The Dutch primary HPV-based cervical cancer screening programme:Evaluation and improvements
Year: 2024
Type: dissertation
Abstract: The Dutch cervical cancer screening programme is under constant evaluation and improvements are regularly made. In 2017, the nation-wide programme was restructured to use primary HPV-testing instead of primary cytology. This thesis uses data-analysis to evaluate the attendance rate and the effect of introducing HPV self-sampling. Additionally, it uses simulation model MISCAN-Cervix to investigate opportunities for improvements to the programme, such as for the self-sampling deployment strategy, the triage method and the starting and ending ages of screening. Finally, it investigates the long-term consequences of Covid for the effects of the screening programme and it explores the possible timing of elimination of cervical cancer without deteriorating the harms-benefits ratio of screening.
Author: Kaljouw, Sylvia
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7140008408