Cancer Research and Treatment

Original Articles

Why Do Some People Choose Opportunistic Rather Than Organized Cancer Screening? The Korean National Health and Nutrition Examination Survey (KNHANES) 2010-2012: Myung-Il Hahm, Hsueh-Fen Chen, Thaddeus Miller, Liam O’Neill, Hoo-Yeon Lee; Cancer Res Treat. 2017;49(3):727-738. Published online October 31, 2016; DOI: https://doi.org/10.4143/crt.2016.243

Purpose
Although the Korean government has implemented a universal screening program for common cancers, some individuals choose to participate in opportunistic screening programs. Therefore, this study was conducted to identify factors contributing to the selection of organized versus opportunistic screening by the Korean general population.
Materials and Methods
Data from 11,189 participants aged ≥ 40 yearswho participated in the fifth KoreanNational Health and Nutrition Examination Survey (2010-2012) were analyzed in this study.
Results
A total of 6,843 of the participants (58.6%) underwent cancer screening, of which 6,019 (51.1%) participated in organized and 824 (7.5%) participated in opportunistic screening programs. Being female, older, highly educated, in the upper quartile of income, an ex-smoker, and a light drinker as well as having supplementary private health insurance and more comorbid conditions and engaging in moderate physical activity 1-4 days per week were related to participation in both types of screening programs. Being at least a high school graduate, in the upper quartile for income, and a light drinker, as well as having more comorbid conditions and engaging in moderate physical activities 1-4 days per week had a stronger effect on those undergoing opportunistic than organized screening.
Conclusion
The results of this study suggest that socioeconomic factors such as education and income, aswell as health status factors such as health-related quality of life and number of comorbid conditions and health behaviors such as drinking and engaging in moderate physical activity 1-4 days per week had a stronger influence on participation in an opportunistic than in an organized screening program for cancer.

Citations

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Temporal Trend in Uptake of the National General Health Checkups and Cancer Screening Program among Korean Women with Breast Cancer
Thi Xuan Mai Tran, Soyeoun Kim, Chihwan Cha, Boyoung Park
Cancer Research and Treatment.2024; 56(2): 522. CrossRef
Health screening disparities in people living with HIV; A nationwide organized screening setting
Boyoung Park, Yoonyoung Jang, Taehwa Kim, Yunsu Choi, Kyoung Hwan Ahn, Jung Ho Kim, Hye Seong, Youn Jeong Kim, Jun Yong Choi, Joon Young Song, Shin-Woo Kim, Sang Il Kim
Journal of Infection and Public Health.2024; 17(12): 102567. CrossRef
Impact of health disparities on national breast cancer screening participation rates in South Korea
Fatima Nari, Juwon Park, Nayeon Kim, Dong Jin Kim, Jae Kwan Jun, Kui Son Choi, Mina Suh
Scientific Reports.2023;[Epub] CrossRef
Knowledge, willingness, uptake and barriers of cervical cancer screening services among Chinese adult females: a national cross-sectional survey based on a large e-commerce platform
Bo Zhang, Sumeng Wang, Xiyu Yang, Mingyang Chen, Wenhui Ren, Yanping Bao, Youlin Qiao
BMC Women's Health.2023;[Epub] CrossRef
Effect of gastric cancer screening on long-term survival of gastric cancer patients: results of Korean national cancer screening program
Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kyu-Won Jung, Kui Son Choi
Journal of Gastroenterology.2022; 57(7): 464. CrossRef
Organized Breast and Cervical Cancer Screening: Attendance and Determinants in Rural China
Huinan Han, Xiaoyu Wang, Yimei Zhu, Yuan Liang
International Journal of Environmental Research and Public Health.2022; 19(14): 8237. CrossRef
Trends in breast cancer screening rates among Korean women: results from the Korean National Cancer Screening Survey, 2005-2020
Soo Yeon Song, Yun Yeong Lee, Hye Young Shin, Bomi Park, Mina Suh, Kui Son Choi, Jae Kwan Jun
Epidemiology and Health.2022; 44: e2022111. CrossRef
Trend analysis of process quality indicators for the Korean National Cervical Cancer Screening Program from 2005 to 2013
Cam Nhung Bui, Eunji Choi, Mina Suh, Jae Kwan Jun, Kyu Won Jung, Myong Cheol Lim, Kui Son Choi
Journal of Gynecologic Oncology.2021;[Epub] CrossRef
Conditional Relative Survival and Competing Mortality of Patients with Prostate Cancer in Korea: A Nationwide Cohort Study
Jinsung Park, Kyungdo Han, Dong Wook Shin, Sang Hyun Park, Hyun Bin Shin
Cancer Epidemiology, Biomarkers & Prevention.2021; 30(2): 326. CrossRef
Disparities in Liver Cancer Surveillance Among People With Disabilities
Jae Youn Seo, Dong Wook Shin, Su Jong Yu, Jin Hyung Jung, Kyungdo Han, In Young Cho, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Journal of Clinical Gastroenterology.2021; 55(5): 439. CrossRef
Effect of Pap smear screening on cervical cancer stage at diagnosis: results from the Korean National Cancer Screening Program
Cam Nhung Bui, Seri Hong, Mina Suh, Jae Kwan Jun, Kyu Won Jung, Myong Cheol Lim, Kui Son Choi
Journal of Gynecologic Oncology.2021;[Epub] CrossRef
Breast cancer screening disparities between women with and without disabilities: A national database study in South Korea
Dong Wook Shin, Jonghan Yu, Juhee Cho, Se Kyung Lee, Jin Hyung Jung, Kyungdo Han, So Young Kim, Jung Eun Yoo, Kyoung Eun Yeob, Yeon Yong Kim, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Cancer.2020; 126(7): 1522. CrossRef
Disparities in the Participation Rate of Colorectal Cancer Screening by Fecal Occult Blood Test among People with Disabilities: A National Database Study in South Korea
Dong Wook Shin, Dongkyung Chang, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Won Chul Lee, Jong Heon Park, Jong Hyock Park
Cancer Research and Treatment.2020; 52(1): 60. CrossRef
Patterns of percutaneous transthoracic needle biopsy (PTNB) of the lung and risk of PTNB-related severe pneumothorax: A nationwide population-based study
Bo Ram Yang, Mi-Sook Kim, Chang Min Park, Soon Ho Yoon, Kum Ju Chae, Joongyub Lee, James West
PLOS ONE.2020; 15(7): e0235599. CrossRef
Risk of Ischemic Heart Disease and Stroke in Prostate Cancer Survivors: A Nationwide Study in South Korea
Dong Wook Shin, Kyungdo Han, Hyun Sik Park, Seung-Pyo Lee, Sang Hyun Park, Jinsung Park
Scientific Reports.2020;[Epub] CrossRef
Incidentally detected atherosclerosis in the abdominal aorta or its major branches on computed tomography is highly associated with coronary heart disease in asymptomatic adults
Beomseok Suh, Yong Sub Song, Dong Wook Shin, Jiyeon Lim, Hyunbin Kim, Sa-Hong Min, Seung-Pyo Lee, Eun-Ah Park, Whal Lee, Hyejin Lee, Jin Ho Park, BeLong Cho
Journal of Cardiovascular Computed Tomography.2018; 12(4): 305. CrossRef
Health Inequality in Health Checkups
Jungun Lee
Korean Journal of Family Medicine.2018; 39(2): 65. CrossRef
Disparities in Cervical Cancer Screening Among Women With Disabilities: A National Database Study in South Korea
Dong Wook Shin, Jeong-Won Lee, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park
Journal of Clinical Oncology.2018; 36(27): 2778. CrossRef
Comparison of cervical cancer screening among women with and without hysterectomies: a nationwide population-based study in Korea
Ji-Yeon Shin, Kui Son Choi, Mina Suh, Boyoung Park, Jae Kwan Jun
BMC Cancer.2018;[Epub] CrossRef

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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

Abstract PDF PubReader ePub

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.

Citations

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Alcoholic liver disease in relation to cancer incidence and mortality: Findings from a large, matched cohort study in South Korea
Thi Phuong Thao Tran, Minji Han, Ngoc Minh Luu, Jin‐Kyoung Oh
Cancer Medicine.2023; 12(7): 8754. CrossRef
A Systematic Review and Narrative Synthesis of Health Economic Evaluations of Hepatocellular Carcinoma Screening Strategies
Anh Le Tuan Nguyen, Hoa Thi Thu Nguyen, Kwang Chien Yee, Andrew J. Palmer, Christopher Leigh Blizzard, Barbara de Graaff
Value in Health.2021; 24(5): 733. CrossRef
Disparities in Liver Cancer Surveillance Among People With Disabilities
Jae Youn Seo, Dong Wook Shin, Su Jong Yu, Jin Hyung Jung, Kyungdo Han, In Young Cho, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park, Ichiro Kawachi
Journal of Clinical Gastroenterology.2021; 55(5): 439. CrossRef
The Impact of National Surveillance for Liver Cancer: Results from Real-World Setting in Korea
Jin Won Kwon, Ha Jin Tchoe, Jayoun Lee, Jae Kyung Suh, Jeong-Hoon Lee, Sangjin Shin
Gut and Liver.2020; 14(1): 108. CrossRef

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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

Abstract PDF PubReader ePub

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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Se Kyung Lee, Seok Won Kim, Jong-Han Yu, Jeong Eon Lee, Ji Young Kim, Joohyun Woo, Seokwon Lee, Eun-Kyu Kim, Hyeong-Gon Moon, Sung Sang Ko, Seok Jin Nam
Breast Cancer Research and Treatment.2019; 173(1): 189. CrossRef
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Winnie K.W. So, Alice N.L. Kwong, Joanne M.T. Chen, Joanne C.Y. Chan, Bernard M.H. Law, Janet W.H. Sit, Carmen W.H. Chan
Cancer Nursing.2019; 42(2): E20. CrossRef
Effects of Screening on Gastric Cancer Management: Comparative Analysis of the Results in 2006 and in 2011
Yun Gyoung Kim, Seong-Ho Kong, Seung-Young Oh, Kyung-Goo Lee, Yun-Suhk Suh, Jun-Young Yang, Jeongmin Choi, Sang Gyun Kim, Joo-Sung Kim, Woo Ho Kim, Hyuk-Joon Lee, Han-Kwang Yang
Journal of Gastric Cancer.2014; 14(2): 129. CrossRef
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Mina Yu, Joo Hwan Lee, Hong Seok Jang, Dong Min Jeon, Jae Suk Cheon, Hyo Chun Lee, Jong Hoon Lee
Radiation Oncology.2013;[Epub] CrossRef
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Ja Sung Choi, Jin Yi Choi, Hyeon Geun Cho, Ki Jun Han, Hee Man Kim, Jae Hee Cho, Yu Jin Kim
Scandinavian Journal of Gastroenterology.2013; 48(6): 657. CrossRef
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Euntae Park, Sungkwang Park
Journal of the Korean Society of Radiology.2013; 7(2): 151. CrossRef
The National Cancer Screening Program for Breast Cancer in the Republic of Korea: Is it Cost-Effective?
Moon Hae Kang, Eun-Cheol Park, Kui Son Choi, MiNa Suh, Jae Kwan Jun, Eun Cho
Asian Pacific Journal of Cancer Prevention.2013; 14(3): 2059. CrossRef
Cancer Screening in Korea, 2012: Results from the Korean National Cancer Screening Survey
Mina Suh, Kui Son Choi, Yoon Young Lee, Boyoung Park, Jae Kwan Jun
Asian Pacific Journal of Cancer Prevention.2013; 14(11): 6459. CrossRef
Circulating Methylated Septin 9 Nucleic Acid in the Plasma of Patients with Gastrointestinal Cancer in the Stomach and Colon
Hye Seung Lee, Sang Mee Hwang, Taek Soo Kim, Duck-Woo Kim, Do Joong Park, Sung-Bum Kang, Hyung-Ho Kim, Kyoung Un Park
Translational Oncology.2013; 6(3): 290. CrossRef
A Prospective Study on the Incidence of Postoperative Venous Thromboembolism in Korean Gastric Cancer Patients: An Inquiry into the Application of Western Guidelines to Asian Cancer Patients
Jin Won Kim, Eun Ju Chun, Sang Il Choi, Do Joong Park, Hyung-Ho Kim, Soo-Mee Bang, Min Jeong Kim, Ju-Hee Lee, Moon-Soo Lee, Jeong-Ok Lee, Yu Jung Kim, Jee Hyun Kim, Jong Seok Lee, Keun-Wook Lee, Ju-Seog Lee
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Jin Kyun Park, Hyun Ah Park, Jin Joo Park, Young Gyu Cho
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Aesun Shin, Kyee-Zu Kim, Kyu-Won Jung, Sohee Park, Young-Joo Won, Jeongseon Kim, Dae Yong Kim, Jae Hwan Oh
Cancer Research and Treatment.2012; 44(4): 219. CrossRef
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Bit-Na Yoo, Kui-Son Choi, Kyu-Won Jung, Jae-Kwan Jun
Asian Pacific Journal of Cancer Prevention.2012; 13(1): 123. CrossRef
Time to follow up after an abnormal finding in organized gastric cancer screening in Korea
Hoo-Yeon Lee, Kui Son Choi, Jae Kwan Jun, Myung-Il Hahm, Eun-Cheol Park
BMC Cancer.2012;[Epub] CrossRef
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Young Hwa Lee, Kui Son Choi, Hoo-Yeon Lee, Jae Kwan Jun
Journal of Gynecologic Oncology.2012; 23(1): 16. CrossRef

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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

Abstract PDF PubReader ePub

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

Abstract PDF PubReader ePub

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.

Citations

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Associations of Oral Contraceptives with Mammographic Breast Density in Premenopausal Women
Lusine Yaghjyan, Carmen Smotherman, John Heine, Graham A. Colditz, Bernard Rosner, Rulla M. Tamimi
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The epidemiologic factors associated with breast density
Dong-Man Ye, Tao Yu
Journal of Research in Medical Sciences.2022; 27(1): 53. CrossRef
Survival Rates of Breast Cancer Patients Aged 40 to 49 Years according to Detection Modality in Korea: Screening Ultrasound versus Mammography
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Korean Journal of Radiology.2021; 22(2): 159. CrossRef
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Associations between Breast Density on Mammography and Lifestyle Related Disease
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Mammographic Breast Density Evaluation in Korean Women Using Fully Automated Volumetric Assessment
Inyoung Youn, SeonHyeong Choi, Shin Ho Kook, Yoon Jung Choi
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Zoe Quandt, Julie D Flom, Parisa Tehranifar, Diane Reynolds, Mary Beth Terry, Jasmine A McDonald
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Guiyun Sohn, Jong Won Lee, Sung Won Park, Jihoon Park, Jiyoung Woo, Hwa Jung Kim, Hee Jung Shin, Hak Hee Kim, Kyung Hae Jung, Joohon Sung, Seung Wook Lee, Byung Ho Son, Sei-Hyun Ahn
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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

Abstract PDF PubReader ePub

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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Factors associated with attendance at screening for breast cancer: a systematic review and meta-analysis
Rebecca Mottram, Wendy Lynn Knerr, Daniel Gallacher, Hannah Fraser, Lena Al-Khudairy, Abimbola Ayorinde, Sian Williamson, Chidozie Nduka, Olalekan A Uthman, Samantha Johnson, Alexander Tsertsvadze, Christopher Stinton, Sian Taylor-Phillips, Aileen Clarke
BMJ Open.2021; 11(11): e046660. CrossRef
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N Bhoo-Pathy, S Subramaniam, N A Taib, M Hartman, Z Alias, G-H Tan, R I Ibrahim, C-H Yip, H M Verkooijen
British Journal of Cancer.2014; 110(9): 2187. CrossRef
Factors Associated with Organized and Opportunistic Cancer Screening: Results of the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2011
Minsun Kang, Ki-Bong Yoo, Eun-Cheol Park, Kisung Kwon, Gaeun Kim, Doo Ree Kim, Jeoung A Kwon
Asian Pacific Journal of Cancer Prevention.2014; 15(7): 3279. CrossRef
Attendance of the fourth (2008–2009) screening round of the Hungarian organized, nationwide breast cancer screening program
Imre Boncz, Lajos Döbrőssy, Zoltán Péntek, Attila Kovács, András Budai, László Imre, Réka Vajda, Andor Sebestyén
Orvosi Hetilap.2013; 154(50): 1975. CrossRef
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Breast Cancer Research and Treatment.2012; 131(2): 527. CrossRef
Satisfaction in the National Cancer Screening Program for Breast Cancer with and without Clinical Breast Examination
Mi-Ah Han, Jae-Kwan Jun, Kui-Son Choi, Eun-Cheol Park, Hoo-Yeon Lee
Asian Pacific Journal of Cancer Prevention.2012; 13(1): 63. CrossRef
Time to follow up after an abnormal finding in organized gastric cancer screening in Korea
Hoo-Yeon Lee, Kui Son Choi, Jae Kwan Jun, Myung-Il Hahm, Eun-Cheol Park
BMC Cancer.2012;[Epub] CrossRef
Risk Factors and Control Strategies for the Rapidly Rising Rate of Breast Cancer in Korea
Sue K. Park, Yeonju Kim, Daehee Kang, En-Joo Jung, Keun-Young Yoo
Journal of Breast Cancer.2011; 14(2): 79. CrossRef

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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

Abstract PDF PubReader ePub

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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