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Country fact sheet: Poland

Population

- Total population: 37 970 087
- Female population: 19 631 197
- Male population: 18 338 890
The World Bank (2016)

Health Expenditure

- Total per capita (US$): 796.7
- Out-of-pocket (% of total expenditure on health): 23.2
World Health Organization (2015)

Human Development Index

- HDI: 0.855
- Category: Very high
UNDP Human Development Report (2015)

Geography

Life Expectancy at Birth

- Total population (years): 77.5
- Female population (years): 81.6
- Male population (years): 73.5
The World Bank (2016)

Cancer Burden

- Overall cancer incidence (rate per 100 000 persons per year): 253.8
- Overall cancer mortality (rate per 100 000 persons per year): 136.5
- Most common cancer site by incidence for females (rate per 100 000 persons per year): Breast (59.1)
- Most common cancer site by mortality for females (rate per 100 000 persons per year): Lung (21.2)
- Most common cancer site by incidence for males (rate per 100 000 persons per year):  (52.7)
- Most common cancer site by mortality for males (rate per 100 000 persons per year): Lung (49.5)
- GLOBOCAN 2018 population fact sheet
GLOBOCAN (2018)

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
(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: Law
Program introduction was preceded by a pilot: No answer
Year program was initiated: 2006
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: No answer
Responsible person/team for QA: Yes
Documented performance indicators and their reference standards to assess the programme: No answer
Evaluation reports are prepared and published: No

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:
Invitation coverage (%):
Examination coverage (%):
Participation rate (%):
Completeness of data related to screening results (%):
Completeness of data related to further assessment results (%):
Further assessment rate (%):
Further assessment participation rate (%):
Detection rate of CIS and invasive (x 1000):
Detection rate of invasive cancer (x 1000):
Positive predictive value of further assessment to detect CIS and invasive (%):
Proportion of total carcinomas which are CIS (%):
Benign surgical biopsy rate (x 1000):
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
(25-29 years / [36 months] )
Triaging test used: None
"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: 2006
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
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: No answer
Responsible person/team for QA: Yes
Documented performance indicators and their reference standards to assess the programme: No answer
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: Roll-out completed
Cancer screening programme population based for selected populations/regions: No answer

Performance indicators

Target age and regional limitation if applicable: All ages
Invitation coverage (%):
Examination coverage (invitation cohort) (%):
Examination coverage (tests in the index-year) (%):
Participation rate (%): 18.2
Completeness of data related to screening test results (%): 100
Completeness of data related to further assessment results (%): 37.7
Colposcopy referral rate (%): 1.2 (all ages)
Colposcopy participation rate (%): 39.0 (all ages)
Detection rate of CIN2+ (x 1000): 1.04 (all ages)
Detection rate of CIN3+ (x 1000): 0.61 (all ages)
Positive Predictive Value of abnormal screening test to detect CIN2+ (x 1000): 23.2 (all ages)
Positive Predictive Value of CIN3+ (x 1000): 23.2 (all ages)
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: Colonoscopy: (55-64 years / [120 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: 2012
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, 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: No answer
Responsible person/team for QA: Yes
Documented performance indicators and their reference standards to assess the programme: No answer
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
Invitation coverage (%):
Examination coverage (%):
Participation rate (%): 16.7
Completeness of data related to screening results (%):
Completeness of data related to information about attendance to colonoscopy assessment (%):
Completeness of data related to histology result (%):
Screen positivity (indication for follow-up colonoscopy) rate (%) :
Follow-up colonoscopy participation rate (%):
Completion rate follow-up colonoscopy (%):
Detection rate of adenomas (x 1000):
Detection rate of advanced adenomas (x 1000):
Detection rate of colorectal cancers (x 1000):
Positive Predictive Value of further assessment to detect adenomas (%):
Positive Predictive Value of further assessment to detect advanced adenomas (%):
Positive Predictive Value of further assessment to detect colorectal cancers (%):
More quantitative data for Colonoscopy (Male - 2013)
More quantitative data for Colonoscopy (Women - 2013)