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Flashcards in Screening programmes Deck (7)
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1

Breast screening programme 

 

- ages

-what offered

  •  47-73 years

 

  • Women are offered a mammogram every 3 years

 

  • After the age of 70 years women may still have mammograms but are 'encouraged to make their own appointments'

2

Colorectal screening programme 

- ages 

- what used



 

  • screening every 2 years to all men and women aged 60 to 74 years in England, 50 to 74 years in Scotland. Patients aged over 74 years may request screening

 

  • eligible patients are sent Faecal Immunochemical Test (FIT) tests through the post
  • a type of faecal occult blood (FOB) test which uses antibodies that specifically recognise human haemoglobin (Hb) used to detect, and can quantify, the amount of human blood in a single stool sample

 

  • advantages over conventional FOB tests is that it only detects human haemoglobin, as opposed to animal haemoglobin ingested through diet

 

  • only one faecal sample is needed compared to the 2-3 for conventional FOB tests

 

  • whilst a numerical value is generated, this is not reported to the patient or GP, who will instead be informed if the test is normal or abnormal

 

  • patients with abnormal results are offered a colonoscopy

3

Cervical cancer screening programme

- ages

A smear test is offered to all women between the ages of 25-64 years

  • 25-49 years: 3-yearly screening

 

  • 50-64 years: 5-yearly screening

 

  • cervical screening cannot be offered to women over 64 (unlike breast screening, where patients can self refer once past screening age)

4

What about cervical cancer screening in: 

- pregnancy 

- women who have never had sex

  • cervical screening in pregnancy is usually delayed until 3 months post-partum unless missed screening or previous abnormal smears

 

  • women who have never been sexually active have very low risk of developing cervical cancer therefore they may wish to opt-out of screening

5

How is cervical cancer screening programme performed?

There is currently a move away from traditional Papanicolaou (Pap) smears to liquid-based cytology (LBC). Rather than smearing the sample onto a slide the sample is either rinsed into the preservative fluid or the brush head is simply removed into the sample bottle containing the preservative fluid.

Advantages of LBC includes

  • reduced rate of inadequate smears
  • increased sensitivity and specificity


It is said that the best time to take a cervical smear is around mid-cycle. Whilst there is limited evidence to support this it is still the current advice given out by the NHS.

6

Screening of aortic aneurysm 

- age 

- interpretation 

Screening for an abdominal aortic aneurysm consists of a single abdominal ultrasound for males aged 65

 

 

 

7