Skrining registar u organizovanom skriningu raka grlića materice u Republici Srbiji

Abstract

Ciljevi ove studije su bili: analiza stopa obolevanja (u periodu od 2000. do 2011) u centralnoj Srbiji i stopa umiranja (u periodu od 1991. do 2011) od karcinoma grlića materice u Republici Srbiji; identifikovanje postojećih snaga i mogućnosti, kao i slabosti i prepreka uvoĊenju registracije – skrining registra (SR) u program organizovanog skrininga raka grlića materice. TakoĊe, raĊena je i analiza rezultata procesnih indikatora, kao i rezultata dobijenih kao izvod iz SR iz organizovanog skrininga raka grlića materice. Materijal i metode: Podaci o ţenama koje su obolele i umrle od raka grlića materice (RGM) kao i podaci o populaciji, dobijeni su iz nepublikovanog i publikovanog materijala Republiĉkog zavoda za statistiku prema odgovarajućim šiframa MeĊunarodne klasifikacije bolesti (IX i X revizija). Statistiĉka analiza je obuhvatila izraĉunavanje uzrasno-specifiĉnih i standardizovanih stopa incidencije i mortaliteta od RGM. Standardizovane stope su raĉunate metodom direktne standardizacije, a kao standard je korišćena populacija sveta metodologijom po Segiju. Za analizu trenda stopa incidencije i mortaliteta korišćena je joinpoint regresiona analiza. TakoĊe, korišćena je metoda regresije za dobijanje i upotrebu jednaĉina za predikciju visine stopa incidencije i mortaliteta u 2030. godini. SWOT/TOWS analiza je bila upotrebljena za analiziranje spoljašnjih i unutrašnjih faktora primene SR, kao novog naĉina za prikupljanje podataka u programu organizovanog skrininga raka grlića materice (OSRGM) u Republici Srbiji. Ova analiza je raĊena u pet koraka. Prvi korak je podrazumevao odabir fokus grupe, drugi korak – metodu „vrtloga ideja‖ (engl. brainstorming), naĉin kojim su se prikupljali faktori za svaku od 4 kategorije (snage, slabosti, mogućnosti i prepreke). U trećem koraku je raĊena evaluacija prikupljenih faktora i njihovo pravilno svrstavanje po kategorijama. Ĉetvrti korak je podrazumevao formiranje i sprovoĊenje Upitnika za procenu vaţnosti nabrojanih faktora. Peti korak je podrazumevao ukrštanje izdvojenih faktora spoljašnjeg i unutrašnjeg okruţenja radi dobijanja strategija i dobijanje strategija za odrţivost i razvoj SR...

The first objective of this study was to analyze the incidence of cervical cancer (period between 2000 and 2011) and mortality (period between 1991 and 2011) rates in the Republic of Serbia. The second objective was to identify the existing strengths and weaknesses, as well as opportunities and threats to introduction of registration – Screening Registry (SR) in organized cervical cancer screening program. Analysis of performance indicators and the results obtained from the organized cervical cancer screening program (OCCSP) was also performed as the third objective of this study. Methods: Data on new cases of cervical cancer (CC) and deaths from CC, as well as population data were obtained from published and unpublished material of the Republic Institute for Statistics under the relevant codes of the International Classification of Diseases (revisions 9 and 10). Statistical analysis included the calculation of age-specific and standardized CC incidence and mortality rates. Standardized rates were calculated by direct method of standardization (by Segi). For the statistical analysis of CC incidence and mortality rates joinpoint regression analysis was used. Also, we used the regression method for obtaining equations for prediction of the height of incidence and mortality rates in 2030. SWOT/TOWS analysis was used to analyze internal and external factors of SR, as a new way for collection of the data in an organized cervical cancer program in the Republic of Serbia. This analysis was done in five steps. The first step involved the selection of a focus group, the second – brainstorming – for collecting factors in each of the 4 categories (strengths, weaknesses, opportunities and threats). In the third step-evaluation of collected factors and their proper classification in categories was conducted. The fourth step involved the creation of the questionnaire for assessing the importance of the collected factors. On that way, we got the most important factors, indifferently. The fifth step involved crossing of isolated factors from external and internal SR environment to obtain strategies intended for maintenance of sustainability and development of the SR...