The UOSD Screening Coordination, belonging to the Prevention Department, is the structure of the ASL that organizes and manages the Oncological Screening Programs, that is, the prevention and early diagnosis programs of cancers.
Screening is a Public Health intervention, which aims to reduce cancer mortality in the population that undergoes controls for the early diagnosis of neoplasms or precancerous, i.e. initial, lesions, which generally do not give any symptoms, but which could evolve into cancer.
To be effective, the Programs must reach the entire population of specific age groups and guarantee fairness of the offer, effectiveness of the intervention, conscious participation in the test by users.
Services / Activities provided
The UOSD implements at the ASL of Frosinone the organizational model of screening programs, identical in all the ASLs of the Lazio Region, which provides for the following phases:
INFORMATION ON THE PROCESSING OF PERSONAL DATA
- programming: includes all actions aimed at the management, administrative and surveillance functions of the route;
- planning and management of invitations: i.e. scheduling of agendas for all screening sites and dispatch of invitations to the target population;
- provision of the level I test: that is, all activities relating to the performance of the test, including the recording of data on the Regional Computer System of Oncological Screening Programs (SIPSOWeb);
- level II disbursement: it concerns the activities related to the carrying out of the in-depth studies necessary for the diagnostic confirmation;
- level III delivery: treatment, therapy and follow-up
Recipients
Currently, the following three screening programs are active in the Lazio Region and at the ASL of Frosinone:
| Cancer | Screening Test Level I | To whom | How often | Level II Screening Test |
|---|---|---|---|---|
| Breast | Bilateral mammography in two projections | Reserved for women aged 50-74 years. | Every two years | Breast examination, ultrasound, cytological sample, beepsis, VAB |
| Uterine service | Depending on the age group, the proposed tests are the pap test or the HPV test | Women 25-29 years old Pap test Women 30-64 years HPV test | Every three to five years | Colposcopy |
| Colon rectum | Search for fecal occult blood (FOCB) | Women and men 50-74 years | Every two years | Colonoscopy |
Breast Cancer Screening
The proposed level I test is bilateral mammography in two projections, performed by Medical Radiology Technicians at the following Radiologies:
- former Hospital of Anagni;
- Alatri Hospital;
- Cassino Hospital;
- Frosinone Hospital;
- Sora Hospital
- Casa della salute di Ceccano
- Ferentino Health House
- Casa della Salute of Isola del Liri
- Pontecorvo Health House
The mammogram is then read by expert radiologists, in independent double reading mode, that is, the 1st radiologist does not know the outcome given by the 2nd and vice versa.
Cervical Cancer Screening
The screening tests proposed at the moment are the Pap test or the HPV test, depending on the age group, which are performed at the current twelve Business Family Consultants, distributed throughout the territory of the province of Frosinone.
The sample taken by the Consulting Oysters is read, that is, interpreted under a microscope, at the Pathological Anatomy UOC by cytologists dedicated to this task.
Screening Rectal Colon Cancer
It provides for the search for occult blood in faeces as a level I test. The SOF kit necessary for the execution of the test is collected and then returned to the distribution point indicated in the invitation. The sample is analysed at the Clinical Analysis Laboratory of the F. Spaziani Hospital.
If the outcome of the screening test is normal, the subject is informed through a letter and subsequently re-invited according to the peiodism provided for by the program.
If the test is Suspicious or Positive, the person is contacted by telephone, to carry out the necessary investigations and any treatment at the reference centers (level II and III centers).
How to access
Participation in the programs is voluntary and conscious and can take place in two ways:
Active Offer Mode
Adherence to the invitation: it involves inviting a population, apparently healthy, that is, not showing symptoms, identified as at risk simply because of their age, to undergo a free diagnostic examination (level I test).
The target population, residing in the ASL, is invited through a personalized letter, delivered to the address of residence, by postal service.
The names and addresses of the target population of the program are found by drawing from the master lists, periodically requested from the 91 municipalities of the province.
The invited person must go to the site of delivery of the level I test indicated in the invitation, on the day and at the time specified.
Since, although invited, some users do not show up to perform the exam, the ASL invites in surplus, to ensure the full use of health resources, so it apologizes if the appointment time may be delayed.
Spontaneous Adhesion Mode
The eligible user can also join the program spontaneously, by going personally to the delivery centers, or by calling the toll-free number 800 003 422, active from Monday to Friday from 9:00 a.m. to 2:00 p.m.
The screening operators, after verifying the user’s screening location (residence, age group, time interval elapsed since the previous test, etc.), will make the appointment at the nearest delivery site by residence.
Disabled citizens, in wheelchairs, who wish to join the mammography screening, can call the toll-free number, to arrange for the mammography to be performed at the most accessible screening facility.
THE ENTIRE ROUTE IS FREE AND THERE IS NO NEED TO PRESENT A MEDICAL PRESCRIPTION.
Receipt time
Usually, the public is not received at the UODS Screening Coordination, while from Monday to Friday from 8.30 am to 3.15 pm, the Call Center is operational, to which users can contact for information, clarification, request/change of appointments, etc.
The call to the telephone number 800 003 422 Dedicated toll-free number is free from both landlines and mobile phones. The number is active from 9:00 am to 2:00 pm.
Frequently Asked Questions
- I am 45 years old, can I have a mammogram?;
- I am 55 years old. I had a screening mammogram last year. I want to repeat it for prevention, because my gynecologist told me that I have to do it every year;
- I am 50 years old and I have a screening mammogram but I also want to have an ultrasound;
- I am 51 years old. I want to have a colonoscopy for prevention;
- I’m 46 years old I want to have a colonoscopy
I am 45 years old, can I have a mammogram?
Women between the ages of 45 and 49 have the right to perform a free preventive mammogram every 24 months, but should not contact the UOSD Screening Coordination. They will be able to perform the mammogram by booking it through CUP.
The prescription must be issued by your MMG doctor, on the prescription of the SSR in which the exemption code D03 is reported.
At the CUP they will be asked to sign the self-declaration form that they have not taken advantage of the benefit in the previous two years (24 months).
I am 55 years old. I had a screening mammogram last year. I want to repeat it for prevention, because my gynecologist told me that I have to do it every year
Women between 50 and 69 years of age, in the absence of symptoms, can perform preventive mammography every two years and only within the screening program.
The prescription of mammography to women of the target age of the screening program (50-69) is not allowed for prevention purposes, nor can the CUP accept prescriptions indicating indications such as prevention or control or similar.
On the other hand, clinical mammography, that is, in the presence of symptoms or for monitoring a breast disease already diagnosed, can be performed by women of any age, but it is necessary to book the examination at the CUP and the doctor must indicate on the prescription, unequivocally, the diagnostic question reason for the prescription. The D03 exemption code reserved for women aged 45-49 years may not be used to perform a preventive mammogram every two years.
I am 50 years old and I have had a screening mammogram but I also want to have an ultrasound
Ultrasound is a level II investigation, therefore, as part of the screening path, it is carried out only if the Radiologist deems it necessary for the completion of the diagnosis. In all other cases it can be carried out, by reservation at the CUP and payment of the ticket, upon presentation of the prescription filled in the SSR recipe booklet.
I am 51 years old. I want to have a colonoscopy for prevention
As part of the colon screening program, intended for women and men aged 50-74 years, colonoscopy is envisaged as a level II assessment. That is, it is performed only in the case of a positive fecal occult blood (FOC) screening test.
The prescription of colonoscopy to subjects of target age of the screening program for colorectal cancers (men and women between 50-74 years) is not allowed for prevention purposes, nor can prescriptions indicating indications such as prevention or control or similar be accepted by the CUP.
However, citizens of any age can book a clinical colonoscopy at the CUP, that is, for diagnosis in the presence of symptoms or for monitoring an already diagnosed disease. They must have the prescription made by the doctor who, on the NHS prescription, must unequivocally state the diagnostic question that is the reason for the prescription.
The exemption code D04 reserved for users aged 45-49 years and over 75 years may not be used for preventive colonoscopy every five years.
I’m 46 years old I want to have a colonoscopy
Citizens, men and women, aged between 45 and 49, have the right to perform a free colonoscopy every five years, but should not contact the UOSD Screening Coordination.
The prescription must be issued by your MMG doctor, on the prescription of the SSR, in which the exemption code D04 is shown. With this request they can book the colonoscopy through CUP where they will be asked to sign the self-declaration form that they have not used the service in the previous five years (60 months).
