Table 2

Overview of screening policy in countries and regions where cervical SCC incidence trends are presented: reported year of onset, age range targeted, and recommended screening interval

European areaIncidence populationYear of onset of organized screening program, type of screening system, and area coveredAge range targeted (year program began)Recommended screening interval with normal result (y)
NorthernDenmark1967 (achieved national coverage recently)23-59 (1986)3 (some counties 5 y in >45 or 50)
EstoniaNo screening programNo screening programNo screening program
Finland1963 (national coverage)30-60 (1993)5
Norway1995, pilot 1992 (program in one county 1959-1977)25-69 (1992)3
Sweden1967-1973 in different counties, Gothenburg 197723-60 (1999)3 in ages 23-50; 5 in ages 51-60
United Kingdom1988 (national coverage)20-64 (1988, reviewed 2003)3-5 (currently 3 in ages 25-49 and 5 in ages 50-64)
EasternCzech RepublicOpportunistic since 1966 (screening in two districts, beginning 2004)Not specified (1966)1
Slovakia— (intention to initiate program)25-64 (—)3
SouthernItalyFlorence (1985)25-60 (1985); (25-64 from 1995)3
Parma (1998)25-64 (1998)3
Ragusa (no data)25-64 (no data)3
Turin (1992)25-64 (1992)3
Varese (no data)25-64 (no data)
SloveniaOpportunistic until 200320-64 (2003)3
SpainCatalonia (opportunistic until 1993)20-64 (1993)3-5: initially 2 smears 1 y apart and then 3 y in ages 20-34 and 5 y in ages 35-64
WesternFranceBas-Rhin (1994)25-65 (1990)3
Doubs (1993)20-64 (1993)3 (after 2 normal exams with 1-y interval)
Isére (1990)50-69 (1990)3
SwitzerlandOpportunistic (no data)18-69 (no data)3
  • NOTE: Adapted from the European Cervical Cancer Screening Network questionnaire survey (5).