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The World Bank (2016)
World Health Organization (2015)
UNDP Human Development Report (2015)
The World Bank (2016)
GLOBOCAN (2018)
Country fact sheet: Italy
| - Total population: | 60 627 498 |
| - Female population: | 31 100 617 |
| - Male population: | 29 526 881 |
Health Expenditure
| - Total per capita (US$): | 2 700.4 |
| - Out-of-pocket (% of total expenditure on health): | 22.8 |
Human Development Index
| - HDI: | 0.887 |
| - Category: | Very high |
Geography
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Life Expectancy at Birth
| - Total population (years): | 82.5 |
| - Female population (years): | 84.9 |
| - Male population (years): | 80.3 |
Cancer Burden
| - Overall cancer incidence (rate per 100 000 persons per year): | 290.6 |
| - Overall cancer mortality (rate per 100 000 persons per year): | 94.1 |
| - Most common cancer site by incidence for females (rate per 100 000 persons per year): | Breast (92.8) |
| - Most common cancer site by mortality for females (rate per 100 000 persons per year): | Breast (13.8) |
| - Most common cancer site by incidence for males (rate per 100 000 persons per year): | Prostate (61.3) |
| - Most common cancer site by mortality for males (rate per 100 000 persons per year): | Lung (28.7) |
| - GLOBOCAN 2018 population fact sheet |
BREAST CANCER SCREENING PROGRAMME
| Last updated year for qualitative data: | 2016 |
| Source of data: | Report (EU Report 2017) |
| Last updated year for quantitative data: | 2013 |
| Source of data: | Report (EU Report 2017) |
Screening protocol | |
| Year published/updated: | No answer |
| Target age (min-max) and screening interval [months] for each test: | Mammography (45-74 years / [24 months] ) |
Programme status and organization | |
| Dedicated person/team to coordinate the programme: | Yes |
| Budget line for screening programme: | Yes |
| Documented cancer screening policy: | Yes |
| Nature of documentation of the policy: | Law |
| Program introduction was preceded by a pilot: | No answer |
| Year program was initiated: | 1990 |
| Screening tests provided free of charge: | Yes |
| Diagnostic tests provided free of charge: | Yes |
| Treatment services provided free of charge: | No answer |
Information system/Data collection | |
| Data type collected by the programme: | Individual and aggregate |
| The information system collects data outside the program (opportunistic screening/private sector): | No answer |
| Cancer screening registries covering the entire country/region: | Yes |
| Cancer screening data is linked with Population-based cancer registry: | Yes |
Invitation to screening and further assessment | |
| Method of identification of eligible individuals: | From population data |
| Source of population data: | Population register |
| Annual target for screening coverage: | No answer |
| Invitations to eligible population: | Yes, Excluding those covered by opportunistic screening |
| Method of invitation: | letter |
| Screen positive individuals actively invited for further assessment: | Yes |
| Individuals with a precancer or cancer diagnosis actively contacted: | No answer |
| Program collects data on the treatment of precancer/cancers: | No answer |
Programme monitoring and quality assurance (QA) | |
| Documented standard operating procedure/policy for QA: | Yes |
| Responsible person/team for QA: | Yes |
| Documented performance indicators and their reference standards to assess the programme: | Yes |
| Evaluation reports are prepared and published: | Yes |
Cancer Screening programme status | |
| Nature of cancer screening programme: | Population-based and non population-based |
| Current status of implementation (applicable only for population-based programmes): | Roll-out completed |
| Cancer screening programme population based for selected populations: | No answer |
Performance indicators | |
| Target age and regional limitation if applicable: | 50-69 years |
| Invitation coverage (%): | 70.6 |
| Examination coverage (%): | 39.1 |
| Participation rate (%): | 55.4 |
| Completeness of data related to screening results (%): | 100.0 |
| Completeness of data related to further assessment results (%): | 96.1 |
| Further assessment rate (%): | 5.8 |
| Further assessment participation rate (%): | 98.0 |
| Detection rate of CIS and invasive (x 1000): | 4.32 |
| Detection rate of invasive cancer (x 1000): | 0.69 |
| Positive predictive value of further assessment to detect CIS and invasive (%): | 7.6 |
| Proportion of total carcinomas which are CIS (%): | 15.9 |
| Benign surgical biopsy rate (x 1000): | 0.55 |
| More quantitative data (2013) | |
CERVICAL CANCER SCREENING PROGRAMME
| Last updated year for qualitative data: | 2016 |
| Source of data: | Report (EU Report 2017) |
| Last updated year for quantitative data: | 2013 |
| Source of data: | Report (EU Report 2017) |
Screening protocol | |
| Year published/updated: | No answer |
| Target age (min-max) and screening interval [months] for each test: | Cytology (25-64 years / [36 months] ) |
| Triaging test used: | Cytology |
| "screen and treat" included in the protocol: | No answer |
Programme status and organization | |
| Dedicated person/team to coordinate the programme: | Yes |
| Budget line for screening programme: | Yes |
| Documented cancer screening policy: | Yes |
| Nature of documentation of the policy: | Law |
| Program introduction was preceded by a pilot: | No answer |
| Year program was initiated: | 1989 |
| Screening tests provided free of charge: | Yes |
| Diagnostic tests provided free of charge: | Yes |
| Treatment services provided free of charge: | No answer |
Information system/Data collection | |
| Data type collected by the programme: | Individual |
| The information system collects data outside the program (opportunistic screening/private sector): | No answer |
| Cancer screening registries covering the entire country/region: | Yes |
| Cancer screening data is linked with population-based cancer registry: | Yes |
Invitation to screening and further assessment | |
| Method of identification of eligible individuals: | From population data |
| Source of population data: | Population register |
| Annual target for screening coverage: | No answer |
| Invitations to eligible population: | Yes, For the entire target population |
| Screening kit included with the invitation: | No |
| Method of invitation: | letter |
| Screen positive individuals actively invited for further assessment: | Yes |
| Individuals with a precancer or cancer diagnosis actively contacted: | No answer |
| Program collects data on the treatment of precancer/cancers: | No answer |
Programme monitoring and quality assurance (QA) | |
| Documented standard operating procedure/policy for QA: | Yes |
| Responsible person/team for QA: | Yes |
| Documented performance indicators and their reference standards to assess the programme: | Yes |
| Evaluation reports are prepared and published: | Yes |
Cancer Screening programme status | |
| Nature of cancer screening programme: | Population-based |
| Current status of implementation: | Roll-out on going |
| Cancer screening programme population based for selected populations/regions: | No answer |
Performance indicators | |
| Target age and regional limitation if applicable: | 30-59 years |
| Invitation coverage (%): | 66.0 |
| Examination coverage (invitation cohort) (%): | 27.9 |
| Examination coverage (tests in the index-year) (%): | 30.7 |
| Participation rate (%): | 42.2 |
| Completeness of data related to screening test results (%): | 100 |
| Completeness of data related to further assessment results (%): | 82.3 |
| Colposcopy referral rate (%): | 2.6 |
| Colposcopy participation rate (%): | 87.7 (all ages) |
| Detection rate of CIN2+ (x 1000): | 4.14 |
| Detection rate of CIN3+ (x 1000): | 2.18 |
| Positive Predictive Value of abnormal screening test to detect CIN2+ (x 1000): | 14.9 |
| Positive Predictive Value of CIN3+ (x 1000): | 14.9 |
| More quantitative data (2013) | |
COLORECTAL CANCER SCREENING PROGRAMME
| Last updated year for qualitative data: | 2013 |
| Source of data: | Report (EU Report 2017) |
| Last updated year for quantitative data: | 2013 |
| Source of data: | No source |
Screening protocol | |
| Year published/updated: | No answer |
| Target age (min-max) and screening interval [months] for each test: | FIT: (50-69 years / [24 months] ) |
Programme status and organization | |
| Dedicated person/team to coordinate the programme: | Yes |
| Budget line for screening programme: | Yes |
| Documented cancer screening policy: | Yes |
| Nature of documentation of the policy: | Official recommendation |
| Program introduction was preceded by a pilot: | No answer |
| Year program was initiated: | 1982 |
| Screening tests provided free of charge: | Yes |
| Diagnostic tests provided free of charge: | Yes |
| Treatment services provided free of charge: | No answer |
Information system/Data collection | |
| Data type collected by the programme: | Individual and aggregate |
| The information system collects data outside the program (opportunistic screening/private sector): | No answer |
| Cancer screening registries covering the entire country/region: | Yes |
| Cancer screening data is linked with population-based cancer registry: | PBCR exists but not linked |
Invitation to screening and further assessment | |
| Method of identification of eligible individuals: | From population data |
| Source of population data: | Population register |
| Annual target for screening coverage: | No answer |
| Invitations to eligible population: | Yes, For the entire target population |
| Method of invitation: | letter |
| Screen positive individuals actively invited for further assessment: | Yes |
| Individuals with a precancer or cancer diagnosis actively contacted: | No answer |
| Program collects data on the treatment of precancer/cancers: | No answer |
Programme monitoring and quality assurance (QA) | |
| Documented standard operating procedure/policy for QA: | Yes |
| Responsible person/team for QA: | Yes |
| Documented performance indicators and their reference standards to assess the programme: | Yes |
| Evaluation reports are prepared and published: | Yes |
Cancer Screening programme status | |
| Nature of cancer screening programme: | Population-based and non population-based |
| Current status of implementation (applicable only for population-based programmes): | Roll-out on going |
| Cancer screening programme population based for selected populations: | No answer |
Performance indicators | |
| FIT | gFOBT | sigmoidoscopy | Colonoscopy | |
| Target age and regional limitation if applicable: | 50-74 | 50-59 | ||
| Invitation coverage (%): | 57.5 | 1.4 | ||
| Examination coverage (%): | 26.3 | 0.3 | ||
| Participation rate (%): | 45.7 | 24.5 | ||
| Completeness of data related to screening results (%): | 99.4 | |||
| Completeness of data related to information about attendance to colonoscopy assessment (%): | 100.0 | |||
| Completeness of data related to histology result (%): | 100.0 | |||
| Screen positivity (indication for follow-up colonoscopy) rate (%) : | 4.8 | |||
| Follow-up colonoscopy participation rate (%): | 77.6 | |||
| Completion rate follow-up colonoscopy (%): | 92.4 | |||
| Detection rate of adenomas (x 1000): | 14.1 | |||
| Detection rate of advanced adenomas (x 1000): | 7.3 | |||
| Detection rate of colorectal cancers (x 1000): | 1.2 | |||
| Positive Predictive Value of further assessment to detect adenomas (%): | 38.1 | |||
| Positive Predictive Value of further assessment to detect advanced adenomas (%): | 19.7 | |||
| Positive Predictive Value of further assessment to detect colorectal cancers (%): | 3.5 | |||
| More quantitative data for FIT (Male - 2013) | ||||
| More quantitative data for FIT (Women - 2013) | ||||
| More quantitative data for Flexible sigmoidoscopy (Male - 2013) | ||||
| More quantitative data for Flexible sigmoidoscopy (Women - 2013) |