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Australian Health Performance Framework: PI 2.1.3c–Cancer screening rates, National Cervical Screening Program participation rate, 2020

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termAHPF PI 2.1.3c–National Cervical Screening Program participation rate, 2020
Synonymous names:Help on this termNCSP participation rate
METEOR identifier:Help on this term728331
Registration status:Help on this term
  • Health, Standard 13/10/2021
Description:Help on this term

Rates of cervical screening for women in the national target age group during the defined 5 year period.

Rationale:Help on this term

In Australia, primary prevention of cervical cancer is through vaccination against human papillomavirus (HPV), which is the primary underlying cause of cervical cancer. Secondary prevention is by cervical screening, though the National Cervical Screening Program (NCSP), to detect and treat abnormalities while they are in the precancerous stage, prior to any possible progression to cervical cancer. Prior to 1 December 2017, detection of precancerous abnormalities through cervical screening used cytology from the Papanicolaou smear, or 'Pap test', as the screening test.

Participation is a major indicator of the performance of the NCSP. High participation in screening is required for the NCSP to achieve its aim of reducing cervical cancer incidence, morbidity and mortality, by detecting and treating cervical abnormalities that could otherwise develop into cervical cancer.

Participation is measured over a 5-year period in line with the current recommended screening interval.

Indicator set:Help on this termAustralian Health Performance Framework, 2020
Health, Standard 13/10/2021

Collection and usage attributes

Population group age from:Help on this term

25 years

Population group age to:Help on this term

74 years

Computation description:Help on this term

The denominator is adjusted to exclude the estimated number of women who have had a hysterectomy, using national hysterectomy fractions.

Age-standardised rates are directly age-standardised to the 2001 Australian population.

Analysis by Primary Health Network (PHN), remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on postcode of residential address at the time of screening.

Presented as a percentage.

Computation:Help on this term

100 × (Numerator ÷ Denominator)

Numerator:Help on this term

Number of women aged 25–74 who have been screened in a 5-year period.

Numerator data elements:Help on this term
Data Element / Data Set

Data Element

A1 Woman—client identifier, identifier X[X(19)]

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Count is of individual women, not tests.

Data Element / Data Set

Data Element

A7 Woman—date of birth, date DDMMYYYY

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers

Data Element / Data Set

Data Element

C2 Cytology test—date of cytology test, date DDMMYYYY

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
If multiple tests within a defined 5 year period, the first screening test is counted.

Data Element / Data Set

Data Element

C3 Cytology test—cytology specimen site, code AN

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Only includes B0 or B1.

Data Element / Data Set

Data Element

C6 Cytology test—endocervical (glandular) cytology cell analysis, code AX

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Excludes vault smears (E-).

Data Element / Data Set

Data Element

T1—Type of test, code A

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Only includes cytology tests (T1=C).

Denominator:Help on this term

Population of women aged 25–74 in each state and territory, geographic region, socio-economic status and Australia, using Australian Bureau of Statistics (ABS) estimated resident population (ERP) for females at 30 June, averaged over the relevant 5 years by age group and adjusted for the estimated proportion of women who have had a hysterectomy

Denominator data elements:Help on this term
Data Element / Data Set

Data Element

Proportion of women within the target population who have had a hysterectomy

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product
National hysterectomy fractions derived from the AIHW National Hospital Morbidity Database are used to adjust the population to exclude the estimated number of women who have had a hysterectomy. See Chapter E (Statistical methods) in Cervical Screening in Australia, 2019 (AIHW 2019).

Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Estimated resident population (2011 Census-based)

Guide for use

Data source type: Census based and administrative by-product data

Disaggregation:Help on this term

2018, 2018-19—Nationally

Disaggregation data elements:Help on this term
Data Element / Data Set

Data Element

A7 Woman—date of birth, date DDMMYYYY

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by age group

Data Element / Data Set

Data Element

A14 Woman—Residential Australian state/territory name, code {AA[A]}

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by state and territory.

Data Element / Data Set

Data Element

A15 Woman—residential Australian postcode, {NNNN}

Data Source

National Cervical Screening Program

Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by PHN, remoteness and SEIFA IRSD.

Comments:Help on this term

Most recent data available for 2020 Australian Health Performance Framework reporting is preliminary data for the periods 2018 and 2018-19. Data will be reported in 5 year intervals in the future.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

NN.N

Indicator conceptual framework

Framework and dimensions:Help on this term1. Effectiveness

Data source attributes

Data sources:Help on this term
Data Source

National Hospital Morbidity Database (NHMD)

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Data Source

National Cervical Screening Program

Frequency

Annual

Data custodian

Department of Health and Ageing

Data Source

ABS Estimated resident population (2011 Census-based)

Frequency

Quarterly

Data custodian

Australian Bureau of Statistics

Accountability attributes

Reporting requirements:Help on this term

Australian Health Performance Framework

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 2014. National cervical cancer prevention data dictionary version 1: working paper. Cancer series no. 88. Cat. no. CAN 85. Canberra: AIHW. Viewed 11 October 2019, https://www.aihw.gov.au/getmedia/b381ba0a-86f6-4603-baa8-66c0f3e4db22/18262.pdf.aspx?inline=true.

AIHW 2019. Cervical screening in Australia 2019. Cancer series no. 123. Cat. no. CAN 124. Canberra: AIHW. Viewed 19 November 2019, https://www.aihw.gov.au/reports/cancer-screening/cervical-screening-in-australia-2019/contents/table-of-contents.

 

Relational attributes

Related metadata references:Help on this term
Supersedes Australian Health Performance Framework: PI 2.1.3c–Cancer screening rates, National Cervical Screening Program participation rate, 2019
  • Health, Standard 09/04/2020
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