We enthusiastically read Laurie Elit's article about the cervical cancer (CC) screening in older women [
]. We feel that its analysis of the effectiveness of screening beyond the currently established age is accurate. While this debate remains active, we believe that other issues associated with the effectiveness and efficiency of our care should first be considered. The terms effectiveness and efficiency have occasionally been confused. Therefore, when planning a screening programme, a public health strategy such as a population-based programme has a different design than the protocols that are used for women who directly request this type of care.
- Elit L.
Role of cervical screening in older women.
Maturitas. 2014; 79: 413-420
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- Role of cervical screening in older women.Maturitas. 2014; 79: 413-420
- The moderate decrease in invasive cervical cancer incidence rates in Spain (1980–2004): limited success of opportunistic screening.Ann Oncol. 2012; 21: 61-68
- Guía de Cribado del Cáncer de Cuello de Útero en España.Prog Obstet Ginecol. 2014; 57: 1-53
- Position of the Spanish Menopause Society regarding the management of perimenopause.Maturitas. 2013; 74: 283-290
- Differences in contraceptive use between Spanish female healthcare providers and Spanish women in the general population aged 23 to 49 years: the HABITS Study.Eur J Contracept Reprod Health Care. 2014; 19: 161-168
Published online: December 15, 2014
Received: December 4, 2014
© 2014 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.