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  • #1029 Cervical cancer prevention among ukrainian refugees during the first six months after the beginning of the war: the european network of young gynae oncologists (ENYGO) survey results

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Poster/ePoster Sessions
09. Prevention of Gynaecologic Cancer
#1029 Cervical cancer prevention among ukrainian refugees during the first six months after the beginning of the war: the european network of young gynae oncologists (ENYGO) survey results
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  1. Joanna Kacperczyk-Bartnik1,
  2. Esra Bilir2,3,4,
  3. Olha Hoptyana5,6,
  4. Klaudia Zak7,
  5. Alexander Shushkevich8,
  6. Andrei Pletnev9,
  7. Zoia Razumova10,
  8. Aleksandra Strojna11,
  9. Charalampos Theofanakis12,
  10. Nicolò Bizzarri13 and
  11. Marcin Bobinski14
  1. 1II Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland
  2. 2Department of Obstetrics and Gynaecology, Die Klinik in Preetz, Preetz, Germany
  3. 3Department of Gynecologic Oncology, Koc University School of Medicine, stanbul, Turkey
  4. 4Department of Global Health, Koc University Graduate School of Health Sciences, Istanbul, Turkey
  5. 5Department of Gynaecologic Oncology, National Cancer Institute, Kyiv, Ukraine
  6. 6Ukrainian Society of Gynecologic Oncology, Kyiv, Ukraine
  7. 7I Chair and Department of Oncological Gynaecology and Gynaecology, Student Scientific Association, Medical University of Lublin, Lublin, Poland
  8. 8Department of Surgery, Institute of Biology and Medicine, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
  9. 9Department of Obstetrics and Gynecology, University of Zielona Gora, Zielona Gora, Poland
  10. 10Department of Women’s and Children’s Health, Karolinska Institute, Stockholm, Sweden
  11. 11Department of Gynecology and Gynecologic Oncology, Kliniken Essen-Mitte, Essen, Germany
  12. 12Department of Gynecological Oncology, General Hospital of Athens Alexandra, Athens, Greece
  13. 13UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
  14. 14I Chair and Department of Oncological Gynaecology and Gynaecology, Medical University of Lublin, Lublin, Poland

Abstract

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

https://doi.org/10.1136/ijgc-2023-ESGO.747

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