive programmes in primary healthcare (PHC). The aim of the study was to present data regarding to percentage of cervical cancer screening programme execution in a multicentre PHC organization in relation to the voivodships’ average. Methodology Publicly funded cervical cancer screening programme was available for patients of Polish multicentre PHC organization located in Mazovian and Lublin Voivodships responsible for over 84,000 patients - Medical and Diagnostic Centre (CMD) in Siedlce, Poland. Data were collected by midwifes in respective PHC centres. Tests’ results were reported to public database for prophylactic programs and additionally collected locally in MS Excel database. Results Participation in prophylactic programme in CMD is relatively high. For Mazovian voivodship 59,5% of eligible CMD patients participated in the programme vs. a mean of 18,0% for entire voivodship, and in Lublin voivodship 65,3% of eligible CMD patients participated in the programme vs. 23,0% for entire region. The percentage of abnormalities found was increasing in these years in which newly screened population was included (no cervical cancer screening for 5 years; new site opened). Among 2310 patients tested, abnormalities were found in 5,24% and 2,25% of all patients required further diagnostics. Conclusion Implementation of preventive programmes, especially in new populations is very important. In such populations and among non-compliance patients who do not attend a doctor for many years, the largest number of pathological changes can be found Disclosure Nothing to disclose.