{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:28:15Z","timestamp":1791822495560,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T00:00:00Z","timestamp":1654905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007849","name":"Respiratory Health Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007849","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005416","name":"Norges Forskningsr\u00e5d","doi-asserted-by":"publisher","award":["250335"],"award-info":[{"award-number":["250335"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The association between cervical cancer screening and reduction of cervical cancer has been dealt with in much research. However, little has been published on the association between screening and cervical cancer mortality. We assessed cervical cancer deaths according to screening history, histopathology, and age among women in, under, and above screening age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In this nationwide, registry\u2010based case\u2013control study from Norway, we included 817 cervical cancer deaths in women diagnosed with cervical cancer in the period 1998\u20132009. We matched each case with 10 population\u2010based controls free from cervical cancer, obtained by density\u2010based sampling. Odds ratios (ORs) with 95% confidence intervals (CIs) for the association between screening attendance and cervical cancer mortality were estimated using conditional logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of all fatal cervical cancers, 35% were diagnosed among women over screening age and altogether, 83% were either in age groups not covered by the screening program or in non\u2010attenders of screening age. The estimated risk reduction associated with a cytology test in the preceding 3.5\u2009years was 80% in screening age 25\u201369\u2009years (OR 0.20; 95% CI 0.16\u20130.24) with the largest reduction in squamous cell carcinomas (84%) but also a substantial estimated risk reduction of 65% for adenocarcinomas. The associated risk reduction was strongest in women aged 45\u201369\u2009years, with ORs in the range 0.09\u20130.18, compared with ORs 0.42\u20131.35 in women aged 25\u201339\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To reduce the mortality of cervical cancer, screening programs should focus on increasing adherence to the program, as half of all the fatal cases were in the non\u2010attender group. Further assessments regarding the potential preventive impact of extending screening to women over the current screening age should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14402","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T03:49:30Z","timestamp":1654919370000},"page":"952-959","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Cervical cancer mortality in Norway according to screening attendance and age"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0688-8031","authenticated-orcid":false,"given":"Ingrid","family":"Baasland","sequence":"first","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology  Trondheim Norway"},{"name":"Cancer Registry of Norway  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnhild \u00c5.","family":"Vie","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e5l R.","family":"Romundstad","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"L\u00f6nnberg","sequence":"additional","affiliation":[{"name":"Cancer Registry of Norway  Oslo Norway"},{"name":"Finnish Cancer Registry  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)92695-X"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdp471"},{"key":"e_1_2_12_4_1","volume-title":"Annual report 2016 of The Norwegian Cervical Cancer Screening Programme","author":"Cancer Registry of Norway","year":"2018"},{"key":"e_1_2_12_5_1","unstructured":"NORDCAN.2018. 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