Yeol Kim, Jaeho Lee, Eunju Lee, Juntae Lim, Yonghyun Kim, Choon-Taek Lee, Seung Hun Jang, Yu-Jin Paek, Won-Chul Lee, Chan Wha Lee, Hyae Young Kim, Jin Mo Goo, Kui Son Choi, Boyoung Park, Duk Hyoung Lee, Hong Gwan Seo
Cancer Res Treat. 2024;56(1):92-103. Published online August 7, 2023
Purpose Smoking cessation intervention is one of the key components of successful lung cancer screening program. We investigated the effectiveness and related factors of smoking cessation services provided to the participants in a population-based lung cancer screening trial.
Materials and Methods The Korean Lung Cancer Screening Project (K-LUCAS) is a nationwide, multi-center lung cancer screening trial that evaluates the feasibility of implementing population-based lung cancer screening. All 5,144 current smokers who participated in the K-LUCAS received a mandatory smoking cessation counseling. Changes in smoking status were followed up using a telephone survey in 6 months after lung cancer screening participation. The lung cancer screening’s impact on smoking cessation is analyzed by variations in the smoking cessation interventions provided in screening units.
Results Among 4,136 survey responders, participant’s motivation to quit smoking increased by 9.4% on average after lung cancer screening. After 6 months from the initial screening, 24.3% of participants stopped smoking, and 10.6% of participants had not smoked continuously for at least 6 months after screening. Over 80% of quitters stated that participation in lung cancer screening motivated them to quit smoking. Low-cost public smoking cessation program combined with lung cancer screening increased the abstinence rates. The smokers were three times more likely to quit smoking when the smoking cessation counseling was provided simultaneously with low-dose computed tomography screening results than when provided separately.
Conclusion A mandatory smoking cessation intervention integrated with screening result counselling by a physician after participation in lung cancer screening could be effective for increasing smoking cessation attempts.
Citations
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p53 Genetics and Biology in Lung Carcinomas: Insights, Implications and Clinical Applications Dixan A. Benitez, Guadalupe Cumplido-Laso, Marcos Olivera-Gómez, Nuria Del Valle-Del Pino, Alba Díaz-Pizarro, Sonia Mulero-Navarro, Angel Román-García, Jose Maria Carvajal-Gonzalez Biomedicines.2024; 12(7): 1453. CrossRef
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Purpose
The Korean National Cancer Screening Survey (KNCSS) is a nationwide annual cross-sectional survey conducted for the past 15 years. This study aimed to report trends in the overall screening rates of both organized and opportunistic cancer screening programs from 2004–2018.
Materials and Methods
KNCSS data were collected using a structured questionnaire. For five major cancers (i.e., stomach, liver, colorectal, breast, and cervical cancer), we evaluated both the lifetime screening rate and the screening rate with recommendations. The study population included men aged 40–74 years and women aged 20–74 years with no cancer histories.
Results
Screening rate with recommendations increased from 2004 annually by 4.4% and 1.5% until 2013 for stomach and liver cancers, respectively, by 4.0% until 2012 for breast cancer, and by 3.6% and 1.2% until 2014 for colorectal and cervical cancers, respectively, followed by nonsignificant trends thereafter. In 2018, screening rates with recommendations for these cancers were 72.8%, 26.2%, 63.1%, 58.4%, and 55.6%, respectively.
Conclusion
Screening rates for the five types of cancer demonstrated a marked increase between 2004 and 2018. However, many recent screening rates have been flattened with nonsignificant trends, and there are lower rates for cervical cancer screening among young age groups. Steady efforts are needed to achieve higher screening participation rates overall, especially for the cervical cancer screening of young women in their 20s.
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Jaeho Lee, Juntae Lim, Yeol Kim, Hyae Young Kim, Jin Mo Goo, Choon-Taek Lee, Seung Hun Jang, Won-Chul Lee, Chan Wha Lee, Jin Young An, Ki Dong Ko, Min Ki Lee, Kui Son Choi, Boyoung Park, Duk Hyoung Lee
Cancer Res Treat. 2019;51(4):1285-1294. Published online February 19, 2019
Purpose
To reduce lung cancer mortality, lung cancer screening was recommended using low-dose computed tomography (LDCT) to high-risk population. A protocol for multicenter lung cancer screening pilot project was developed to evaluate the effectiveness and feasibility of lung cancer screening to implement National Cancer Screening Program in Korea.
Materials and Methods
Multidisciplinary expert committee was comprised to develop a standardized protocol for Korean Lung Cancer Screening Project (K-LUCAS). K-LUCAS is a population-based single arm trial that targets high-risk population aged 55-74 years with at least 30 pack-year smoking history. LDCT results are reported by Lung-RADS suggested by American Radiology Society. Network-based system using computer-aided detection program is prepared to assist reducing diagnostic errors. Smoking cessation counselling is provided to all currently smoking participants. A small pilot test was conducted to check the feasibility and compliance of the protocols for K-LUCAS.
Results
In pilot test, 256 were participated. The average age of participants was 63.2 years and only three participants (1.2%) were female. The participants had a smoking history of 40.5 pack-year on average and 53.9% were current smokers. Among them, 86.3% had willing to participate in lung cancer screening again. The average willingness to quit smoking among current smokers was 12.7% higher than before screening. In Lung-RADS reports, 10 (3.9%) were grade 3 and nine (3.5%) were grade 4. One participant was diagnosed as lung cancer.
Conclusion
The protocol developed by this study is assessed to be feasible to perform K-LUCAS in multicenter nationwide scale.
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Lung Cancer Patients’ Characteristics and Comorbidities Using the Korean National Hospital Discharge In-depth Injury Survey Data Kyunghee Lee, Sunghong Kang, Jieun Hwang Journal of Epidemiology and Global Health.2022; 12(3): 258. CrossRef
Reduced Cancer Screening Due to Lockdowns of the COVID-19 Pandemic: Reviewing Impacts and Ways to Counteract the Impacts Tuan Luu Frontiers in Oncology.2022;[Epub] CrossRef
Determination of the optimum definition of growth evaluation for indeterminate pulmonary nodules detected in lung cancer screening Jong Hyuk Lee, Eui Jin Hwang, Woo Hyeon Lim, Jin Mo Goo, Paul Cronin PLOS ONE.2022; 17(9): e0274583. CrossRef
Implementation of the cloud-based computerized interpretation system in a nationwide lung cancer screening with low-dose CT: comparison with the conventional reading system Eui Jin Hwang, Jin Mo Goo, Hyae Young Kim, Jaeyoun Yi, Soon Ho Yoon, Yeol Kim European Radiology.2021; 31(1): 475. CrossRef
Lung cancer LDCT screening and mortality reduction — evidence, pitfalls and future perspectives Matthijs Oudkerk, ShiYuan Liu, Marjolein A. Heuvelmans, Joan E. Walter, John K. Field Nature Reviews Clinical Oncology.2021; 18(3): 135. CrossRef
Variability in interpretation of low-dose chest CT using computerized assessment in a nationwide lung cancer screening program: comparison of prospective reading at individual institutions and retrospective central reading Eui Jin Hwang, Jin Mo Goo, Hyae Young Kim, Soon Ho Yoon, Gong Yong Jin, Jaeyoun Yi, Yeol Kim European Radiology.2021; 31(5): 2845. CrossRef
External validation and comparison of the Brock model and Lung-RADS for the baseline lung cancer CT screening using data from the Korean Lung Cancer Screening Project Hyungjin Kim, Hyae Young Kim, Jin Mo Goo, Yeol Kim European Radiology.2021; 31(6): 4004. CrossRef
Lung Screening Benefits and Challenges: A Review of The Data and Outline for Implementation Jacob Sands, Martin C. Tammemägi, Sebastien Couraud, David R. Baldwin, Andrea Borondy-Kitts, David Yankelevitz, Jennifer Lewis, Fred Grannis, Hans-Ulrich Kauczor, Oyunbileg von Stackelberg, Lecia Sequist, Ugo Pastorino, Brady McKee Journal of Thoracic Oncology.2021; 16(1): 37. CrossRef
Optimum diameter threshold for lung nodules at baseline lung cancer screening with low-dose chest CT: exploration of results from the Korean Lung Cancer Screening Project Eui Jin Hwang, Jin Mo Goo, Hyae Young Kim, Jaeyoun Yi, Yeol Kim European Radiology.2021; 31(9): 7202. CrossRef
Effectiveness of radiologist training in improving reader agreement for Lung-RADS 4X categorization Hyungjin Kim, Jin Mo Goo, Tae Jung Kim, Hyae Young Kim, Guanmin Gu, Bomi Gil, Wooil Kim, Seon Young Park, Junghoan Park, Juil Park, Harkhoon Park, Wonkyu Song, Kyung Eun Shin, Jiseon Oh, Sung Hyun Yoon, Sanghyup Lee, Youkyung Lee, Woo Hyeon Lim, Won Gi Je European Radiology.2021; 31(11): 8147. CrossRef
Contemporary issues in the implementation of lung cancer screening Stephen Lam, Martin Tammemagi European Respiratory Review.2021; 30(161): 200288. CrossRef
Lung cancer mortality reduction by LDCT screening: UKLS randomised trial results and international meta-analysis John K. Field, Daniel Vulkan, Michael P.A. Davies, David R. Baldwin, Kate E. Brain, Anand Devaraj, Tim Eisen, John Gosney, Beverley A. Green, John A. Holemans, Terry Kavanagh, Keith M. Kerr, Martin Ledson, Kate J. Lifford, Fiona E. McRonald, Arjun Nair, R The Lancet Regional Health - Europe.2021; 10: 100179. CrossRef
Assisted versus Manual Interpretation of Low-Dose CT Scans for Lung Cancer Screening: Impact on Lung-RADS Agreement Colin Jacobs, Anton Schreuder, Sarah J. van Riel, Ernst Th. Scholten, Rianne Wittenberg, Mathilde M. Winkler Wille, Bartjan de Hoop, Ralf Sprengers, Onno M. Mets, Bram Geurts, Mathias Prokop, Cornelia Schaefer-Prokop, Bram van Ginneken Radiology: Imaging Cancer.2021; 3(5): e200160. CrossRef
Coronary artery calcium severity grading on non-ECG-gated low-dose chest computed tomography: a multiple-observer study in a nationwide lung cancer screening registry Young Joo Suh, Ji Won Lee, So Youn Shin, Jin Mo Goo, Yeol Kim, Hwan Seok Yong European Radiology.2020; 30(7): 3684. CrossRef
Korean National Lung Cancer Screening Seung Hun Jang The Korean Journal of Medicine.2020; 95(2): 95. CrossRef
Lung Cancer CT Screening and Lung-RADS in a Tuberculosis-endemic Country: The Korean Lung Cancer Screening Project (K-LUCAS) Hyungjin Kim, Hyae Young Kim, Jin Mo Goo, Yeol Kim Radiology.2020; 296(1): 181. CrossRef
Interstitial lung abnormalities detected incidentally on CT: a Position Paper from the Fleischner Society Hiroto Hatabu, Gary M Hunninghake, Luca Richeldi, Kevin K Brown, Athol U Wells, Martine Remy-Jardin, Johny Verschakelen, Andrew G Nicholson, Mary B Beasley, David C Christiani, Raúl San José Estépar, Joon Beom Seo, Takeshi Johkoh, Nicola Sverzellati, Chri The Lancet Respiratory Medicine.2020; 8(7): 726. CrossRef
Milestones towards lung cancer screening implementation M. Silva, G. Milanese, H.-U. Kauczor, M.-P. Revel, N. Sverzellati Clinical Radiology.2020; 75(12): 881. CrossRef
Evidence of National Lung Cancer Screening Program in Korea Yeol Kim Korean Journal of Health Promotion.2019; 19(4): 161. CrossRef