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17 "Eun-Cheol Park"
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The Health Burden of Cancer Attributable to Obesity in Korea: A Population-Based Cohort Study
Joo Eun Lee, Chung Mo Nam, Sang Gyu Lee, Sohee Park, Tae Hyun Kim, Eun-Cheol Park
Cancer Res Treat. 2019;51(3):933-940.   Published online October 4, 2018
DOI: https://doi.org/10.4143/crt.2018.301
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Considering the health impact of obesity and cancer, it is important to estimate the burden of cancer attributable to high body mass index (BMI). Therefore, the present study attempts to measure the health burden of cancer attributable to excess BMI, according to cancer sites.
Materials and Methods
The present study used nationwide medical check-up sample cohort data (2002-2015). The study subjects were 496,390 individuals (268,944 men and 227,446 women). We first calculated hazard ratio (HR) in order to evaluate the effect of excess BMI on cancer incidence and mortality. Then, the adjusted HR values and the prevalence of excess BMI were used to calculate the population attributable risk. This study also used the Global Burden of Disease method, to examine the health burden of obesity-related cancers attributable to obesity.
Results
The highest disability-adjusted life year (DALY) values attributable to overweight and obesity in men were shown in liver cancer, colorectal cancer, and gallbladder cancer. Among women, colorectal, ovarian, and breast (postmenopausal) cancers had the highest DALYs values attributable to overweight and obesity. Approximately 8.0% and 12.5% of cancer health burden (as measured by DALY values) among obesity-related cancers in men and women, respectively, can be prevented.
Conclusions
Obesity has added to the health burden of cancer. By measuring the proportion of cancer burden attributable to excess BMI, the current findings provide support for the importance of properly allocating healthcare resources and for developing cancer prevention strategies to reduce the future burden of cancer.

Citations

Citations to this article as recorded by  
  • Population attributable fractions of modifiable cancer risk factors in Korea: A systematic review
    Mi Ah Han, Seo‐Hee Kim, Eu Chang Hwang, Jae Hung Jung, Sun Mi Park
    Asia-Pacific Journal of Clinical Oncology.2024; 20(2): 299.     CrossRef
  • Obesity in the Asia-Pacific Region: Current Perspectives
    David Tak Wai Lui, Junya Ako, Jamshed Dalal, Alan Fong, Masashi Fujino, Ari Horton, Rungroj Krittayaphong, Wael Almahmeed, Anne Thushara Matthias, Adam J Nelson, Stephen J Nicholls, Richard O’Brien, Kian Keong Poh, Khalida Soomro, Khung Keong Yeo, Kathryn
    Journal of Asian Pacific Society of Cardiology.2024;[Epub]     CrossRef
  • An analysis of the global burden of gallbladder and biliary tract cancer attributable to high BMI in 204 countries and territories: 1990–2021
    Zhuowen Hu, Xue Wang, Xin Zhang, Wuping Sun, Jun Mao
    Frontiers in Nutrition.2024;[Epub]     CrossRef
  • Cancers attributable to overweight and obesity in Italy
    Matteo Di Maso, Claudio Pelucchi, Giulia Collatuzzo, Gianfranco Alicandro, Matteo Malvezzi, Fabio Parazzini, Eva Negri, Paolo Boffetta, Carlo La Vecchia, Federica Turati
    Cancer Epidemiology.2023; 87: 102468.     CrossRef
  • Dietary supplementation with Tolypocladium sinense mycelium prevents dyslipidemia inflammation in high fat diet mice by modulation of gut microbiota in mice
    Xiaolong Wang, Lin Li, Mingjian Bai, Jiaxin Zhao, Xiaojie Sun, Yu Gao, Haitao Yu, Xia Chen, Chunjing Zhang
    Frontiers in Immunology.2022;[Epub]     CrossRef
  • Disease Burden and Attributable Risk Factors of Ovarian Cancer From 1990 to 2017: Findings From the Global Burden of Disease Study 2017
    Zhangjian Zhou, Xuan Wang, Xueting Ren, Linghui Zhou, Nan Wang, Huafeng Kang
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Integrated traditional Chinese and Western medicine in hepatocellular carcinoma treatment
    Kai-Feng Wang, Yi-Dan Chen, Li-Qin Mo, Zhen Zhang, Ya-Juan Liu, Jiang-Xiang Chen, Xin-Bing Sui, Tian Xie, Shi-Xiu Wu
    World Chinese Journal of Digestology.2019; 27(7): 459.     CrossRef
  • Diagnosis of Obesity and Related Biomarkers
    Chang Seok Bang, Jung Hwan Oh
    The Korean Journal of Medicine.2019; 94(5): 414.     CrossRef
  • 7,207 View
  • 268 Download
  • 5 Web of Science
  • 8 Crossref
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Projection of Breast Cancer Burden due to Reproductive/Lifestyle Changes in Korean Women (2013-2030) Using an Age-Period-Cohort Model
Joo Eun Lee, Sang Ah Lee, Tae Hyun Kim, Sohee Park, Yoon Soo Choy, Yeong Jun Ju, Eun-Cheol Park
Cancer Res Treat. 2018;50(4):1388-1395.   Published online January 22, 2018
DOI: https://doi.org/10.4143/crt.2017.162
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
The aim of this study was to estimate the burden of breast cancer that can be attributed to rapid lifestyle changes in South Korea in 2013-2030.
Materials and Methods
An age-period-cohort model was used to estimate the incidence and mortality. The Global Burden of Disease Study Group methodwas used to calculate the years of life lost and years lived with disability in breast cancer patients using a nationwide cancer registry. The population attributable riskswere calculated using meta-analyzed relative risk ratios and by assessing the prevalence of risk factors.
Results
Women’s reproductive/lifestyle changes, including advanced maternal age at first childbirth (from 37 to 85 disability-adjusted life years [DALYs] per 100,000 person-years), total period of breastfeeding (from 22 to 46 DALYs per 100,000 person-years), obesity (from 37 to 61 DALYs per 100,000 person-years), alcohol consumption (from 19 to 39 DALYs per 100,000 person-years), oral contraceptive use (from 18 to 27 DALYs per 100,000 person-years), and hormone replacement therapy use (from 2 to 3 DALYs per 100,000 person-years) were identified as factors likely to increase the burden of breast cancer from 2013 to 2030. Approximately, 34.2% to 44.3% of the burden of breast cancer could be avoidable in 2030 with reduction in reproductive/lifestyle risk factors.
Conclusion
The rapid changes of age structure and lifestyle in South Korea during the last decade are expected to strongly increase the breast cancer burden over time unless the risk factors can be effectively modified.

Citations

Citations to this article as recorded by  
  • Triggering Breast Cancer Apoptosis via Cyclin-Dependent Kinase Inhibition and DNA Damage by Novel Pyrimidinone and 1,2,4-Triazolo[4,3-a]pyrimidinone Derivatives
    Mohamed N. Abd Al Moaty, Yeldez El Kilany, Laila F. Awad, Saied M. Soliman, Assem Barakat, Nihal A. Ibrahim, Marwa M. Abu-Serie, Matti Haukka, Amira El-Yazbi, Mohamed Teleb
    ACS Omega.2024; 9(19): 21042.     CrossRef
  • Survival of female patients with breast cancer in the reproductive age group: A retrospective study using SEER database
    Subhadra Priyadarshini, Kunja Bihari Panda
    Cancer Research, Statistics, and Treatment.2024; 7(3): 290.     CrossRef
  • Synthesized Age-Period-Cohort Prediction Method: Application to Lung Cancer Mortality in Taiwan
    Shih-Yung Su
    American Journal of Epidemiology.2023; 192(10): 1712.     CrossRef
  • Folic acid-poly(N-isopropylacrylamide-maltodextrin) nanohydrogels as novel thermo-/pH-responsive polymer for resveratrol breast cancer targeted therapy
    Osama R.M. Metawea, Mohamed Teleb, Nesreen S. Haiba, Ahmed O. Elzoghby, Asmaa F. Khafaga, Ahmed E. Noreldin, Sherine N. Khattab, Hosam H. Khalil
    European Polymer Journal.2023; 182: 111721.     CrossRef
  • Development of a Breast Cancer Risk Prediction Model Incorporating Polygenic Risk Scores and Nongenetic Risk Factors for Korean Women
    Jihye Choi, Tae-Woong Ha, Hye-Mi Choi, Han-Byoel Lee, Hee-Chul Shin, Woosung Chung, Wonshik Han
    Cancer Epidemiology, Biomarkers & Prevention.2023; 32(9): 1182.     CrossRef
  • Forecast of peak attainment and imminent decline after 2017 of oral cancer incidence in men in Taiwan
    Jing-Rong Jhuang, Shih-Yung Su, Chun-Ju Chiang, Ya-Wen Yang, Li-Ju Lin, Tsui-Hsia Hsu, Wen-Chung Lee
    Scientific Reports.2022;[Epub]     CrossRef
  • Forecast of a future leveling of the incidence trends of female breast cancer in Taiwan: an age-period-cohort analysis
    Yi-Chu Chen, Shih-Yung Su, Jing-Rong Jhuang, Chun-Ju Chiang, Ya-Wen Yang, Chao-Chun Wu, Li-Ju Lin, Wen-Chung Lee
    Scientific Reports.2022;[Epub]     CrossRef
  • Burden, trends, and risk factors for breast cancer in China from 1990 to 2019 and its predictions until 2034: an up-to-date overview and comparison with those in Japan and South Korea
    Na Liu, Da-Wei Yang, Yan-Xia Wu, Wen-Qiong Xue, Dan-Hua Li, Jiang-Bo Zhang, Yong-Qiao He, Wei-Hua Jia
    BMC Cancer.2022;[Epub]     CrossRef
  • An ecological study of obesity-related cancer incidence trends in Australia from 1983 to 2017
    Eleonora Feletto, Ankur Kohar, David Mizrahi, Paul Grogan, Julia Steinberg, Clare Hughes, Wendy L. Watson, Karen Canfell, Xue Qin Yu
    The Lancet Regional Health - Western Pacific.2022; 29: 100575.     CrossRef
  • Heterogeneous trends of premature mortalities in Japan: joinpoint regression analysis of years of life lost from 2011 to 2019
    Satoshi Tsuboi, Tomosa Mine, Tetsuhito Fukushima
    Dialogues in Health.2022; 1: 100071.     CrossRef
  • Impact of modifiable reproductive factors on cancer incidence and mortality in Korea: a systematic review protocol
    Seo-Hee Kim, Mi Ah Han
    BMJ Open.2022; 12(11): e067826.     CrossRef
  • Changes in Metabolic Syndrome Status and Breast Cancer Risk: A Nationwide Cohort Study
    In Young Choi, Sohyun Chun, Dong Wook Shin, Kyungdo Han, Keun Hye Jeon, Jonghan Yu, Byung Joo Chae, Mina Suh, Yong-Moon Park
    Cancers.2021; 13(5): 1177.     CrossRef
  • A novel ‘smart’ PNIPAM-based copolymer for breast cancer targeted therapy: Synthesis, and characterization of dual pH/temperature-responsive lactoferrin-targeted PNIPAM-co-AA
    Osama R.M. Metawea, Mona A. Abdelmoneem, Nesreen Saied Haiba, Hosam H. Khalil, Mohamed Teleb, Ahmed O. Elzoghby, Asmaa F. Khafaga, Ahmed E. Noreldin, Fernando Albericio, Sherine N. Khattab
    Colloids and Surfaces B: Biointerfaces.2021; 202: 111694.     CrossRef
  • Artificial intelligence in breast ultrasonography
    Jaeil Kim, Hye Jung Kim, Chanho Kim, Won Hwa Kim
    Ultrasonography.2021; 40(2): 183.     CrossRef
  • Projections of the future burden of cancer in Australia using Bayesian age-period-cohort models
    Jessica Katherine Cameron, Peter Baade
    Cancer Epidemiology.2021; 72: 101935.     CrossRef
  • Evaluation of the Value of Multiplex MicroRNA Analysis as a Breast Cancer Screening in Korean Women under 50 Years of Age with a High Proportion of Dense Breasts
    Ji Young Jang, Eun Young Ko, Ji Soo Jung, Kyung Nam Kang, Yeon Soo Kim, Chul Woo Kim
    Journal of Cancer Prevention.2021; 26(4): 258.     CrossRef
  • Breast Cancer Risk Prediction in Korean Women: Review and Perspectives on Personalized Breast Cancer Screening
    Do Yeun Kim, Hannah Lui Park
    Journal of Breast Cancer.2020; 23(4): 331.     CrossRef
  • Theory of Planned Behaviour and Health Belief Model: females’ intention on breast cancer screening
    Jing Huey Chin, Shaheen Mansori, Angelo Brandelli Costa
    Cogent Psychology.2019;[Epub]     CrossRef
  • Effect of age at first use of oral contraceptives on breast cancer risk
    Li-Wei Ji, Chun-Xia Jing, Su-Lian Zhuang, Wei-Cheng Pan, Xing-Po Hu
    Medicine.2019; 98(36): e15719.     CrossRef
  • 10,035 View
  • 266 Download
  • 17 Web of Science
  • 19 Crossref
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Strategic Distributional Cost-Effectiveness Analysis for Improving National Cancer Screening Uptake in Cervical Cancer: A Focus on Regional Inequality in South Korea
Tae-Hoon Lee, Woorim Kim, Jaeyong Shin, Eun-Cheol Park, Sohee Park, Tae Hyun Kim
Cancer Res Treat. 2018;50(1):212-221.   Published online March 30, 2017
DOI: https://doi.org/10.4143/crt.2016.525
AbstractAbstract PDFPubReaderePub
Purpose
The purpose of this study was to conduct a cost effectiveness analysis of strategies designed to improve national cervical cancer screening rates, along with a distributional cost effectiveness analysis that considers regional disparities.
Materials and Methods
Cost effectiveness analysis was conducted using a Markov cohort simulation model, with quality adjusted life years as the unit of effectiveness. The strategies considered were current (biennial Papanicolaou smear cytology of females aged 20 or above), strong screening recommendation by mail to target regions (effect, 12% increase in screening uptake; cost, 1,000 Korean won per person), regular universal screening recommendation by mail (effect, 6% increase in screening uptake; cost, 500 Korean won per person), and strong universal screening recommendation by mail (effect, 12% increase in screening uptake; cost, 1,000 Korean won per person). Distributional cost effectiveness analysis was conducted by calculating the cost effectiveness of strategies using the Atkinson incremental cost effectiveness ratio.
Results
All strategies were under the threshold value, which was set as the Korean gross domestic product of $25,990. In particular, the ‘strong screening recommendation to target regions’ strategy was found to be the most cost effective (incremental cost effectiveness ratio, 7,361,145 Korean won). This was also true when societal inequality aversion increased in the distributional cost effectiveness analysis.
Conclusion
The ‘strong screening recommendation to target regions’ strategy was the most cost effective approach, even when adjusting for inequality. As efficiency and equity are objectives concurrently sought in healthcare, these findings imply a need to develop appropriate economic evaluation methodologies to assess healthcare policies.

Citations

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  • Economic Evaluations of Interventions Addressing Inequalities in Cancer Care: A Systematic Review
    Bedasa Taye Merga, Nikki McCaffrey, Suzanne Robinson, Ebisa Turi, Anita Lal
    Value in Health.2024;[Epub]     CrossRef
  • Incorporating Equity Concerns in Cost-Effectiveness Analyses: A Systematic Literature Review
    Thomas Ward, Ruben E. Mujica-Mota, Anne E. Spencer, Antonieta Medina-Lara
    PharmacoEconomics.2022; 40(1): 45.     CrossRef
  • Incorporating health equity into value assessment: frameworks, promising alternatives, and future directions
    Vakaramoko Diaby, Askal Ali, Aram Babcock, Joseph Fuhr, Dejana Braithwaite
    Journal of Managed Care & Specialty Pharmacy.2021; 27(9-a Suppl): S24.     CrossRef
  • Incorporating health equity into value assessment: frameworks, promising alternatives, and future directions
    Vakaramoko Diaby, Askal Ali, Aram Babcock, Joseph Fuhr, Dejana Braithwaite
    Journal of Managed Care & Specialty Pharmacy.2021; 27(9-a Suppl): S22.     CrossRef
  • 9,730 View
  • 274 Download
  • 2 Web of Science
  • 4 Crossref
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Patterns of Care for Radiotherapy in the Neoadjuvant and Adjuvant Treatment of Gastric Cancer: A Twelve-Year Nationwide Cohort Study in Korea
Jee Suk Chang, Young Choi, Jaeyong Shin, Kyung Hwan Kim, Ki Chang Keum, Hyo Song Kim, Woong Sub Koom, Eun-Cheol Park
Cancer Res Treat. 2018;50(1):118-128.   Published online March 8, 2017
DOI: https://doi.org/10.4143/crt.2016.575
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Although Korea has the highest incidence of gastric cancer worldwide and D2-lymphadenectomies are routinely performed, radiotherapy (RT) practice patterns have not been well studied. Therefore, we examined RT usage trends for neoadjuvant/adjuvant patients and identified factors associated with RT. We also examined survival benefits and net medical cost advantages of adding RT.
Materials and Methods
Patients diagnosed with gastric cancer who underwent gastrectomy from 2002-2013 were identified using National Health Insurance Service-National Sample Cohort.
Results
Annually, 30.9 cases per 100,000 population in crude rate underwent gastrectomy in 230 hospitals and 49.8% received neoadjuvant/adjuvant therapy in 182 hospitals. For neoadjuvant/adjuvant patients, postoperative chemo-RT was administered in 4% of cases in 26 hospitals. No significant trends regarding treatment type were observed over time. Having undergone RT was inversely associated with being ≥ 60 years old and having a low income. Having undergone RT was positively related to having a Charlson comorbidity index ≥ 4, hospital location and hospital volume (≥ 2,000 beds). Significant portions of patients treated with RT in this nation (52%) were concentrated in one large-volume hospital. Use of RT linked to increased cost of primary treatment, yet not to reduced overall medical expense. RT did not influence both on overall and disease-specific survivals after adjusting for potential confounders (p > 0.05).
Conclusion
RT was uncommonly utilized as adjuvant or neoadjuvant treatment by physicians in Korea. Despite intrinsic drawback in this data, we did not find either survival benefit or net medical cost advantage by adding RT in adjuvant treatment.

Citations

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  • Observational Study Comparing Efficacy and Safety between Neoadjuvant Concurrent Chemoradiotherapy and Chemotherapy for Patients with Unresectable Locally Advanced or Metastatic Gastric Cancer
    Yung-Sung Yeh, Ming-Yii Huang, Cheng-Jen Ma, Ching-Wen Huang, Hsiang-Lin Tsai, Yen-Cheng Chen, Ching-Chun Li, Fang-Jung Yu, Hsiang-Yao Shih, Jaw-Yuan Wang
    Journal of Oncology.2020; 2020: 1.     CrossRef
  • Opportunities and limitations of CT - assessment of neoadjuvant chemoradiation therapy of gastric cancer
    T. A. Agababyan, N. K. Silanteva, V. Yu. Skoropad, S. A. Ivanov, A. D. Kaprin, Yu. A. Komin, A. Yu. Usacheva, D. D. Kudryavtsev
    Research and Practical Medicine Journal.2019; 6(4): 92.     CrossRef
  • Outcomes of radiation therapy for resectable M0 gastric cancer
    Weipeng Gong, Hongwei Zhao, Shanshan Liu, Jie Guan, Xin Liu, Qingsheng Hou, Zhenyu Zhu, Hongliang Guo
    Oncotarget.2018; 9(2): 1726.     CrossRef
  • 9,900 View
  • 293 Download
  • 3 Web of Science
  • 3 Crossref
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Cost Effectiveness of Colorectal Cancer Screening Interventions with Their Effects on Health Disparity Being Considered
Kwang-Sig Lee, Eun-Cheol Park
Cancer Res Treat. 2016;48(3):1010-1019.   Published online December 28, 2015
DOI: https://doi.org/10.4143/crt.2015.279
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
The purpose of this study was to evaluate the cost effectiveness of colorectal cancer screening interventions with their effects on health disparity being considered.
Materials and Methods
Markov cohort simulation was conducted with the cycle/duration of 1/40 year(s). Data came from the results of randomized trials and others. Participants were hypothetical cohorts aged 50 years as of year 2013 in 16 Korean provinces. The interventions until the age of 80 were annual organized fecal occult blood test (FOBT) (standard screening), annual FOBT with basic reminders for provinces with higher mortalities than the national average (targeted reminder) and annual FOBT with basic/enhanced reminders for all provinces (universal reminder 1 and 2). The comparison was non-screening, the outcome was quality-adjusted life years, and only medical costs for screening and treatment were considered from a societal perspective. The Atkinson incremental cost effectiveness ratio (Atkinson ICER), the incremental cost effectiveness ratio adjusted by the Atkinson Inequality Index, was used to evaluate the cost effectiveness of the four interventions with their impacts on regional health disparity being considered.
Results
Health disparity was smallest (or greatest) in non-screening (or the standard screening). The targeted reminder had smaller health disparity, and smaller Atkinson ICER with respect to standard screening, than did the universal reminder 1 and 2.
Conclusion
The targeted reminder might be more cost effective than the universal reminders with their effects on health disparity being considered. This study helps to develop promotional effort for colorectal cancer screening with both the greatest cost effectiveness and the smallest health disparity

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  • Cost-effectiveness Analysis of Colorectal Cancer Screening Strategies Using Active Learning and Monte Carlo Simulation
    Amirhossein Fouladi, Amin Asadi, Eric A. Sherer, Mahboubeh Madadi
    Medical Decision Making.2024; 44(5): 554.     CrossRef
  • Cost-effectiveness of a novel, non-active implantable device as a treatment for refractory gastro-esophageal reflux disease
    Sam Harper, Lukasz Grodzicki, Stuart Mealing, Liz Gemmill, Paul J. Goldsmith, Ahmed R. Ahmed
    Journal of Medical Economics.2023; 26(1): 603.     CrossRef
  • Incorporating Equity Concerns in Cost-Effectiveness Analyses: A Systematic Literature Review
    Thomas Ward, Ruben E. Mujica-Mota, Anne E. Spencer, Antonieta Medina-Lara
    PharmacoEconomics.2022; 40(1): 45.     CrossRef
  • Cost-effectiveness analysis of different screening strategies for colorectal cancer in Guangzhou, southern China: a Markov simulation analysis based on natural community screening results
    Qin Zhou, Hai-lin Li, Yan Li, Yu-ting Gu, Ying-ru Liang, Hua-zhang Liu, Ke Li, Hang Dong, Yuan-yuan Chen, Guo-zhen Lin
    BMJ Open.2021; 11(9): e049581.     CrossRef
  • Colorectal screening using the immunochemical faecal occult blood test kit among the Malaysian cohort participants
    Noraidatulakma Abdullah, Nazihah Abd Jalal, Norliza Ismail, Mohd Arman Kamaruddin, Nurul Syakima Abd Mutalib, Mohd Raziff Alias, Luqman Mazlan, Ismail Sagap, Rahman Jamal
    Cancer Epidemiology.2020; 65: 101656.     CrossRef
  • Assessing adherence and cost-benefit of colorectal cancer screening for accountable providers
    Trace Heavener, Frank W. McStay, Victoria Jaeger, Kristen Stephenson, Lauren Sager, James Sing
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  • Economics of Multicomponent Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening: A Community Guide Systematic Review
    Giridhar Mohan, Sajal K. Chattopadhyay, Donatus U. Ekwueme, Susan A. Sabatino, Devon L. Okasako-Schmucker, Yinan Peng, Shawna L. Mercer, Anilkrishna B. Thota
    American Journal of Preventive Medicine.2019; 57(4): 557.     CrossRef
  • Strategic Distributional Cost-Effectiveness Analysis for Improving National Cancer Screening Uptake in Cervical Cancer: A Focus on Regional Inequality in South Korea
    Tae-Hoon Lee, Woorim Kim, Jaeyong Shin, Eun-Cheol Park, Sohee Park, Tae Hyun Kim
    Cancer Research and Treatment.2018; 50(1): 212.     CrossRef
  • Budget Impact of the Accreditation Program for Clinical Laboratories on Colorectal Cancer Screening via Fecal Immunochemical Testing: Results from the National Cancer Screening Program in Korea
    Jae Kwan Jun, Na Young Sung, Seung Hoon Song, Seri Hong, Mi-Ae Jang, Junghan Song, Jeong-Ho Kim, Won-Ki Min, You Kyoung Lee
    Annals of Laboratory Medicine.2018; 38(3): 249.     CrossRef
  • 12,069 View
  • 177 Download
  • 8 Web of Science
  • 9 Crossref
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Impact of Job Status on Accessibility of Cancer Screening
Seung Ju Kim, Kyu-Tae Han, Eun-Cheol Park
Cancer Res Treat. 2016;48(2):825-833.   Published online July 14, 2015
DOI: https://doi.org/10.4143/crt.2015.040
AbstractAbstract PDFPubReaderePub
Purpose
Cancer is a leading cause of death worldwide with approximately 75,000 cancer deaths in Korea alone in 2013. Cancer screening is an important method of prevention; however, only 63.4% of Koreans sought cancer screening in 2012 even though it was widely offered at no cost. We focused on part time workers because they often experience job instability and relative discrimination. Therefore, we investigated the correlation between job status and cancer screening.
Materials and Methods
Data from the 2013 Korea National Health and Nutrition Examination Survey (KNHANES) were used for selection of individuals who participated in the national cancer screening program. A total of 1,326 wage earners were selected for our study. The association between cancer screening and part time job status was examined using logistic regression models.
Results
Of the 1,326 individuals selected for the study, 869 (64.5%) had participated in the cancer screening program; among these, 421 (48.4%) were part time workers and 448 (51.6%) were full time workers. Lower prevalence of cancer screening was observed for part time workers compared to full time workers (odds ratio, 0.72; confidence interval, 0.53 to 1.00; p=0.0495). Factors including age, marital status, private insurance, chronic disease, smoking, and residential area emerged as showed significant association with participation in screening programs.
Conclusion
We found that part time workers had difficulty participating in prevention programs. Change in the workplace environment as well as development of positive social programs targeted to part time workers is necessary in order to encourage participation of part time workers in prevention programs.

Citations

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  • Predictors of cancer screening behavior of the working population in China based on the information-motivation-behavioral skills model
    Zezhou Wang, Changming Zhou, Li Zhang, Jie Shen, Miao Mo, Yulian He, Ying Zheng
    Frontiers in Public Health.2023;[Epub]     CrossRef
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    Frank Pega, Susan L. Norris, Claudine Backes, Lisa A. Bero, Alexis Descatha, Diana Gagliardi, Lode Godderis, Tom Loney, Alberto Modenese, Rebecca L. Morgan, Daniela Pachito, Marilia B.S. Paulo, Paul T.J. Scheepers, Vivi Schlünssen, Daria Sgargi, Ellen K.
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    Hye-Young Shim, Jae Kwan Jun, Ji-Yeon Shin
    BMC Public Health.2019;[Epub]     CrossRef
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    SangJune Kim, Jee Hey Song, Yoo Min Oh, Sang Min Park, Geofrey Musinguzi
    PLOS ONE.2018; 13(12): e0207737.     CrossRef
  • 9,789 View
  • 89 Download
  • 6 Web of Science
  • 5 Crossref
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Economic Burden of Cancer in Korea during 2000-2010
Kwang-Sig Lee, Hoo-Sun Chang, Sun-Mi Lee, Eun-Cheol Park
Cancer Res Treat. 2015;47(3):387-398.   Published online November 24, 2014
DOI: https://doi.org/10.4143/crt.2014.001
AbstractAbstract PDFPubReaderePub
Purpose
This study estimated the economic burden of cancer in Korea during 2000-2010 by cancer site, gender, age group, and cost component. Materials and Methods Data came from national health insurance claims data and information from Statistics Korea. Based on the cost of illness method, this study calculated direct, morbidity and mortality cost of cancer in the nation during 2000-2010 by cancer site, gender, and age group. Results With an average annual growth rate of 8.9%, the economic burden of cancer in Korea increased from 11,424 to 20,858 million US$ (current US dollars) during 2000-2010. Colorectal, thyroid, and breast cancers became more significant during the period, i.e., the 5th/837, the 11th/257, and the 7th/529 in 2000 to the 3rd/2,210, the 5th/1,724, and the 6th/1,659 in 2010, respectively (rank/amount in million US$ for the total population). In addition, liver and stomach cancers were prominent during the period in terms of the same measures, i.e., the 1st/2,065 and the 2nd/2,036 in 2000 to the 1st/3,114 and the 2nd/3,046 in 2010, respectively. Finally, the share of mortality cost in the total burden dropped from 71% to 51% in Korea during 2000-2010, led by colorectal, thyroid, breast, and prostate cancers during the period. These results show that the economic burden of cancer in Korea is characterized by an increasing importance of chronic components. Conclusion Incorporation of distinctive epidemiological, sociocultural contexts into Korea’s cancer control program, with greater emphasis on primary prevention such as sodium-controlled diet and hepatitis B vaccination, may be needed.

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    Dohun Kim, Guan Li, Peter K. Moon, Yifei Ma, Soohyun Sim, Sung Y. Park, Minkyung Oh, Uchechukwu C. Megwalu
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    Jeong Hyun Park, Danbee Kang, Seok Jin Nam, Jeong Eon Lee, Seok Won Kim, Jonghan Yu, Byung Joo Chae, Se Kyung Lee, Jai Min Ryu, Yeon Hee Park, Mangyeong Lee, Juhee Cho
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Setting a Health Policy Research Agenda for Controlling Cancer Burden in Korea
Sung-In Jang, Kyoung-Hee Cho, Sun Jung Kim, Kwang-Sig Lee, Eun-Cheol Park
Cancer Res Treat. 2015;47(2):149-157.   Published online September 11, 2014
DOI: https://doi.org/10.4143/crt.2013.167
AbstractAbstract PDFPubReaderePub
Purpose
The aim of study was to provide suggestions for prioritizing research in effort to reduce cancer burden in Korea based on a comprehensive analysis of cancer burden and Delphi consensus among cancer experts. Materials and Methods Twenty research plans covering 10 topics were selected based on an assessment of the literature, and e-mail surveys were analyzed using a two-round modified Delphi method. Thirty-four out of 79 experts were selected from four organizations to participate in round one, and 21 experts among them had completed round two. Each item had two questions; one regarding the agreement of the topic as a priority item to reduce cancer burden, and the other about the importance of the item on a nine-point scale. A consensus was defined to be an average lower coefficient of variation with less than 30% in importance. Results Seven plans that satisfied the three criteria were selected as priority research plans for reducing cancer burden. These plans are “research into advanced clinical guidelines for thyroid cancer given the current issue with over-diagnosis,” “research into smoking management plans through price and non-price cigarette policy initiatives,” “research into ways to measure the quality of cancer care,” “research on policy development to expand hospice care,” “research into the spread and management of Helicobacter pylori,” “research on palliative care in a clinical setting,” and “research into alternative mammography methods to increase the accuracy of breast cancer screenings.” Conclusion The seven plans identified in this study should be prioritized to reduce the burden of cancer in Korea. We suggest that policy makers and administrators study and invest significant effort in these plans.

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Cost-Effectiveness of Liver Cancer Screening in Adults at High Risk for Liver Cancer in the Republic of Korea
Young Hwa Lee, Kui Son Choi, Jae Kwan Jun, Mina Suh, Hoo-Yeon Lee, Youn Nam Kim, Chung Mo Nam, Eun-Cheol Park, Woo-Hyun Cho
Cancer Res Treat. 2014;46(3):223-233.   Published online July 15, 2014
DOI: https://doi.org/10.4143/crt.2014.46.3.223
AbstractAbstract PDFPubReaderePub
Purpose
This study was conducted in order to determine the most cost-effective strategy, in terms of interval and age range, forliver cancer screening in the high-risk population of Korea. Materials and Methods A stochastic modelwas used to simulate the cost-effectiveness ofliver cancer screening by combined ultrasonography and alpha-fetoprotein testing when varying both screening intervals and age ranges. The effectiveness of these screening strategies in the high-risk population was defined as the probability of detecting preclinical liver cancer, and costwas based on the direct cost ofthe screening and confirmative tests. Optimal cost-effectiveness was determined using the incremental cost-effectiveness ratio. Results Among the 36 alternative strategies, one-year or two-year interval screening for men aged between 50 and 80 years, six-month or one-year interval screening for men aged between 40 and 80 years, and six-month interval screening for men aged between 30 and 80 years were identified as non-dominated strategies. For women, identified non-dominated strategies were: one-year interval screening between age 50 and 65 years, one-year or six-month interval screening between age 50 and 80 years, six-month interval screening between age 40 and 80 years, and six-month interval screening between age 30 and 80 years. Conclusion In Korea, a one-year screening interval for men aged 50 to 80 years would be marginally cost-effective. Further studies should be conducted in order to evaluate effectiveness of liver cancer screening, and compare the cost effectiveness of different liver cancer screening programs with a final outcome indicator such as qualityadjusted life-years or disability-adjusted life-years.

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Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010
Eun-Ha Lee, Hoo-Yeon Lee, Kui Son Choi, Jae Kwan Jun, Eun-Cheol Park, Jin Soo Lee
Cancer Res Treat. 2011;43(3):141-147.   Published online September 30, 2011
DOI: https://doi.org/10.4143/crt.2011.43.3.141
AbstractAbstract PDFPubReaderePub
PURPOSE
The Korean National Cancer Screening Survey (KNCSS) is a continuous nationwide survey implemented by the National Cancer Center in Korea since 2004. The purpose of the present study was to report trends in cancer screening rates for the five major cancers (stomach, liver, colorectal, breast, and cervix uteri) in Korean men and women.
MATERIALS AND METHODS
The study used KNCSS data collected between 2004 and 2010. The survey was conducted on Korean men aged 40-74 years and Korean women aged 30-74 years with no history of cancer diagnosis. The annual percentage change and corresponding 95% confidence intervals were used to examine changes in annual screening rates.
RESULTS
Screening rates with recommendation increased by 4.4% annually for stomach cancer, 1.5% for liver cancer, 2.8% per year for colorectal cancer, 4.5% for breast cancer, and 1.2% for cervix uteri cancer. The increasing trend in cancer screening rates, with the exception of liver cancer, was significant.
CONCLUSION
Cancer screening rates have increased consistently from 2004 to 2010 among Korean men and women. Stomach and breast cancer screening rates in particular have increased markedly.

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Gastric Cancer Screening in Korea: Report on the National Cancer Screening Program in 2008
Kyung Sook Lee, Dong Kwan Oh, Mi Ah Han, Hoo-Yeon Lee, Jae Kwan Jun, Kui Son Choi, Eun-Cheol Park
Cancer Res Treat. 2011;43(2):83-88.   Published online June 30, 2011
DOI: https://doi.org/10.4143/crt.2011.43.2.83
AbstractAbstract PDFPubReaderePub
PURPOSE
The National Cancer Screening Program (NCSP) began in 1999. The objective of this report is to evaluate the results of the NCSP in 2008 and provide essential evidence associated with the gastric cancer screening program in Korea.
MATERIALS AND METHODS
Data was obtained from the National Cancer Screening Information System; participation rates in gastric cancer screening were calculated. According to screening modalities, recall rates were estimated with 95% confidence intervals (CIs).
RESULTS
The target population of the gastric cancer screening program in 2008 was 7,132,820 Korean men and women aged 40 and over, 2,076,544 of whom underwent upper endoscopy or upper gastrointestinal (UGI) series as screening tools (participation rate, 29.1%). Disparities in participation rates were observed relating to gender and health insurance type. Overall, recall rates of upper endoscopy and UGI series were 3.1% (95% CI, 3.0 to 3.1) and 33.3% (95% CI, 33.3 to 33.4), respectively.
CONCLUSION
According to our research, efforts to facilitate participation and to reduce disparities in gastric cancer screening among Korean men and women are needed. These results will provide essential data for evidence-based strategies in gastric cancer control in Korea.

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Reproductive and Hormonal Factors Associated with Fatty or Dense Breast Patterns among Korean Women
Jei-Hun Jeon, Jung-Hyun Kang, Yeonju Kim, Hoo-Yeon Lee, Kui Son Choi, Jae Kwan Jun, Dong-Kwan Oh, Chang Yoon Lee, Kyungran Ko, Eun-Cheol Park
Cancer Res Treat. 2011;43(1):42-48.   Published online March 31, 2011
DOI: https://doi.org/10.4143/crt.2011.43.1.42
AbstractAbstract PDFPubReaderePub
PURPOSE
Dense breasts have been suggested as a risk factor for breast cancer, but controversy still remains. This study evaluates the association of reproductive and hormonal factors with dense breasts among Korean women.
MATERIALS AND METHODS
Using a cross-sectional design, 516 women were recruited and classified for breast density patterns as being either fatty or dense, using the Breast Imaging Reporting and Data System (BI-RADS) of the American College of Radiology. Univariate and multivariate logistic regression models were used for statistical analysis.
RESULTS
In univariate logistic regression, older age, higher body mass index, older age at menarche, and oral contraceptive use were associated with more fatty breasts. On the contrary, longer duration of education, alcohol consumption, lower parity, menopause and use of hormone replacement therapy were associated with dense breasts. After adjustment, age and body mass index were inversely associated with breast density (p-value for trend <0.01, respectively), whereas nulliparous and premenopausal status were positively associated. Compared to women who had > or =2 children, nulliparous women had an 11.8-fold increase of dense breasts (p-value for trend <0.01). Compared to postmenopausal women, premenopausal women had 2.4-fold increase of dense breasts (odds ratio, 2.42; 95% confidence interval, 1.36 to 4.32).
CONCLUSION
Young age, lower body mass index, lower parity, and premenopausal status were significantly associated with dense breasts in Korea.

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Prediction of Cancer Incidence and Mortality in Korea, 2011
Kyu-Won Jung, Sohee Park, Young-Joo Won, Hyun-Joo Kong, Joo Young Lee, Eun-Cheol Park, Jin-Soo Lee
Cancer Res Treat. 2011;43(1):12-18.   Published online March 31, 2011
DOI: https://doi.org/10.4143/crt.2011.43.1.12
AbstractAbstract PDFPubReaderePub
PURPOSE
To estimate the current cancer burden in Korea, cancer incidence and mortality were projected for the year 2011.
MATERIALS AND METHODS
The cancer incidence data from 1999-2008 were obtained from the Korea National Cancer Incidence Database, and the cancer mortality data from 1993-2009 were obtained from the Korea National Statistics Office. Cancer incident cases and rates in 2011 were projected from fitting a linear regression model on observed age-specific cancer incidence rates against observed years, then multiplying the projected age-specific rates by the age-specific population. For cancer mortality, a similar procedure was applied for projection except that a Joinpoint regression model was used to determine at which year the linear trend significantly changed.
RESULTS
A total of 216,809 new cancer cases and 71,036 cancer deaths are projected to occur in Korea in 2011. For all sites combined, the crude incidence rates are projected to be 437.9 and 420.5 and the age-standardized incidence rates are projected to be 336.5 and 279.7 per 100,000 for men and women, respectively.
CONCLUSION
Cancer has become an important public health concern in Korea, and as Korea becomes an aged society, the cancer burden will continue to increase.

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Review Article
Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2008
Kyu-Won Jung, Sohee Park, Hyun-Joo Kong, Young-Joo Won, Joo Young Lee, Eun-Cheol Park, Jin-Soo Lee
Cancer Res Treat. 2011;43(1):1-11.   Published online March 31, 2011
DOI: https://doi.org/10.4143/crt.2011.43.1.1
AbstractAbstract PDFPubReaderePub
PURPOSE
This paper overviews the nationwide cancer statistics including incidence, mortality, survival and prevalence, and their trends in Korea based on the year 2008 cancer incidence data.
MATERIALS AND METHODS
Incidence data from 1993 to 2008 were obtained from the Korea National Cancer Incidence Database, and the vital status was followed through December 31, 2009. Mortality data from 1983 to 2008 were obtained from the Korea National Statistics Office. Crude rates and age-standardized rates for incidence, mortality, prevalence and relative survival were calculated.
RESULTS
There were 178,816 cancer cases and 68,912 cancer deaths observed during year 2008 and 724,663 10-year cancer prevalent cases as of January 1, 2009 in Korea. The incidence rate for all cancer combined showed an annual increase of 3.1% from 1999 to 2008.
CONCLUSION
With significantly increasing cancer incidence, Korea faces a large cancer burden and efficient cancer control programs are essential.

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Original Articles
Trends of Mammography Use in a National Breast Cancer Screening Program, 2004-2008
Sun Mi Lim, Hoo-Yeon Lee, Kui Son Choi, Jae Kwan Jun, Eun-Cheol Park, Yeonju Kim, Mi Ah Han, Dong Kwan Oh, Jung Im Shim
Cancer Res Treat. 2010;42(4):199-202.   Published online December 31, 2010
DOI: https://doi.org/10.4143/crt.2010.42.4.199
AbstractAbstract PDFPubReaderePub
Purpose

Korea started breast cancer screening as part of the National Cancer Screening Program (NCSP) in 1999. In order to identify under-served groups, we investigated mammography uptake in the National Breast Cancer Screening Program.

Materials and Methods

The study population was participants in the National Breast Cancer Screening Program from 2004 to 2008. We analyzed participation rates by insurance type, age group, and area of residence.

Results

Total participation rates for breast cancer screening increased from 18.2% in 2004 to 35.0% in 2008. The participation rate in the group aged 60 to 69 years showed the greatest increase, 21.3%, among the four age groups. Although the screening rate increased continuously, the participation rate of the Medical Aid Program (MAP) group was low compared to the National Health Insurance (NHI) group. Moreover, the increasing trend of mammography uptake in the MAP group was much lower than that of the NHI group.

Conclusion

The participation rate for breast cancer screening in the NCSP in Korea has increased. However, the participation rate in mammography among MAP recipients is still lower than that of NHI beneficiaries. To increase mammography uptake, it is important to make it available to everyone by ensuring inclusion of all population subgroups.

Citations

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Results of Colorectal Cancer Screening of the National Cancer Screening Program in Korea, 2008
Jung Im Shim, Yeonju Kim, Mi Ah Han, Hoo-Yeon Lee, Kui Sun Choi, Jae Kwan Jun, Eun-Cheol Park
Cancer Res Treat. 2010;42(4):191-198.   Published online December 31, 2010
DOI: https://doi.org/10.4143/crt.2010.42.4.191
AbstractAbstract PDFPubReaderePub
Purpose

This study aims to investigate the current situation of national colorectal cancer screening by analyzing participation rates, positive rates of screening methods and screening rate of secondary screening tests in colorectal screening of the national cancer screening program in 2008.

Materials and Methods

With database about target population and screened individuals of the national cancer screening program, the results of target population and participants of colorectal cancer screening in 2008 were analyzed. Among adults aged over 50 years of medical aid and beneficiaries of national health insurance paying lower 50% premiums in the total subscribers, 4,640,365 were target population of colorectal cancer screening and the data of 984,915 undergoing fecal occult blood test (FOBT) as a primary screening were analyzed.

Results

The colorectal cancer screening rate was 21.2% and the rates of national health insurance subscribers, females and the elderly aged 60-64 years were higher than those of others. The recipients with a positive result in FOBT recorded approximately 7.5%. Medical aid beneficiaries (7.9%), males (8.8%) and seniors aged over 75 years (9.1%) showed higher positive rates than the average one. Out of the FOBT positive recipients, 43.0% took a secondary screening and the rate undergoing colonoscopy (31.4%) was higher than that of doing double-contrast barium enema test (11.6%).

Conclusion

Colorectal cancer screening rate of medical aid beneficiaries and people paying lower 50% premiums among national health insurance subscribers, was different according to demographic characters (gender, age and types of health insurance). This finding meant that screening for the vulnerable needed to be encouraged by considering socio-demographic characters. Additionally, more efforts were necessary to increase the secondary screening rate of people with a positive result in primary one.

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Special Article
Nationwide Cancer Incidence in Korea, 2003-2005
Young-Joo Won, Joohon Sung, Kyu-Won Jung, Hyun-Joo Kong, Sohee Park, Hai-Rim Shin, Eun-Cheol Park, Yoon-Ok Ahn, In Kyoung Hwang, Duk-Hee Lee, Jin-Su Choi, Woo-Cheol Kim, Tae-Yong Lee, Cheol-In Yoo, Jong-Myon Bae, Ok-Nam Kim, Woojin Chung, In-Sik Kong, Duk-Hyoung Lee, Jin-Soo Lee
Cancer Res Treat. 2009;41(3):122-131.   Published online September 28, 2009
DOI: https://doi.org/10.4143/crt.2009.41.3.122
AbstractAbstract PDFPubReaderePub
Purpose

To estimate the current cancer burden in Korea, newly diagnosed cancer cases and cancer incidence rates were calculated for the years 2003~2005.

Materials and Methods

The cancer incidence cases and rates were calculated from the Korea National Cancer Incidence Database. Crude and age-standardized incidence rates were calculated by gender for specified cancer sites in 5-year age groups.

Results

From 2003 to 2005, 398,824 cases of cancer were newly diagnosed in Korea (218,856 in men and 179,968 in women). For all sites combined, the crude incidence rate (CR) was 300.0 and 248.2 for men and women and the age-standardized incidence rate (ASR) was 297.0 and 191.2 per 100,000, respectively. Among men, five leading cancers were stomach (CR 66.0, ASR 64.2), lung (CR 48.5, ASR 50.3), liver (CR 44.9, ASR 42.1), colon and rectum (CR 37.9, ASR 37.2), and prostate cancer (CR 12.7, ASR 13.8). Among women, five leading cancers were breast (CR 37.3, ASR 29.0), thyroid (CR 36.2, ASR 28.8), stomach (CR 34.1, ASR 25.4), colon and rectum (CR 28.0, ASR 21.1), and lung cancer (CR 17.9, ASR 12.8). In the 0~14-year-old group, leukemia was the most common in both sexes; in the 15~34 group, the most common cancer was stomach cancer for men and thyroid cancer for women; in the 35~64 group, stomach cancer for men and breast cancer for women; among those 65 and over, lung cancer for men and stomach cancer, for women, respectively.

Conclusion

The cancer incidence rates have increased in recent years, and more cancers are expected to develop as Korea is quickly becoming an aged society. The cancer incidence statistics in this report can be used as an important source to effectively plan and evaluate the cancer control program in Korea.

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