Cervical cancer screening in Sweden 2014-2016

PLoS One. 2018 Dec 17;13(12):e0209003. doi: 10.1371/journal.pone.0209003. eCollection 2018.


Background: To enable incremental optimization of screening, regular reporting of quality indicators is required.

Aim: To report key quality indicators and basic statistics about cervical screening in Sweden.

Methods: We collected individual level data on all cervical cytologies, histopathologies, human papillomavirus tests and all invitations for cervical screening in Sweden during 2013-2016.

Results: There were over 2,278,000 cervical samples collected in Sweden in 2014-2016. Organized samples (resulting from an invitation) constituted 69% of samples. The screening test coverage of all resident women aged 23-60 was 82%. The coverage has slowly increased for >10 years. There is large variability between counties (from 71% to 92%) over time. There were 25,725 women with high-grade lesions in cytology during 2013-2015. Only 96% of these women had a follow-up histopathology within a year. Cervical cancer incidence showed an increasing trend.

Conclusion: Key quality indicators such as population coverage and follow-up rates were stable or improving, but there was nevertheless an unexplained cervical cancer increase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Mass Screening*
  • Middle Aged
  • Papillomaviridae / physiology
  • Sweden / epidemiology
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / virology
  • Young Adult

Grants and funding

The submitted work was financed by the Swedish Association of Local Authorities and Regions, grant number 14/2665 to JD and URL:https://strategiska.se/en/research/ongoing-research/klinisk-forskning-2010/project/4756/ and the Swedish Foundation for Strategic Research, grant number KF10-0046 to PS and URL https://skl.se/. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.