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. Author manuscript; available in PMC: 2022 Oct 1.
Published in final edited form as: Prev Med. 2021 May 23;151:106623. doi: 10.1016/j.ypmed.2021.106623

Table 3 –

Predicted impact of disruptions on women screened, and cancer diagnoses over 2020–2030 and related deaths, by setting: 12-month scenarios

Setting Disruptions include Women predicted to miss screening visits1 Cervical cancer cases (2020–2030)1 Predicted additional deaths due to additional/upstaged cancers in 2020–20301
Expected (no disruptions) Additional due to disruptions % increase Detected at higher stage
Australia Primary Scr (S5): 107,130.0 791.5 8.7 1.1 3.1 1.8 – 2.7
Surveillance (S6): 116,019.2 14.4 1.8 6.8 3.4 – 4.9
Colp/Tx (S7): 116,019.8 20.6 2.6 10.2 5.1 – 7.2
Netherlands Primary Scr (S5): 67,340.3 1,144.1 4.0 0.4 1.4
Norway (cytology)* Primary Scr (S5): 178,046.6 1,510.1 6.1 0.4 3.7 5.2
Surveillance (S6): 178,046.6 19.6 1.3 8.8 13.3
Colp/Tx (S7): 178,046.6 23.1 1.5 9.2 14.6
Norway (primary HPV)* Primary Scr (S5): 130,191.9 1,321.6 5.3 0.4 2.8 3.6
Surveillance (S6): 130,191.9 22.9 1.7 9.6 14.9
Colp/Tx (S7): 130,191.9 27.0 2.0 10.2 16.6
USA (cytology) Harvard* Primary Scr (S5): 215,086.1 788.7 5.3 0.7 1.7 0.1
Surveillance (S6): 215,086.1 9.3 1.2 2.6 0.1
Colp/Tx (S7): 215,086.1 14.1 1.8 3.7 0.1
USA (co-testing) Harvard* Primary Scr (S5): 214,200.7 236.3 1.3 0.6 0.0 -
Surveillance (S6): 214,200.7 7.5 3.2 1.1 -
Colp/Tx (S7): 214,200.7 11.3 4.8 1.8 0.1
USA (cytology) Policy1* Primary Scr (S5): 198,171.6 606.8 7.3 1.2 1.4 1.1 – 1.8
Surveillance (S6): 214,630.0 14.8 2.4 3.8 2.4 – 4.2
Colp/Tx (S7): 214,630.0 19.2 3.2 5.2 3.1 – 5.5
USA (co-testing) Policy1* Primary Scr (S5): 184,924.3 384.9 4.8 1.2 1.0 0.8 – 1.3
Surveillance (S6): 227,511.4 14.7 3.8 3.8 2.3 – 4.1
Colp/Tx (S7): 227,511.4 20.4 5.3 4.7 3.1 – 5.5

na = not available

1.

Values are per million women aged 20+ in 2020. Lower disease level in Harvard US model in the no disruption scenario is partially due to the model reflecting squamous cell carcinoma only. Results for 6-month disruption scenarios are presented in Table A5.