Managing the transition in cervical screening methods for Taiwan: Policy recommendations and perspectives

doi:10.1016/j.jfma.2023.06.018

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Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34914

Title:	Managing the transition in cervical screening methods for Taiwan: Policy recommendations and perspectives
Authors:	Chen, Chien -Chin Lai, Chyong-Huey Chang, Chih-Long Cheng, Wen-Fang Pwu, Raoh-Fang Tsai, Jane Wang, Peng-Hui Whang-Peng, Jacqueline Lai, Gi-Ming
Contributors:	Chia Yi Christian Hosp, Ditmanson Med Fdn Chia, Dept Pathol Chia Nan Univ Pharm & Sci, Dept Cosmet Sci Natl Chung Hsing Univ, Rong Hsing Res Ctr Translat Med, Program Translat Med Natl Cheng Kung Univ, Coll Biosci & Biotechnol, Dept Biotechnol & Bioind Sci Linkou Branch, Chang Gung Mem Hosp, Dept Obstet & Gynecol Chang Gung Univ MacKay Med Coll, Dept Med Mackay Mem Hosp, Dept Obstet & Gynecol Natl Taiwan Univ, Coll Med, Dept Obstet & Gynecol Taipei Med Univ, Sch Hlth Care Adm Fu Jen Catholic Univ, Data Sci Ctr Formosa Canc Fdn Taipei Vet Gen Hosp, Dept Obstet & Gynecol Natl Yang Ming Chiao Tung Univ Formosa Canc Fdn
Keywords:	Human papillomavirus Pap smear Cervical cancer Cervical cytology HPV-based testing
Date:	2023
Issue Date:	2024-12-25 11:05:34 (UTC+8)
Publisher:	ELSEVIER TAIWAN
Abstract:	Since government-provided annual cervical cytology testing for all Taiwanese women aged 30 years or older became available in 1995, both cervical cancer incidence and death have decreased significantly. However, with the 2018 introduction of the national immunization pro-gram for human papillomavirus (HPV) vaccination in all schoolgirls aged 13-15 years old, the positive predictive value of cytology testing is expected to decrease with rising vaccination rates, and therefore a transition to more sensitive HPV-based testing may be needed. This position paper, derived from discussions by a panel of experts in cervical cancer screening, pro-vides short-, medium-, and long-term policy recommendations to manage the transition between cervical screening methods for Taiwan. The recommendations include concrete suggestions regarding testing procedures, standards, accreditation, monitoring, promotion, and implementation. It is hoped that comprehensive preparation and management of this transition will enable Taiwan to repeat the previous successes of the cervical cytology testing pro-gram. Copyright 2023, Formosan Medical Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Relation:	Journal of The Formosan Medical Association, v.122, n.11, pp.1213-1218
Appears in Collections:	[Offices] 456

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