Introduction/Background In 2022, over 8.2 million refugees were recorded across Europe after the Russian invasion in Ukraine. As every human crisis, the war is associated with changes in access to medical care. Due to the cervical cancer pathogenesis, results of compromised prevention may become visible after years since the beginning of war. The aim of the study was to evaluate experience of European centres in cervical cancer prevention among Ukrainian refugees.
Methodology This was a cross-sectional questionnaire based study. Questionnaires were distributed among clinicians from the European Network of Young Gynae Oncologists (ENYGO) network until August 2022. Our survey included questions about managing patients who voluntary reported exclusively for the purpose of cervical cancer screening or treatment of preinvasive cervical lesions.
Results Our analysis included data obtained from 38 respondents practicing in Germany, Hungary, Italy, Norway, Poland, Romania, Slovenia, Spain, Turkey, and the UK. More than one third of these centres were accredited by the European Society of Gynaecological Oncology (ESGO).
Seven (17%) centres reported participation in Ukrainian refugees gynaecological cancer prevention measures. Seven (17%) respondent sites collected Pap smear or human papillomavirus (HPV) test. Three (7%) centres reported demand for HPV vaccination from the Ukrainian refugees.
Seven (17%) clinical centres managed Ukrainian refugees with precancerous cervical lesions. More than half of these patients (54%) required primary invasive treatment. 15% were admitted for continuation of treatment. 7% required follow-up after treatment. 23% underwent further diagnostic regimen without indication for invasive treatment.
Conclusion Prevention and treatment of cervical lesions in terms of war in Ukraine pose significant challenge both for European healthcare providers and Ukrainian refugees. The results obtained in present study show that even in specialized oncologic centres, which are mostly dedicated to treat invasive disease, Ukrainian refugees report and require both preventive and curative services of cervical lesions.
Disclosures Nothing to disclose
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