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<25

Lung cancer incidence
(Rate per 100,000, 2017)

25-30

30-35

35-40

40-45

>45

Poland

Scorecard results

Indicator Range Score Justification

Lung cancer is a strategic priority

1 Operational,

comprehensive, up to

date national cancer

control plan

0 – 5 3  Ministry of Health published an operational National Cancer Control Plan in 2005.^6

 In January 2019, the President signed a bill creating a legal framework for development

and adoption of a National Cancer Strategy for 2020-2030 in response to rising morbidity

and mortality from cancer. It will be updated every five years. The Minister of Health will

present the strategy to the Council of Ministers by 30 September 2019.^7

 A specific lung cancer strategy plan was published by the Institute of Tuberculosis &

Pulmonary Disease, Polish Group on Lung Cancer and Polish Cancer League in 2017.

 The NCCP is financed by state budget and auxiliary sources.

 The NCCP does not mention an implementation plan.

2 Comprehensive clinical

guidelines for lung

cancer

0 – 6 5  The Polish Society of Clinical Oncology published lung cancer clinical guidelines in 2019.^8

 Guidelines mention screening, diagnosis, treatment and supportive / palliative care.

 Patients with suspicious symptoms should have a chest CT.

 Guidelines do not discuss the process of shared decision making.

Lung cancer is a public health issue

3 Tobacco control policies

and public health

measures

0 – 9 9  National objectives on tobacco control and a national agency for tobacco control exist.^9

 Poland is party to the World Health Organization (WHO) Framework Convention on

Tobacco Control (FCTC).

 At least one national mass media campaign ran during the survey period (up to 2016).

 Advertising is banned on national TV and radio.

 Law mandates that health warnings appear on tobacco packages.

 National smoke free legislation exists for indoor offices, restaurants/cafes/pubs/bars and

public transportation.

4 E-cigarettes regulation

and public health

measures

0 – 4 4  E-cigarettes are classified as tobacco-related products and regulated by the Polish Anti-

Tobacco Act (2016). Regulation requires specific reporting obligations on manufacturers

and importers, and compliance with a range of product specifications including warnings

on packages.

 Sale or distribution of e-cigarettes to people under 18 years is prohibited; duty free shops

are exempt.

 Advertising, promotion and sponsorship related to e-cigarettes are banned. It is also

prohibited to display items that imitate the packaging of e-cigarettes.

 Use of e-cigarettes in certain public places and on public transportation is prohibited.

5 National policies

and programmes for

environmental exposure

control

0 – 2 1  Ministry of Environment Air Protection Department published National Program for Air

Protection in 2015 and it runs through 2020. Air quality is determined by the content of

pollutants, i.e. specific substances (gaseous or solid), which occur in the air in quantities

greater than those required by the standards contained in the applicable regulations.

 A radon national action programme does not currently exist in Poland but plans to create

one are in progress. The Council of Ministers has accepted a draft amendment on radon.

6 Evidence-based

approach to lung cancer

screening

0 – 1 0  No data found to show that Poland has conducted a lung cancer screening study or trial.

7 Patient organisations

involvement in policy

development

0 – 3 2  An independent lung cancer patient organisation exists in Poland; however, it was not

involved in the lung cancer guideline development.

 Patient representatives are involved in the process of Health Technology Assessment

(HTA).