council recommend decemb cancer screen ec council european union regard treati establish european commun articl subparagraph thereof regard propos commiss regard opinion european parliament articl treati commun action complement nation polici direct improv public health prevent human ill diseas obviat sourc danger human health action cover fight major health scourg promot research transmiss prevent health inform educ commun action field public health fulli respect respons member state organis deliveri health servic medic care develop cancer screen programm implement accord nation law nation region respons organis deliveri health servic medic care cancer major diseas death europ includ futur member state estim number cancer case exclud melanoma skin cancer occur european union cervic cancer breast cancer colorect cancer prostat cancer cervic breast cancer constitut cancer women prostat cancer constitut cancer men principl screen tool prevent chronic communic diseas publish world health organis council europ document form current practic cancer screen field basi present recommend addition recommend base quot recommend cancer screen quot advisori committe cancer prevent experi gather action sustain europ cancer programm european collabor help high qualiti cancer screen programm provid effici european guidelin practic protect popul poor qualiti screen import factor assess popul wide implement decid includ inter alia frequenc interv applic screen test nation region epidemiolog specif screen detect cancer earli stage invas possibl invas lesion treat effect patient expect cure main indic effect screen decreas diseas specif mortal case cervic cancer cancer precursor detect reduct cervic cancer incid consid help indic evid exist efficaci screen breast cancer colorect cancer deriv randomis trial cervic cancer deriv observ studi screen test diseas peopl symptom detect addit benefici effect diseas specif mortal screen neg side effect screen popul healthcar provid awar potenti benefit risk screen cancer site embark popul base cancer screen programm inform public todai benefit risk present individu citizen decid particip screen programm ethic legal social medic organis econom aspect consid decis made implement cancer screen programm due account specif person higher cancer risk reason biolog genet lifestyl environment includ occup public health benefit cost effici screen programm achiev programm implement systemat cover target popul practic guidelin cost effect cancer screen depend factor epidemiolog healthcar organis deliveri systemat implement requir organis call recal system qualiti assur level effect diagnost treatment care servic evid base guidelin centralis data system includ list categori person target screen programm data screen test assess final diagnos need run organis screen programm procedur collect store transmit analys data medic regist involv full complianc level protect refer direct ec european parliament council octob protect individu regard process person data free movement data full complianc relev provis member state manag process health data accord articl direct qualiti screen includ analysi process outcom screen rapid report result popul screen provid analysi facilit screen databas link cancer registri mortal databas adequ train personnel prerequisit high qualiti screen specif perform indic establish cancer screen test monitor regularli adequ human financi resourc order assur organis qualiti control member state action ensur equal access screen take due account target socioeconom group ethic legal social prerequisit cancer screen offer fulli inform peopl symptom screen prove decreas diseas specif mortal benefit risk cost effect screen accept screen method present meet strict prerequisit list annex screen test list annex scientif justifi offer peopl symptom organis popul base programm shown randomis control trial decreas diseas specif mortal screen test list annex offer popul basi organis screen programm qualiti assur level good inform benefit risk adequ resourc screen follow complementari diagnost procedur treatment posit screen test introduct recommend screen test annex demonstr efficaci consid decis base profession expertis prioriti set healthcar resourc member state evid screen test effect evalu modifi test epidemiolog valid surrog endpoint predict endpoint establish screen methodolog subject ongo develop applic recommend screen methodolog accompani simultan assess qualiti applic cost effect method epidemiolog data justifi fact ongo work lead method ultim replac complement test list annex applic type cancer recommend member state implement cancer screen programm offer evid base cancer screen systemat popul base approach qualiti assur level test consid context list annex implement screen programm accord european guidelin practic exist facilit develop practic high qualiti cancer screen programm nation region level ensur peopl particip screen programm fulli inform benefit risk ensur adequ complementari diagnost procedur treatment psycholog support care evid base guidelin posit screen test provid make human financi resourc order assur organis qualiti control assess decis implement cancer screen programm nation region depend diseas burden healthcar resourc side effect cost effect cancer screen experi scientif trial pilot project set systemat call recal system qualiti assur level effect diagnost treatment care servic evid base guidelin ensur due regard paid data protect legisl appli person health data prior implement cancer screen programm registr manag screen data make centralis data system need run organis screen programm ensur mean person target screen programm invit mean call recal system part programm collect manag evalu data screen test assess final diagnos collect manag evalu data full accord relev legisl person data protect monitor regularli monitor process outcom organis screen report result quickli public personnel provid screen adher standard defin european network cancer registri establish maintain screen databas full accord relev legisl person data protect monitor screen programm adequ interv train adequ train personnel level ensur deliv high qualiti screen complianc seek high level complianc base fulli inform consent organis screen offer action ensur equal access screen take due account target socioeconom group introduct screen test take account intern research result implement cancer screen test routin healthcar evalu randomis control trial run trial addit screen specif paramet mortal subsequ treatment procedur clinic outcom side effect morbid qualiti life assess level evid effect method pool trial result repres set introduct routin healthcar potenti promis screen test evalu randomis control trial evid conclus relev aspect cost effect healthcar system account introduct routin healthcar potenti promis modif establish screen test effect modif successfulli evalu possibl epidemiolog valid surrog endpoint implement report follow report commiss implement recommend year adopt subsequ request commiss view contribut follow recommend commun level invit commiss report implement cancer screen programm basi inform provid member state end fourth year date adopt recommend extent propos measur work effect action encourag cooper member state research exchang practic cancer screen view develop evalu screen method improv exist support european research cancer screen includ develop guidelin updat exist guidelin cancer screen brussel decemb council presid maroni oj annex screen test fulfil requir recommend pap smear screen cervic cancer precursor start ag ag mammographi screen breast cancer women ag accord european guidelin qualiti assur mammographi faecal occult blood screen colorect cancer men women ag ag rang understood maximum rang subject nation epidemiolog evid prioritis smaller ag rang