2021-11-16-世界卫生组织-Cervical_cancer_Croatia_2021_country_profile_1页_64kb

Croatia's Cervical Cancer Profile Summary

Morbidity and Mortality

• Crude incidence: 15.8 per 100,000 women (2020).
• Age-standardized incidence: 10.1 per 100,000 women (2020).
• Cumulative risk (ages 0-74): 1.0% (2020).
• Deaths: 26,600 for females (2019).
• Mortality-to-incidence ratio: 0.45 (2020).
• A population-based cancer registry exists (2021).

Primary Prevention

• HPV vaccination: Program included (not specified coverage percentage), introduced in 2016 for girls, target age cohort age 9-14; coverage from 2016 data estimates 31% by age 15.
• Risk factors: Tobacco use prevalence among women aged 15+ years is <0.01; other factors, such as condom use and HIV incidence, lack sufficient data.

Secondary Prevention Screening

• National screening program exists (yes, 2021); primary test used is cytology.
• Target age range: 25-64 years (2021).
• Early detection programs strengthen first symptom detection at primary health care levels (yes, 2021).
• A clearly defined referral system exists from primary to secondary and tertiary care (yes, 2021).

Treatment and Supportive Care

• National cervical cancer management guidelines exist (2021).
• Availability of resources and staff for treatment vary, including radiotherapy, brachytherapy, surgery, and specialized medical roles, with reported figures by year such as 70% radiotherapy access, surgeons per 10,000 patients recorded in 2013.

WHO Cervical Cancer Elimination Strategy (2030)

• Targets aim for reduction and elimination; no specific program coverage metrics provided beyond vaccination and screening.