[Mass screening for cancer--where do we stand?].
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Biomedical subjects
Publications and source records attributed to S Harvei.
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All hospitals are obliged to have an index of diagnoses made in the hospital. This file should be the basis for evaluation, planning and research. Our view is that such files are today incomplete and not very fit for above-mentioned purposes. The introduction of EDP in hospitals does not seem to have improved the situation very much. Therefore the hospitals should improve the professional responsibility for these files, in order to obtain complete and correct registration. Administrators and physicians in administrative positions must feel responsible for feed-back of patient data to the different departments for analysis, discussion and evaluation. This will hopefully increase the interest for data and registration, and supply a better medical basis for planning hospital activities.
The article analyzes the incidence of Sarcoma Kaposi in Norway during the period 1957-86 (30 years). A clear increase is found for both sexes, particularly over the last 15 years. Whether this is due to changes in diagnostics, classification etc. can best be decided by histopathological reanalysis of the material and a representative sample of known differential diagnoses. There was also a marked increase among males under 50 years of age, mainly related to known AIDS or HIV infection. Among females under the age of 50, no association to HIV is reported. This may be due to under-reporting, or may be because the increase among females under 50 years of age is not related to HIV infection.