Cancer Research and Treatment

Original Articles

A Machine Learning Risk Prediction Model for Gastric Cancer with SHapley Additive exPlanations: Bomi Park, Chung Ho Kim, Jae Kwan Jun, Mina Suh, Kui Son Choi, Il Ju Choi, Hyun Jin Oh; Received August 29, 2024 Accepted December 15, 2024 Published online December 16, 2024; DOI: https://doi.org/10.4143/crt.2024.843 [Accepted]

Abstract PDF: Purpose
Gastric cancer (GC) prediction models hold potential for enhancing early detection by enabling the identification of high-risk individuals, facilitating personalized risk-based screening, and optimizing the allocation of healthcare resources.
Materials and Methods
In this study, we developed a machine learning-based GC prediction model utilizing data from the Korean National Health Insurance Service, encompassing 10,515,949 adults who had not been diagnosed with GC and underwent GC screening during 2013–2014, with a follow-up period of at least five years. The cohort was divided into training and test datasets at an 8:2 ratio, and class imbalance was mitigated through random oversampling.
Results
Among various models, logistic regression demonstrated the highest predictive performance, with an area under the receiver operating characteristic curve (AUC) of 0.708, which was consistent with the AUC obtained in external validation (0.669). Importantly, the outcomes were robust to missing data imputation and variable selection. The SHapley Additive exPlanations (SHAP) algorithm enhanced the explainability of the model, identifying advancing age, being male, Helicobacter pylori infection, current smoking, and a family history of GC as key predictors of elevated risk.
Conclusion
This predictive model could significantly contribute to the early identification of individuals at elevated risk for gastric cancer, thereby enabling the implementation of targeted preventive strategies. Furthermore, the integration of noninvasive and cost-effective predictors enhances the clinical utility of the model, supporting its potential application in routine healthcare settings.

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Determinants of Prostate Cancer Screening in Korean Men: A Nationwide Study Using the Korean National Cancer Screening Survey 2023: Giap Viet Nguyen, Kyeongmin Lee, Hyeon Ji Lee, EunKyo Kang, Mina Suh, Jae Kwan Jun, Kui Son Choi; Received September 8, 2024 Accepted October 28, 2024 Published online October 29, 2024; DOI: https://doi.org/10.4143/crt.2024.879 [Accepted]

Abstract PDF: Purpose
Research on the prevalence of prostate cancer (PCa) screening and reasons for undergoing screening is limited. We aimed to identify the factors influencing PCa screening behavior and explore the underlying motivations among Korean men.
Materials and Methods
This cross-sectional study used data from the 2023 Korean National Cancer Screening Survey, which employs a nationally representative random sampling method. This study included 1,784 men aged 40-74 years. The respondents reported their experiences with PCa screening. Multivariable logistic regression analysis was conducted to identify the factors associated with participation in PCa screening.
Results
The lifetime PCa screening rate was 18.6%. Among screening modalities, transrectal ultrasonography was the most frequently used (31.9%), followed by prostate-specific antigen tests (25.6%) and digital rectal examinations (21.5%). The multivariable analysis identified several factors that significantly increased the likelihood of screening participation, including older age, living with a spouse, poor self-reported health, and abstinence from alcohol consumption in the previous 12 months. Men who had undergone colorectal cancer screening were more likely to participate in PCa screening (adjusted odds ratio, 4.01; 95% confidence interval, 2.03–7.93) than those who had not. The primary motivations for screening were recommendations from family or social networks (31.9%) and inclusion in health examination packages (24.3%), whereas healthcare provider recommendations (18%) and symptomatic concerns (5.7%) were the least influential.
Conclusion
Our findings highlight the importance of providing evidence-based information for PCa screening recommendations and the need for improved communication and implementation of a shared decision-making approach for PCa screening in Korea.

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Special Article

Trends in Cancer-Screening Rates in Korea: Findings from the National Cancer Screening Survey, 2004-2023: EunKyo Kang, Kui Son Choi, Jae Kwan Jun, Yeol Kim, Hyeon Ji Lee, Chang Kyun Choi, Tae Hee Kim, Sun Hwa Lee, Mina Suh; Cancer Res Treat. 2025;57(1):28-38. Published online August 2, 2024; DOI: https://doi.org/10.4143/crt.2024.325

Abstract PDF Supplementary Material PubReader ePub: Purpose
This study aimed to report the overall national trends in the rates of cancer screening based on recommendations and provide insights into the changing trends of these rates across different demographics.
Materials and Methods
This study used data from the Korean National Cancer Screening Survey (KNCSS), which surveys nationwide cancer-screening rates and includes 4,500 individuals meeting the Korean National Cancer Screening Program (NCSP) protocol age criteria. Cancer-screening rates were assessed using structured questionnaires; yearly trends were analyzed for both lifetime cancer-screening rates and rates of screening based on recommendations, and subgroup analyses were performed based on age and sex.
Results
The rates of cancer screening based on recommendations showed significant increments: the stomach cancer-screening rate increased from 39.2% in 2004 to 77.5% in 2023 (3.50% per year), the liver cancer-screening rate increased from 20.0% to 48.8% (4.30% per year), and the colorectal cancer, increased from 19.9% to 70.7% (5.15% per year). The breast cancer-screening rate increased from 33.2% to 72.7% (2.88% per year), and the cervical cancer, increased from 58.3% to 70.2% (1.08% per year). Despite some differences, particularly in relation to sociodemographic factors, screening rates increased significantly for all cancer types.
Conclusion
Cancer-screening rates in Korea increased consistently from 2004 to 2023, demonstrating the effectiveness of the national cancer-screening program. However, the increments in breast, cervical and lung cancer-screening rates were relatively lower, indicating the need for additional efforts and strategies.

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Original Articles

Gastrointestinal cancer

Association between Endoscopist Volume and Interval Cancers after Colonoscopy: Results from the National Colorectal Cancer Screening Program in Korea: Dong Jun Kim, Nan-He Yoon, Jae Kwan Jun, Mina Suh, Sunhwa Lee, Seongju Kim, Ji Eun Kim, Hooyeon Lee; Cancer Res Treat. 2024;56(4):1164-1170. Published online April 16, 2024; DOI: https://doi.org/10.4143/crt.2024.009

Abstract PDF Supplementary Material PubReader ePub: Purpose
The rate of interval colorectal cancer (iCRC) is now accepted as a key performance indicator of organized colorectal cancer (CRC) screening programs. We aimed to examine the association between endoscopist volumes and the rate of iCRC among individuals with a positive fecal immunochemical test (FIT) within a nationwide population-based CRC screening program.
Materials and Methods
Individuals aged ≥ 50 years who underwent colonoscopy after a positive FIT from January 1, 2019 until December 31, 2020 in the Korean National Cancer Screening Program (KNCSP) were enrolled. We converted the data into per-endoscopist screening results, calculated the iCRC rates per endoscopist, and compared them to the previous year’s annual volume that was divided into five groups (V1, 1-9; V2, 10-29; V3, 30-59; V4, 60-119; V5, ≥ 120).
Results
A total of 10,412 endoscopists performed 216,907 colonoscopies. Overall, the average rate of iCRC per endoscopist was 8.46 per 1,000 examinations. Compared with the group with the highest volume (V5 group), the rate of iCRC was 2.21 times higher in the V1 group. Similar trends were observed in the other groups (V2: relative risks [RR], 2.15; 95% confidence interval [CI], 1.57 to 2.94; V3: RR, 1.56; 95% CI, 1.15 to 2.13; V4: RR, 1.18; 95% CI, 0.83 to 1.67).
Conclusion
The findings emphasize that endoscopists with lower procedure volumes have higher risks of interval cancer being missed or undetected. To maximize the preventative impact of colonoscopy for CRC, this issue should be addressed by monitoring endoscopist volumes and variations in performances.

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Overview of the National Cancer Screening Program for Colorectal Cancer in Korea over 14 Years (2004-2017): Bomi Park, Eun Young Her, Kyeongmin Lee, Fatima Nari, Jae Kwan Jun, Kui Son Choi, Mina Suh; Cancer Res Treat. 2023;55(3):910-917. Published online March 8, 2023; DOI: https://doi.org/10.4143/crt.2022.1432

Abstract PDF Supplementary Material PubReader ePub

Purpose
This study aimed to evaluate the participation and follow-up test compliance rates and key performance indicators of the National Cancer Screening Program (NCSP) for colorectal cancer (CRC) from 2004 to 2017.
Materials and Methods
The overall outcomes of the NCSP for CRC were analyzed using the NCSP data collected from 2004 to 2017 and the Korean Central Cancer Registry for CRC from 2005 to 2017. We cross-sectionally analyzed the participation and follow-up test compliance rates and performance indicators for each year. The trend of participation rates as an annual percentage change was assessed, and other statistical analyses were performed.
Results
The screening participation rates increased from 7.3% in 2004 to 30.5% in 2017. Additionally, the screening rates were higher among individuals aged 60-69 years and National Health Insurance Service beneficiaries of low-income status. However, the adherence to the follow-up test decreased from 63% in 2004 to 32% in 2017. The follow-up tests using the double-contrast barium enema method decreased from 42.2% in 2004 to 0.3% in 2017. However, follow-up tests by colonoscopy increased from 21.0% in 2004 to 31.8% in 2017. Furthermore, the positivity, false-positive, and interval CRC rates decreased, whereas the specificity increased from 2004 to 2016, indicating improved performance of CRC.
Conclusion
The participation rates and performance of the NCSP for CRC have steadily improved, whereas adherence to follow-up tests has decreased. Additionally, there is a rapid growth in colonoscopy volume as a follow-up test. Continued efforts are required to improve the follow-up rates.

Citations

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Trends in Cancer-Screening Rates in Korea: Findings from the National Cancer Screening Survey, 2004-2023
EunKyo Kang, Kui Son Choi, Jae Kwan Jun, Yeol Kim, Hyeon Ji Lee, Chang Kyun Choi, Tae Hee Kim, Sun Hwa Lee, Mina Suh
Cancer Research and Treatment.2025; 57(1): 28. CrossRef
Serum bilirubin levels and risk of colorectal cancer in Korean adults: results from the Korean Genome and Epidemiology Study-Health Examinee (KoGES-HEXA) Cohort Study
Hwayoung Noh, Jeeyoo Lee, Nazlisadat Seyed Khoei, Laia Peruchet-Noray, Daehee Kang, Beatrice Fervers, Karl-Heinz Wagner, Aesun Shin, Heinz Freisling
British Journal of Cancer.2024; 131(10): 1635. CrossRef
Association between Endoscopist Volume and Interval Cancers after Colonoscopy: Results from the National Colorectal Cancer Screening Program in Korea
Dong Jun Kim, Nan-He Yoon, Jae Kwan Jun, Mina Suh, Sunhwa Lee, Seongju Kim, Ji Eun Kim, Hooyeon Lee
Cancer Research and Treatment.2024; 56(4): 1164. CrossRef
Effectiveness of the Korean National Cancer Screening Program in Reducing Colorectal Cancer Mortality
Hyeon Ji Lee, Kyeongmin Lee, Byung Chang Kim, Jae Kwan Jun, Kui Son Choi, Mina Suh
Cancers.2024; 16(24): 4278. CrossRef
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BMJ Open.2024; 14(12): e084628. CrossRef
National cancer screening program for colorectal cancer in Korea
Seung Min Baik, Ryung-Ah Lee
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Breast cancer

Estimating Age-Specific Mean Sojourn Time of Breast Cancer and Sensitivity of Mammographic Screening by Breast Density among Korean Women: Eunji Choi, Mina Suh, So-Youn Jung, Kyu-Won Jung, Sohee Park, Jae Kwan Jun, Kui Son Choi; Cancer Res Treat. 2023;55(1):136-144. Published online April 4, 2022; DOI: https://doi.org/10.4143/crt.2021.962

Abstract PDF PubReader ePub

Purpose
High breast cancer incidence and dense breast prevalence among women in forties are specific to Asian. This study examined the natural history of breast cancer among Korean women.
Materials and Methods
We applied a three-state Markov model (i.e., healthy, preclinical, and clinical state) to fit the natural history of breast cancer to data in the Korean National Cancer Screening Program. Breast cancer was ascertained by linkage to the Korean Central Cancer Registry. Disease-progression rates (i.e., transition rates between three states), mean sojourn time (MST) and mammographic sensitivity were estimated across 10-year age groups and levels of breast density determined by the Breast Imaging, Reporting and Data System.
Results
Overall prevalence of dense breast was 53.9%. Transition rate from healthy to preclinical state, indicating the preclinical incidence of breast cancer, was higher among women in forties (0.0019; 95% confidence interval [CI], 0.0017 to 0.0021) and fifties (0.0020; 95% CI, 0.0017 to 0.0022), than women in sixties (0.0014; 95% CI, 0.0012 to 0.0017). The MSTs, in which the tumor is asymptomatic but detectable by screening, were also fastest among younger age groups, estimated as 1.98 years (95% CI, 1.67 to 2.33), 2.49 years (95% CI, 1.92 to 3.22), and 3.07 years (95% CI, 2.11 to 4.46) for women in forties, fifties, and sixties, respectively. Having dense breasts increased the likelihood of the preclinical cancer risk (1.96 to 2.35 times) and decreased the duration of MST (1.53 to 2.02 times).
Conclusion
This study estimated Korean-specific natural history parameters of breast cancer that would be utilized for establishing optimal screening strategies in countries with higher dense breast prevalence.

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Gastrointestinal cancer

Trends in the Performance of the Korean National Cancer Screening Program for Gastric Cancer from 2007 to 2016: Ji Eun Ryu, Eunji Choi, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kyu Won Jung, Kui Son Choi; Cancer Res Treat. 2022;54(3):842-849. Published online September 30, 2021; DOI: https://doi.org/10.4143/crt.2021.482

Abstract PDF Supplementary Material PubReader ePub

Purpose
The Korean National Cancer Screening Program (KNCSP) has implemented two screening methods for gastric cancer—upper gastrointestinal series (UGIS) and endoscopy—for Koreans aged ≥40 years. We aimed to assess performance trends for both screening methods.
Materials and Methods
The KNCSP database was used to evaluate individuals who underwent screening from 2007 to 2016. The final gastric cancer diagnosis was ascertained by linking with the Korean Central Cancer Registry. We conducted a prospective, cross-sectional analysis to estimate performance indicators of gastric cancer screening by UGIS and endoscopy, stratified by sociodemographic factors.
Results
We found that screening rates for gastric cancer increased from 28% to 51.7% between 2007 and 2016, and that the rate of endoscopy use for gastric cancer screening increased sharply. Cancer detection rates (CDR) of UGIS and endoscopy were 0.41 and 2.25 per 1,000 screens in 2007–2008 and 0.26 and 1.99 in 2015–2016, respectively. Interval cancer rates (ICR) per 1,000 negative screenings were 1.33 (2007–2008) and 1.21 (2015–2016) for UGIS and 1.14 (2007–2008) and 0.88 (2015–2016) for endoscopy. The sensitivity of UGIS decreased from 23.6% (2007–2008) to 17.6% (2015–2016), whereas that of endoscopy increased from 66.4% (2007–2008) to 69.3% (2015–2016). Specificity was maintained at >99% for both methods over the study period.
Conclusion
The use of endoscopy for gastric cancer screening within the KNCSP has increased. Endoscopy has higher CDR, sensitivity, and specificity, and lower ICR estimates than does UGIS.

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General

Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004–2018: Seri Hong, Yun Yeong Lee, Jaeho Lee, Yeol Kim, Kui Son Choi, Jae Kwan Jun, Mina Suh; Cancer Res Treat. 2021;53(2):330-338. Published online October 20, 2020; DOI: https://doi.org/10.4143/crt.2020.263

Abstract PDF Supplementary Material PubReader ePub

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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Breast cancer

Impact of Awareness of Breast Density on Perceived Risk, Worry, and Intentions for Future Breast Cancer Screening among Korean Women: Anh Thi Ngoc Tran, Ji Hae Hwang, Eunji Choi, Yun Yeong Lee, Mina Suh, Chan Wha Lee, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2021;53(1):55-64. Published online August 18, 2020; DOI: https://doi.org/10.4143/crt.2020.495

Abstract PDF PubReader ePub

Purpose
This study sought to examine perceived risk and concerns for breast cancer according to awareness of breast density and states thereof among Korea women and to identify the impact of such awareness on screening intentions.
Materials and Methods
This study was based on the 2017 Korean National Cancer Screening Survey of a nationally representative and randomly selected sample of Koreans. Ordinal logistic regression was conducted to examine associations for awareness of and knowledge on breast density in relation to psychological factors. Multivariate logistic regression analyses were conducted to investigate significant factors associated with intentions to undergo breast cancer screening.
Results
Among a total of 1,609 women aged 40-69 years, 62.0% were unaware of their breast density, and only 29.7% had good breast density knowledge. Awareness of one’s breast density and knowledge about breast density were positively associated with perceptions of absolute and comparative risk and cancer worry. Women aware of their breast density (adjusted odds ratio [aOR], 1.35 for women aware of having a non-dense breast; aOR, 4.17 for women aware of having a dense breast) and women with a good level of breast density knowledge (aOR, 1.65) were more likely to undergo future breast cancer screening.
Conclusion
Breast density awareness and knowledge showed positive associations with psychological factors and breast cancer screening intentions. However, the majority of Korean women were not aware of their breast density status and demonstrated poor knowledge about breast density. These results demonstrate a need for better health communication concerning breast density.

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Breast density awareness and cancer risk in the UAE: Enhancing Women's engagement in early detection
M. Rawashdeh, M.Z. El-Sayed, M. Umar, N. Majeed, A. Jamalzadeh, C. Saade, A. England, M. McEntee, M.M. El Safwany, M.A. Ali
Radiography.2025; 31(1): 350. CrossRef
The triad of knowledge, regular medical consultation, and recommendations for enhanced breast cancer screening intention in Morocco
Nadia Ouzennou, Mohamed Aboufaras, Nezha Nacer, Hicham Mejdouli, Jaouad Chouikh, Samia Rkha
Journal of Cancer Research and Clinical Oncology.2024;[Epub] CrossRef
Awareness of Breast Cancer Risk Factors in Women with vs. Without High Breast Density
Jan Endrikat, Gilda Schmidt, Bhagyashree Oak, Viplav Shukla, Prakirti Nangia, Nicolas Schleyer, John Crocker, Ruud Pijnapppel
Patient Preference and Adherence.2024; Volume 18: 1577. CrossRef
Evidence-based advancements in breast cancer genetic counseling: a review
Zahra Batool, Mohammad Amjad Kamal, Bairong Shen
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Fangmei Ren, Junchao Liu, Jianping Miao, Yucheng Xu, Ruiyin Zhang, Jingjie Fan, Wei Lin
Frontiers in Public Health.2023;[Epub] CrossRef
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Seon Mi Yoon, Jeong Hee Kang
Asian Oncology Nursing.2023; 23(2): 75. CrossRef
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S.L. Gauci, J.G. Couto, D. Mizzi
Radiography.2023; 29(5): 911. CrossRef
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Belinda Goodwin, Laura Anderson, Katelyn Collins, Saira Sanjida, Marcos Riba, Gursharan K. Singh, Kimberley M. Campbell, Heather Green, Sana Ishaque, Alastair Kwok, Melissa J. Opozda, Amy Pearn, Joanne Shaw, Ursula M. Sansom‐Daly, Joanna M. Tsirgiotis, Mo
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Cancer Research and Treatment.2022; 54(4): 1099. CrossRef
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Eunji Choi, Jae Kwan Jun, Mina Suh, Kyu-Won Jung, Boyoung Park, Kyeongmin Lee, So-Youn Jung, Eun Sook Lee, Kui Son Choi
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BMJ Open.2021; 11(8): e047513. CrossRef

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Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males: Nhung Cam Bui, Yoon Young Lee, Mina Suh, Boyoung Park, Hyunsoon Cho, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2018;50(4):1096-1105. Published online November 16, 2017; DOI: https://doi.org/10.4143/crt.2017.393

Abstract PDF PubReader ePub

Purpose
Low-dose computed tomography (LDCT) has been reported as an effective screening method for lung cancer in high-risk populations. We aimed to examine willingness to be screened among Korean males using LDCT and to determine factors associated with lung cancer screening intentions (LCS) based on the Health Belief Model (HBM).
Materials and Methods
Data were obtained from the 2015 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling. The survey included 1,730 male participants 40-74-year-old. Respondents were questioned regarding their willingness to undergo LCS and components of HBM. Factors associated with intentions to undergo screening were explored using logistic regression.
Results
Among participants, 65.2% were current smokers. Among high-risk subjects, 60.6% of men reported intentions to undergo LCS, compared to 49.9% of average-risk males. Men with higher perceived susceptibility in the average- and high-risk groups were, respectively, 1.63 (95% confidence interval [CI], 1.39 to 1.91) and 2.30 (95% CI, 1.14 to 4.63) times more likely to intend to undergo LCS compared to those with lower perceived barriers. Also, men in the average- and high-risk groups with higher perceived barriers to screening were, respectively, 0.79 (95% CI, 0.68 to 0.91) and 0.52 (95% CI, 0.29 to 0.92) times less likely to intend to undergo LCS compared to those with lower perceived barriers.
Conclusion
Tailored interventions designed to promote accurate perceptions of susceptibility and risk, as well as to reduce perceived barriers to screening, may effectively increase adherence to recommendations for LCS among high-risk Korean men.

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Mi-Kyoung Cho, Yoon Hee Cho
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Yu-An Lin, Xiujing Lin, Yonglin Li, Fangfang Wang, Rachel Arbing, Weiti Chen, Feifei Huang
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Danielle H Llaneza, Hanjoe Kim, Virmarie Correa-Fernández
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Motivation, acceptability and attitudes toward lung cancer screening among persons who attend a tobacco cessation program: A multicenter survey in Italy
Olivera Djuric, Paolo Giorgi Rossi, Elena Camelia Ivanciu, Salvatore Cardellicchio, Chiara Cresci, Laura Carozzi, Francesco Pistelli, Valentina Bessi, Patrizia Gai, Valentina Galli, Giacomo Lavacchini, Claudia Bricci, Giuseppe Gorini, Sandra Bosi, Eugenio
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Silvia Portero de la Cruz, Luis M. Béjar, Jesús Cebrino
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Cross-Cultural Adaptation of Lung Cancer Screening Health Belief Scale in Chinese Americans: A Methodological Study
Fang Lei, Wei-Ti Chen, Mary-Lynn Brecht, Zuo-Feng Zhang, Yuhe Hu, Tuzhen Xu, Siqian Wang, Eunice Lee
Journal of Nursing Measurement.2023; 31(4): 489. CrossRef
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Yu-an Lin, Lisa Carter-Harris, Jia-ni Yang, Xiu jing Lin, Fei fei Huang
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Yu-an Lin, Yu ting Hong, Xiu jing Lin, Jia ling Lin, Hui min Xiao, Fei fei Huang
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Lovoria B. Williams, Stephen W. Looney, Thomas Joshua, Amber McCall, Martha S. Tingen
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John Monu, Matthew Triplette, Douglas E. Wood, Erika M. Wolff, Danielle C. Lavallee, David R. Flum, Farhood Farjah
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Pooja Agrawal, Matthew Taing, Tzu-An Chen, Sean Reuven, Michael Businelle, Darla Kendzor, Eric Bernicker, Lorraine Reitzel
International Journal of Environmental Research and Public Health.2020; 17(23): 8817. CrossRef

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Risky Lifestyle Behaviors among Gastric Cancer Survivors Compared with Matched Non-cancer Controls: Results from Baseline Result of Community Based Cohort Study: Minkyung Kim, Kui Son Choi, Mina Suh, Jae Kwan Jun, Kumban Walter Chuck, Boyoung Park; Cancer Res Treat. 2018;50(3):738-747. Published online July 24, 2017; DOI: https://doi.org/10.4143/crt.2017.129

Abstract PDF PubReader ePub

Purpose
This study investigated the prevalence of smoking, drinking, and physical inactivity and the associated factors of these behaviors in gastric cancer survivors.
Materials and Methods
The baseline data from the nationwide cohort study was used. Four hundred thirty-seven gastric cancer survivors who survived ≥ 2 years from diagnosis and reported completion of treatment were matched with 4,370 controls according to age, sex, education, and household income.
Results
The prevalence rates of current smoking and drinking among gastric cancer survivors were 8.7% and 38.3%, which were significantly lower than those among matched controls (p ≤ 0.001), but the prevalence rates of physical inactivity were not significantly different (55.8% vs. 59.9%, p=0.248). In gastric cancer survivors, ≥ 5 years since cancer diagnosis and current drinking contributed to more current smoking; otherwise, age increment and femalewere associatedwith lower current smoking. Thosewith household income ≥ $2,000 and current smokers were more likely to drink and female showed less drinking. Female, currently employed state, and self-rated health status were associated with more physical inactivity.
Conclusion
Although gastric cancer survivors showed better health behaviors than controls, suggesting that the diagnosis of cancer may motivate individuals towards healthy behaviors, their current prevalence rates of smoking and drinking were still high, and more than 50% of them were physically inactive. Tailored interventions to improve their health behaviors considering associated factors for the gastric cancer survivors are necessary.

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The Korean Journal of Gastroenterology.2023; 81(4): 154. CrossRef
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Daniel N Tollosa, Meredith Tavener, Alexis Hure, Erica L James
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Stages of Adoption for Fecal Occult Blood Test and Colonoscopy Tests for Colorectal Cancer Screening in Korea: Nhung Cam Bui, Ha Na Cho, Yoon Young Lee, Mina Suh, Boyoung Park, Jae Kwan Jun, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2018;50(2):416-427. Published online May 10, 2017; DOI: https://doi.org/10.4143/crt.2017.075

Abstract PDF PubReader ePub

Purpose
While colorectal cancer (CRC) is common in Asian countries, screening for CRC is not. Moreover, CRC screening behaviors in Asian populations remain largely unknown. The present study aimed to investigate the stages of adopting CRC screening in Korea according to screening modality.
Materials and Methods
Data were obtained from the 2014 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. A total of 2,066 participants aged 50-74 years were included in this study. Chi-square test and multinomial logistic regressionwere applied to determine stages of adoption for fecal occult blood test (FOBT) and colonoscopy and factors associated with each stage.
Results
Of 1,593 participants included in an analysis of stage of adoption for FOBT, 36% were in action/maintenance stages, while 18%, 40%, and 6% were in precontemplation, contemplation, and relapse/relapse risk stages, respectively. Of 1,371 subjects included in an analysis of stage of adoption for colonoscopy, 48% were in action/maintenance stages, with 21% in precontemplation, 21% in contemplation, and 11% in relapse/relapse risk stages. Multinomial logistic regression highlighted sex, household income, place of residency, family history of cancer, having private cancer insurance, smoking status, alcohol use, and regular exercise as being associated with stages of adoption for FOBT and colonoscopy.
Conclusion
This study outlines the distributions of stages of adoption for CRC screening by screening modality. Interventions to improve screening rates should be tailored to individuals in particular stages of adoption for CRC screening by modality.

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Factors Affecting Adherence to National Colorectal Cancer Screening: A 12-Year Longitudinal Study Using Multi-Institutional Pooled Data in Korea
Dae Sung Kim, Jeeyoung Hong, Kihyun Ryu, Sang Hyuk Lee, Hwanhyi Cho, Jehyeong Yu, Jieun Lee, Jong-Yeup Kim
Journal of Korean Medical Science.2024;[Epub] CrossRef
A new TGF‐β risk score predicts clinical and immune landscape in colorectal cancer patients
Bing Tang, Binggang Liu, Zhiyao Zeng
Annals of Gastroenterological Surgery.2024; 8(5): 927. CrossRef
Utilization of colorectal cancer screening tests: a systematic review and time trend analysis of nationally representative data
Idris Ola, Rafael Cardoso, Michael Hoffmeister, Hermann Brenner
eClinicalMedicine.2024; 75: 102783. CrossRef
Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
BMC Women's Health.2023;[Epub] CrossRef
Socioeconomic inequality in organized and opportunistic screening for colorectal cancer: results from the Korean National Cancer Screening Survey, 2009-2021
Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kui Son Choi
Epidemiology and Health.2023; 45: e2023086. CrossRef
The risk of developing colorectal cancer in individuals aged 50-70 years and behavioral changes in high-risk individuals regarding a fecal occult blood test
Renginar ÖZTÜRK DÖNMEZ, Süheyla ÖZSOY, Melek ARDAHAN
Journal of Surgery and Medicine.2022; 6(1): 14. CrossRef
Using Decision Tree Aggregation with Random Forest Model to Identify Gut Microbes Associated with Colorectal Cancer
Dongmei Ai, Hongfei Pan, Rongbao Han, Xiaoxin Li, Gang Liu, Li C. Xia
Genes.2019; 10(2): 112. CrossRef
Colonoscopy and Sigmoidoscopy Use among the Average-Risk Population for Colorectal Cancer: A Systematic Review and Trend Analysis
Rafael Cardoso, Tobias Niedermaier, Chen Chen, Michael Hoffmeister, Hermann Brenner
Cancer Prevention Research.2019; 12(9): 617. CrossRef
Perceptions of colorectal cancer screening and recommendation behaviors among physicians in Korea
Hye Young Shin, Mina Suh, Boyoung Park, Jae Kwan Jun, Kui Son Choi
BMC Cancer.2017;[Epub] CrossRef

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Risk and Characteristics of Postcolonoscopy Interval Colorectal Cancer after a Positive Fecal Test: A Nationwide Population-Based Study in Korea: Chang Kyun Lee, Kui Son Choi, Chang Soo Eun, Dong-Il Park, Dong Soo Han, Minjoo Yoon, Mina Suh, Jae Kwan Jun; Cancer Res Treat. 2018;50(1):50-59. Published online February 24, 2017; DOI: https://doi.org/10.4143/crt.2017.027

Abstract PDF Supplementary Material PubReader ePub

Purpose
Fecal tests remain a mainstay of population-based colorectal cancer (CRC) screening programs worldwide. However, data on interval CRC (iCRC) arising after follow-up colonoscopy of a positive fecal test are scarce. We conducted a nationwide population-based study to reveal the risk and characteristics of iCRC in this setting.
Materials and Methods
We searched the National Cancer Screening Program for CRC database in Korea (2005-2010). Incidence of iCRC within the program was estimated, then Cox proportional-hazards regression analysis was performed to determine the independent predictors of iCRC. The clinical characteristics of iCRC were compared with screen-detected CRC (sCRC).
Results
We identified 280 iCRC among 150,660 negative colonoscopies as a follow-up exam to a positive fecal immunochemical test (FIT), and 2,427 sCRC. The overall incidence of iCRC was 0.49/1,000 person-years (95% confidence interval [CI], 0.48 to 0.51). iCRC was more likely to occur in men (adjusted hazard ratio [aHR], 1.79; 95% CI, 1.39 to 2.30) and elderly patients (aHR, 1.77; 95% CI, 1.38 to 2.28 in 65-74 years; aHR, 3.13, 95% CI, 2.13-4.60 in ≥ 75 years). The National Quality Improvement Program for colonoscopy reduced a short-term risk of iCRC (aHR, 0.48; 95% CI, 0.27 to 0.87). Compared with sCRC, iCRC was more likely to occur in the proximal colon, be diagnosed at the localized stage, and have a lower CRC mortality (32.7 vs. 17.4%, 56.8 vs. 34.1%, 12.5 vs. 17.7%, respectively; all p < 0.05).
Conclusion
In a population-based CRC screening program with FIT, the burden of iCRC after follow-up colonoscopy was substantial. Men and elderly patients possess a significantly higher risk of iCRC.

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Overall and Annual Postcolonoscopy Colorectal Cancer Rates in a Large Integrated Healthcare Setting: A Cross-Sectional Study
Jeffrey K. Lee, James H-E. Kang, Sophie A. Merchant, Christopher D. Jensen, Nicholas E. Burr, Douglas A. Corley
Clinical Gastroenterology and Hepatology.2024; 22(1): 188. CrossRef
Post-colonoscopy colorectal cancer: A population-based cohort study of fecal occult blood test-positive colonoscopies
Bernard Denis, Alice Bertolaso, Isabelle Gendre, Philippe Perrin, Karima Hammas
Clinics and Research in Hepatology and Gastroenterology.2024; 48(2): 102285. CrossRef
Post-colonoscopy colorectal cancers in a national fecal immunochemical test-based colorectal cancer screening program
Pieter H. A. Wisse, Sybrand Y. de Boer, Marco Oudkerk Pool, Jochim S Terhaar sive Droste, Claudia Verveer, Gerrit A. Meijer, Evelien Dekker, Manon C. W. Spaander
Endoscopy.2024; 56(05): 364. CrossRef
Association between Endoscopist Volume and Interval Cancers after Colonoscopy: Results from the National Colorectal Cancer Screening Program in Korea
Dong Jun Kim, Nan-He Yoon, Jae Kwan Jun, Mina Suh, Sunhwa Lee, Seongju Kim, Ji Eun Kim, Hooyeon Lee
Cancer Research and Treatment.2024; 56(4): 1164. CrossRef
Findings from the first colorectal cancer screening among 103 542 individuals in Vietnam with systematic review of colorectal cancer screening programs in Asia-Pacific region
Chi Thi-Du Tran, Mai Vu-Tuyet Nguyen, Mo Thi Tran, Thuy Thi-Van Tuong, Quang Hong Tran, Linh Cu Le, Huong Thi-Thu Pham, Nam Chi Bui, Hien Huy Vu, Tu Thi-Cam Nguyen, Phuong Que Ta, Hien Thi-Thu Ha, Dung Tuan Trinh, Hanh Thi-My Bui, Dien Quang Trinh, Khanh
Japanese Journal of Clinical Oncology.2022; 52(7): 707. CrossRef
Systematic review with meta‐analysis: the prevalence of post‐colonoscopy colorectal cancers using the World Endoscopy Organization nomenclature
James H.‐E. Kang, Nicole Evans, Siddharth Singh, Niloy J. Samadder, Jeffrey K. Lee
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Factors associated with false‐positive fecal immunochemical tests in a large German colorectal cancer screening study
Efrat L. Amitay, Katarina Cuk, Tobias Niedermaier, Korbinian Weigl, Hermann Brenner
International Journal of Cancer.2019; 144(10): 2419. CrossRef
Frequency and Characteristics of Interval Colorectal Cancer in Actual Clinical Practice: A KASID Multicenter Study
Kyeong Ok Kim, Kyu Chan Huh, Sung Pil Hong, Won Hee Kim, Hyuk Yoon, Sang Wook Kim, Yeon Soo Kim, Jong Ha Park, Jun Lee, Bum Jae Lee, Young Sook Park
Gut and Liver.2018; 12(5): 537. CrossRef

55,199 View
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Trends in Participation Rates for the National Cancer Screening Program in Korea, 2002-2012: Mina Suh, Seolhee Song, Ha Na Cho, Boyoung Park, Jae Kwan Jun, Eunji Choi, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2017;49(3):798-806. Published online November 11, 2016; DOI: https://doi.org/10.4143/crt.2016.186

Abstract PDF Supplementary Material PubReader ePub

Purpose
The National Cancer Screening Program (NCSP) in Korea supports cancer screening for stomach, liver, colorectal, breast, and cervical cancer. This study was conducted to assess trends in participation rates among Korean men and women invited to undergo screening via the NCSP as part of an effort to guide future implementation of the program in Korea.
Materials and Methods
Data from the NCSP for 2002 to 2012 were used to calculate annual participation rates with 95% confidence intervals (CI) by sex, insurance status, and age group for stomach, liver, colorectal, breast, and cervical cancer screening.
Results
In 2012, participation rates for stomach, liver, colorectal, breast, and cervical cancer screening were 47.3%, 25.0%, 39.5%, 51.9%, and 40.9%, respectively. The participation rates increased annually by 4.3% (95% CI, 4.0 to 4.6) for stomach cancer, 3.3% (95% CI, 2.5 to 4.1) for liver cancer, 4.1% (95% CI, 3.2 to 5.0) for colorectal cancer, 4.6% (95% CI, 4.1 to 5.0) for breast cancer, and 0.9% (95% CI, –0.7 to 2.5) for cervical cancer from 2002 to 2012.
Conclusion
Participant rates for the NCSP for the five above-mentioned cancers increased annually from 2002 to 2012.

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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
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Responses to Overdiagnosis in Thyroid Cancer Screening among Korean Women: Sangeun Lee, Yoon Young Lee, Hyo Joong Yoon, Eunji Choi, Mina Suh, Boyoung Park, Jae Kwan Jun, Yeol Kim, Kui Son Choi; Cancer Res Treat. 2016;48(3):883-891. Published online December 28, 2015; DOI: https://doi.org/10.4143/crt.2015.218

Abstract PDF PubReader ePub

Purpose
Communicating the harms and benefits of thyroid screening is necessary to help individuals decide on whether or not to undergo thyroid cancer screening. This study was conducted to assess changes in thyroid cancer screening intention in response to receiving information about overdiagnosis and to determine factors with the greatest influence thereon.
Materials and Methods
Data were acquired from subjects included in the 2013 Korean National Cancer Screening Survey (KNCSS), a nationwide, population-based, cross-sectional survey. Of the 4,100 respondents in the 2013 KNCSS, women were randomly subsampled and an additional face-to-face interview was conducted. Finally, a total of 586 female subjects were included in this study. Intention to undergo thyroid cancer screening was assessed before and after receiving information on overdiagnosis.
Results
Prior awareness of overdiagnosis in thyroid cancer screening was 27.8%. The majority of subjects intended to undergo thyroid cancer screening before and after receiving information on overdiagnosis (87% and 74%, respectively). Only a small number of subjects changed their intention to undergo thyroid cancer screening from positive to negative after receiving information on overdiagnosis. Women of higher education level and Medical Aid Program recipients reported being significantly more likely to change their intention to undergo thyroid cancer screening afterreceiving information on overdiagnosis,whilewomen with stronger beliefs on the efficacy of cancer screening were less likely to change their intention.
Conclusion
Women in Korea appeared to be less concerned about overdiagnosis when deciding whether or not to undergo thyroid cancer screening.

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Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
BMC Women's Health.2023;[Epub] CrossRef
Communication-based strategies to curb the overuse of low-value cancer screening
Soela Kim, Jennifer L Monahan, Young Kyung Do
Journal of Communication.2023; 73(5): 399. CrossRef
The learning curve on robot-assisted transaxillary thyroidectomy performed by a single endocrine surgeon in a third-level institution in Europe: a cumulative sum (CUSUM) analysis
Gabriele Materazzi, Piermarco Papini, Lorenzo Fregoli, Riccardo Morganti, Andrea De Palma, Carlo Enrico Ambrosini, Leonardo Rossi
Updates in Surgery.2023; 75(6): 1653. CrossRef
Recent Changes in the Incidence of Thyroid Cancer in Korea between 2005 and 2018: Analysis of Korean National Data
Yun Mi Choi, Jiwoo Lee, Mi Kyung Kwak, Min Ji Jeon, Tae Yong Kim, Eun-Gyoung Hong, Won Bae Kim, Won Gu Kim
Endocrinology and Metabolism.2022; 37(5): 791. CrossRef
How do people understand overtesting and overdiagnosis? Systematic review and meta-synthesis of qualitative research
Tomas Rozbroj, Romi Haas, Denise O'Connor, Stacy M. Carter, Kirsten McCaffery, Rae Thomas, Jan Donovan, Rachelle Buchbinder
Social Science & Medicine.2021; 285: 114255. CrossRef
Association of Screening by Thyroid Ultrasonography with Mortality in Thyroid Cancer: A Case–Control Study Using Data from Two National Surveys
Jae Kwan Jun, Soon-Young Hwang, Seri Hong, Mina Suh, Kui Son Choi, Kyu-Won Jung
Thyroid.2020; 30(3): 396. CrossRef
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Brooke Nickel, Ray Moynihan, Alexandra Barratt, Juan P Brito, Kirsten McCaffery
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Total thyroidectomy's association with survival in papillary thyroid cancers and the high proportion of total thyroidectomy in low-risk patients: Analysis of Korean nationwide data
Hyun-Soo Zhang, Eun-Kyung Lee, Yuh-Seog Jung, Byung-Ho Nam, Kyu-Won Jung, Hyun-Joo Kong, Young-Joo Won, Boyoung Park
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Proteomic Biomarkers for Bisphenol A–Early Exposure and Women’s Thyroid Cancer
Ho-Sun Lee, Yunkyeong Kang, Kyung Tae, Gyu-Un Bae, Jong Y. Park, Yoon Hee Cho, Mihi Yang
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Relationship between Salt Preference and Gastric Cancer Screening: An Analysis of a Nationwide Survey in Korea: Ji-Yeon Shin, Jeongseon Kim, Kui Son Choi, Mina Suh, Boyoung Park, Jae Kwan Jun; Cancer Res Treat. 2016;48(3):1037-1044. Published online December 11, 2015; DOI: https://doi.org/10.4143/crt.2015.333

Abstract PDF PubReader ePub

Purpose
Epidemiological studies have demonstrated an association between excessive salt intake and gastric cancer risk, and this potential risk increases the need for adequate gastric cancer screening in individuals with high salt intake. However, the association between salt intake and gastric cancer screening in the general population has rarely been investigated. We explored the association between salt preference and participation in gastric cancer screening among a nationally representative Korean population.
Materials and Methods
The study population was derived from the Korean National Cancer Screening Survey (KNCSS) 2006-2007, an annual nationwide interview survey investigating cancer screening rates. Of 4,055 individuals who participated in the KNCSS 2006-2007, 3,336 individuals aged over 40 years were included in our analysis. The odds ratio (OR) and 95% confidence interval (CI) were estimated using polytomous logistic regression.
Results
Individuals with higher salt preference were less likely to participate in regular gastric cancer screening. After adjusting for age, sex, monthly household income, education, family history of cancer, and self-rated health status, ORs for undergoing regular gastric cancer screening were 1.00, 0.82 (95% CI, 0.61 to 1.12), 0.74 (95% CI, 0.54 to 1.00), 0.77 (95% CI, 0.56 to 1.05), and 0.38 (95% CI, 0.16 to 0.92) according to the level of salt preference (p for trend=0.048).
Conclusion
Individuals with higher salt preference showed suboptimal gastric cancer screening adherence compared to those with a lower salt preference. These findings highlight the need for better delivery of educational messages to change risk perceptions regarding gastric cancer screening practice.

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Socio-economic factors and medical conditions affecting regular stomach cancer screening in Korea: a retrospective longitudinal study using national public health data for 11 years
J.-Y. Kim, J.Y. Hong, S.M. Kim, K.H. Ryu, D.S. Kim, S.H. Lee, J.H. Na, H.H. Cho, J. Yu, J. Lee
Public Health.2024; 227: 70. CrossRef
Prediction algorithm for gastric cancer in a general population: A validation study
Martin C. S. Wong, Eman Yee‐man Leung, Sarah T. Y. Yau, Sze Chai Chan, Shaohua Xie, Wanghong Xu, Junjie Huang
Cancer Medicine.2023; 12(21): 20544. CrossRef
Adherence to the World Cancer Research Fund/American Institute for Cancer Research and Korean Cancer Prevention Guidelines and cancer risk: a prospective cohort study from the Health Examinees-Gem study
Jeeyoo Lee, Aesun Shin, Woo-Kyoung Shin, Ji-Yeob Choi, Daehee Kang, Jong-Koo Lee
Epidemiology and Health.2023; 45: e2023070. CrossRef
Dietary Salt Intake and Gastric Cancer Risk: A Systematic Review and Meta-Analysis
Bo Wu, Dehua Yang, Shuhan Yang, Guangzhe Zhang
Frontiers in Nutrition.2021;[Epub] CrossRef
The Science of Salt: A focused review on salt‐related knowledge, attitudes and behaviors, and gender differences
Briar McKenzie, Joseph Alvin Santos, Kathy Trieu, Sudhir Raj Thout, Claire Johnson, JoAnne Arcand, Jacqui Webster, Rachael McLean
The Journal of Clinical Hypertension.2018; 20(5): 850. CrossRef

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147 Download
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Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004-2013: Mina Suh, Kui Son Choi, Boyoung Park, Yoon Young Lee, Jae Kwan Jun, Duk-Hyoung Lee, Yeol Kim; Cancer Res Treat. 2016;48(1):1-10. Published online April 15, 2015; DOI: https://doi.org/10.4143/crt.2014.204

Abstract PDF PubReader ePub

Purpose
The Korean National Cancer Screening Survey (KNCSS), a nationwide cross-sectional survey, has been conducted annually since 2004. The current study was conducted to report on the trends in screening rates among Korean men and women, and to evaluate policies regarding cancer screening programs implemented to reduce the burden of cancer.
Materials and Methods
The current study used KNCSS data. The eligible study population included men aged 40-74 years and women aged 30-74 years with no cancer history. The lifetime screening rate, screening rate with recommendation, and changes in annual rates were calculated for five major cancers (i.e., stomach, liver, colorectal, breast, and cervix uteri).
Results
The screening rates with recommendation increased by 4.2% (95% confidence interval [CI], 3.7% to 4.8%) annually for stomach cancer, 1.2% (95% CI, 0.1% to 2.4%) for liver cancer, 3.0% (95% CI, 1.8% to 4.1%) for colorectal cancer, 3.7% (95% CI, 2.7% to 4.8%) for breast cancer, and 1.3% (95% CI, 0.8% to 1.8%) for cervical cancer. In 2013, the screening rates with recommendation for stomach, liver, colorectal, breast, and cervical cancers were 73.6%, 33.6%, 55.6%, 59.7%, and 67.0%, respectively.
Conclusion
Both the lifetime screening rates and screening rates with recommendation for the five above-mentioned cancers increased annually from 2004 to 2013.

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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.

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Thi Phuong Thao Tran, Minji Han, Ngoc Minh Luu, Jin‐Kyoung Oh
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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, 2004-2012: Mina Suh, Kui Son Choi, Yoon Young Lee, Jae Kwan Jun; Cancer Res Treat. 2013;45(2):86-94. Published online June 30, 2013; DOI: https://doi.org/10.4143/crt.2013.45.2.86

Abstract PDF PubReader ePub

PURPOSE
The Korean National Cancer Screening Survey (KNCSS), a nationwide, annual cross-sectional survey, has been conducted since 2004. The current study was conducted in order to report on trends in cancer screening rates for five types of cancer (stomach, liver, colorectal, breast, and cervix uteri).
MATERIALS AND METHODS
KNCSS data were collected between 2004 and 2012. The eligible study population included cancer-free men who were 40 years of age and older and women who were 30 years of age and older. The lifetime screening rate, screening rate with recommendation, and changes in annual rates were calculated.
RESULTS
Lifetime screening rates and screening rates with recommendation for the five types of cancer rose steadily until 2010, showed a slight drop or were stable in 2011, and increased again in 2012. On average, screening rates with recommendation have shown annual increases of 4.3% (95% confidence interval [CI], 3.6 to 5.0%) for stomach cancer, 0.8% (95% CI, -0.5 to 2.1%) for liver cancer, 2.4% (95% CI, 1.3 to 3.5%) for colorectal cancer, 4.5% (95% CI, 3.9 to 5.1%) for breast cancer, and 1.3% (95% CI, 0.6 to 2.0%) for cervical cancer. Disparities in age groups and household incomes have been decreasing since 2004.
CONCLUSION
Cancer screening rates in Korea showed a significant increase from 2004 to 2012, and screening rates for gastric and breast cancer are now approaching 70%. The 10-Year Plan for Cancer Control target for screening rates was met or nearly met for all cancer types examined, with the exception of liver and colorectal cancer.

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The Korean Journal of Internal Medicine.2019; 34(4): 785. CrossRef
A simulation study of the effect of lung cancer screening in China, Japan, Singapore, and South Korea
Yufan Chen, Tina R. Watson, Steven D. Criss, Andrew Eckel, Lauren Palazzo, Deirdre F. Sheehan, Chung Yin Kong, Michael Cummings
PLOS ONE.2019; 14(7): e0220610. CrossRef
Possible indication of endoscopic resection in undifferentiated early gastric cancer
Dae Gon Ryu, Cheol Woong Choi, Su Jin Kim, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Hyeong Seok Nam
Scientific Reports.2019;[Epub] CrossRef
Cervical Cancer Screening and Its Associated Factors Among North Korean Defectors Living in South Korea
Jeongok Park, HeesSook Kim, Wonhee Yang, HaeWon Lee, Sang Min Park
Journal of Immigrant and Minority Health.2018; 20(1): 66. CrossRef
Helicobacter pylori management in ASEAN: The Bangkok consensus report
Varocha Mahachai, Ratha‐korn Vilaichone, Rapat Pittayanon, Jarin Rojborwonwitaya, Somchai Leelakusolvong, Monthira Maneerattanaporn, Peranart Chotivitayatarakorn, Sombat Treeprasertsuk, Chomsri Kositchaiwat, Pises Pisespongsa, Pisaln Mairiang, Aziz Rani,
Journal of Gastroenterology and Hepatology.2018; 33(1): 37. CrossRef
Long-Term Clinical Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study
Sang Gyun Kim, Chan Mi Park, Na Rae Lee, Jiyoung Kim, Da Hyun Lyu, Seung-Hee Park, Il Ju Choi, Wan Sik Lee, Seun Ja Park, Jae Jun Kim, Ji Hyun Kim, Chul-Hyun Lim, Joo Young Cho, Gwang Ha Kim, Yong Chan Lee, Hwoon-Yong Jung, Jun Haeng Lee, Hoon Jai Chun, S
Gut and Liver.2018; 12(4): 402. CrossRef
Comparison of gynecologic cancer risk factors, incidence and mortality trends between South Korea and Israel, 1999–2013
N Michaan, S Y Park, Y J Won, M C Lim
Japanese Journal of Clinical Oncology.2018; 48(10): 884. CrossRef
Preprocedural prediction of non-curative endoscopic submucosal dissection for early gastric cancer
Hyeong Seok Nam, Cheol Woong Choi, Su Jin Kim, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Dae Gon Ryu, Jung Sik Choi, Paolo Aurello
PLOS ONE.2018; 13(10): e0206179. CrossRef
Clinical features of negative pathologic results after gastric endoscopic submucosal dissection
Dong Il Jeong, Hyung Wook Kim, Cheol Woong Choi, Dae Hwan Kang, Su Bum Park, Su Jin Kim, Hyeong Seok Nam
Surgical Endoscopy.2017; 31(3): 1163. CrossRef
Risk factors associated with difficult gastric endoscopic submucosal dissection: predicting difficult ESD
Ji Ha Kim, Hyeong Seok Nam, Cheol Woong Choi, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Su Jin Kim, Sun Hwi Hwang, Si Hak Lee
Surgical Endoscopy.2017; 31(4): 1617. CrossRef
Clinical outcomes of endoscopic submucosa dissection for high-grade dysplasia from endoscopic forceps biopsy
Dae Gon Ryu, Cheol Woong Choi, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Su Jin Kim, Hyeong Seok Nam
Gastric Cancer.2017; 20(4): 671. CrossRef
Barriers to Cervical Cancer Screening and Prevention in Young Korean Immigrant Women: Implications for Intervention Development
Hee Yun Lee, Mi Hwa Lee
Journal of Transcultural Nursing.2017; 28(4): 353. CrossRef
Trends and Age-Period-Cohort Effects on the Incidence and Mortality Rate of Cervical Cancer in Korea
Eun-Kyeong Moon, Chang-Mo Oh, Young-Joo Won, Jong-Keun Lee, Kyu-Won Jung, Hyunsoon Cho, Jae Kwan Jun, Myong Cheol Lim, Moran Ki
Cancer Research and Treatment.2017; 49(2): 526. CrossRef
Cancer mortality-to-incidence ratio as an indicator of cancer management outcomes in Organization for Economic Cooperation and Development countries
Eunji Choi, Sangeun Lee, Bui Cam Nhung, Mina Suh, Boyoung Park, Jae Kwan Jun, Kui Son Choi
Epidemiology and Health.2017; 39: e2017006. CrossRef
Clinicopathologic and survival differences in younger patients with pancreatic ductal adenocarcinoma—A propensity score-matched comparative analysis
Jae Seung Kang, Jin-Young Jang, Wooil Kwon, Youngmin Han, Sun-Whe Kim
Pancreatology.2017; 17(5): 827. CrossRef
Age-Period-Cohort Analysis of Female Breast Cancer Mortality in Korea
Yunhee Choi, Yeonju Kim, Sue K. Park, Hai-Rim Shin, Keun-Young Yoo
Cancer Research and Treatment.2016; 48(1): 11. CrossRef
Assessment of trends in socioeconomic inequalities in cancer screening services in Korea, 1998–2012
Sujin Kim, Jongnam Hwang
International Journal for Equity in Health.2016;[Epub] CrossRef
Association between reduction in copayment and gastric cancer patient concentration to the capital area in South Korea: NHI cohort 2003–2013
Kyu-Tae Han, Jeeyun Kim, Chung Mo Nam, Ki Tae Moon, Sang Gyu Lee, Seung Ju Kim, Yeong Jun Ju, Jeoung A Kwon, Sun Jung Kim, Woorim Kim, Eun-Cheol Park
Health Policy.2016; 120(6): 580. CrossRef
Performance of Screening Mammography: A Report of the Alliance for Breast Cancer Screening in Korea
Eun Hye Lee, Keum Won Kim, Young Joong Kim, Dong-Rock Shin, Young Mi Park, Hyo Soon Lim, Jeong Seon Park, Hye-Won Kim, You Me Kim, Hye Jung Kim, Jae Kwan Jun
Korean Journal of Radiology.2016; 17(4): 489. CrossRef
Survival rates of cancer patients with and without rheumatic disease: a retrospective cohort analysis
Jin Kyun Park, Ji Ae Yang, Eun Young Ahn, Sung Hae Chang, Yeong Wook Song, Jeffrey R. Curtis, Eun Bong Lee
BMC Cancer.2016;[Epub] CrossRef
Relationship between Salt Preference and Gastric Cancer Screening: An Analysis of a Nationwide Survey in Korea
Ji-Yeon Shin, Jeongseon Kim, Kui Son Choi, Mina Suh, Boyoung Park, Jae Kwan Jun
Cancer Research and Treatment.2016; 48(3): 1037. CrossRef
Different survival outcomes after curative R0-resection for Eastern Asian and European gastric cancer
Young-Woo Kim, Jungnam Joo, Hong Man Yoon, Bang Wool Eom, Keun Won Ryu, Il Ju Choi, Myeong Cherl Kook, Christoph Schuhmacher, Joerg Ruediger Siewert, Daniel Reim
Medicine.2016; 95(28): e4261. CrossRef
Short-Term Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study
ll Ju Choi, Na Rae Lee, Sang Gyun Kim, Wan Sik Lee, Seun Ja Park, Jae J. Kim, Jun Haeng Lee, Jin-Won Kwon, Seung-Hee Park, Ji Hye You, Ji Hyun Kim, Chul-Hyun Lim, Joo Young Cho, Gwang Ha Kim, Yong Chan Lee, Hwoon-Yong Jung, Ji Young Kim, Hoon Jai Chun, Sa
Gut and Liver.2016; 10(5): 739. CrossRef
Socioeconomic Disparities in Cancer Screening: Organized versus Opportunistic
Young Gyu Cho
Korean Journal of Family Medicine.2016; 37(5): 261. CrossRef
Performance of the Fecal Immunochemical Test for Colorectal Cancer Screening Using Different Stool-Collection Devices: Preliminary Results from a Randomized Controlled Trial
Hye Young Shin, Mina Suh, Hyung Won Baik, Kui Son Choi, Boyoung Park, Jae Kwan Jun, Sang-Hyun Hwang, Byung Chang Kim, Chan Wha Lee, Jae Hwan Oh, You Kyoung Lee, Dong Soo Han, Do-Hoon Lee
Gut and Liver.2016; 10(6): 925. CrossRef
Endoscopic Quality Indicators for Esophagogastroduodenoscopy in Gastric Cancer Screening
Chan Hyuk Park, Bun Kim, Hyunsoo Chung, Hyuk Lee, Jun Chul Park, Sung Kwan Shin, Sang Kil Lee, Yong Chan Lee
Digestive Diseases and Sciences.2015; 60(1): 38. CrossRef
A Dosimetric Comparative Analysis of TomoDirect and Three-Dimensional Conformal Radiotherapy in Early Breast Cancer
Mi Joo Chung, Sung Hwan Kim, Jong Hoon Lee, Young Jin Suh
Journal of Breast Cancer.2015; 18(1): 57. CrossRef
Female Breast Cancer Incidence Among Asian and Western Populations: More Similar Than Expected
H. Sung, P. S. Rosenberg, W.-Q. Chen, M. Hartman, W.-y. Lim, K. S. Chia, O. Wai-Kong Mang, C.-J. Chiang, D. Kang, R. K.-C. Ngan, L. A. Tse, W. F. Anderson, X. R. Yang
JNCI Journal of the National Cancer Institute.2015; 107(7): djv107. CrossRef
Epidemiological evidences on overdiagnosis of prostate and kidney cancers in Korean
Jong-Myon Bae
Epidemiology and Health.2015; 37: e2015015. CrossRef
Determinants of gastric cancer screening attendance in Korea: a multi-level analysis
Yunryong Chang, Belong Cho, Ki Young Son, Dong Wook Shin, Hosung Shin, Hyung-Kook Yang, Aesun Shin, Keun-Young Yoo
BMC Cancer.2015;[Epub] CrossRef
Development and application of patient decision aids
Jong-Myon Bae
Epidemiology and Health.2015; 37: e2015018. CrossRef
Has the National Cancer Screening Program reduced income inequalities in screening attendance in South Korea?
Sujin Kim, Soonman Kwon, S. V. Subramanian
Cancer Causes & Control.2015; 26(11): 1617. CrossRef
Socioeconomic Disparities in Colorectal Cancer Screening in Korea
Mina Suh, Kui Son Choi, Hoo-Yeon Lee, Myung-Il Hahm, Yoon Young Lee, Jae Kwan Jun, Eun-Cheol Park
Medicine.2015; 94(39): e1368. CrossRef
Young Women with Breast Cancer in the United States and South Korea: Comparison of Demographics, Pathology and Management
Byung Ho Son, Laura S Dominici, Fatih Aydogan, Lawrence N Shulman, Sei Hyn Ahn, Ja Young Cho, Suzanne B Coopey, Sung Bae Kim, H Elise Min, Monica Valero, Jiping Wang, Diana Caragacianu, Gyung-yub Gong, Nathanael D Hevelone, Seunghee Baek, Mehra Golshan
Asian Pacific Journal of Cancer Prevention.2015; 16(6): 2531. CrossRef
External Validation of an Eastern Asian Nomogram for Survival Prediction After Gastric Cancer Surgery in a European Patient Cohort
Daniel Reim, Alexander Novotny, Bang Wool Eom, Yunjin Park, Hong Man Yoon, II Ju Choi, Young Woo Kim, Byung Ho Nam, Keun Won Ryu
Medicine.2015; 94(52): e2406. CrossRef
Helicobacter Pylori and Gastric Cancer
Zhi-Qiang Song, Li-Ya Zhou
Chinese Medical Journal.2015; 128(22): 3101. CrossRef
Epiglottic Cyst Incidentally Discovered During Screening Endoscopy: A Case Report and Review of Literature
Seung-Hwa Lee, Duck-Joo Lee, Kwang-Min Kim, Kyu-Nam Kim, Sang-Wook Seo, Young-Kyu Park, Sung-Min Cho, Young-Ah Choi, Jung-Un Lee, Dong-Ryul Lee
Korean Journal of Family Medicine.2014; 35(3): 160. CrossRef
Cancer Control Programs in East Asia: Evidence From the International Literature
Malcolm A. Moore
Journal of Preventive Medicine & Public Health.2014; 47(4): 183. CrossRef
The Efficacy of Mammography Boot Camp to Improve the Performance of Radiologists
Eun Hye Lee, Jae Kwan Jun, Seung Eun Jung, You Me Kim, Nami Choi
Korean Journal of Radiology.2014; 15(5): 578. CrossRef
Methodological issues for determining intervals of subsequent cancer screening
Jong-Myon Bae
Epidemiology and Health.2014; 36: e2014010. CrossRef
Interpreting Performance of Mammograms by Radiology Residents Trained in Breast Imaging: Comparison with Radiologists Who Attended Mammography Boot Camp
Eun Hye Lee, Sung Hun Kim, Jin Kyung An, Seon Hyeong Choi, Suk Jung Kim
Journal of the Korean Society of Radiology.2014; 71(6): 288. CrossRef
Screening for Gastric Cancer: The Usefulness of Endoscopy
Kui Son Choi, Mina Suh
Clinical Endoscopy.2014; 47(6): 490. CrossRef
The effect of changing stool collection processes on compliance in nationwide organized screening using a fecal occult blood test (FOBT) in Korea: study protocol for a randomized controlled trial
Hye Young Shin, Mina Suh, Hyung Won Baik, Kui Son Choi, Boyoung Park, Jae Kwan Jun, Chan Wha Lee, Jae Hwan Oh, You Kyoung Lee, Dong Soo Han, Do-Hoon Lee
Trials.2014;[Epub] CrossRef
Barriers to Cancer Screening among Medical Aid Program Recipients in the Republic of Korea: A Qualitative Study
Yoon Young Lee, Jae Kwan Jun, Mina Suh, BoYoung Park, Yeol Kim, Kui Son Choi
Asian Pacific Journal of Cancer Prevention.2014; 15(2): 589. CrossRef
Relationship between Social Network and Stage of Adoption of Gastric Cancer Screening among the Korean Population
Myung Ha Lee, Kui Son Choi, Yoon Young Lee, Mina Suh, Jae Kwan Jun
Asian Pacific Journal of Cancer Prevention.2013; 14(10): 6095. CrossRef
Factors Associated with Mammography Adherence among Married Chinese Women in Yanbian, China
Moonhee Gang, Jong Im Kim, Kyong Ok Oh, Chun Yu Li, Youngshin Song
Asian Pacific Journal of Cancer Prevention.2013; 14(12): 7207. CrossRef
Metachronous Double Primary Cancer after Treatment of Breast Cancer
Jin Young Kim, Hong Suk Song
Cancer Research and Treatment.1970; 47(1): 64. CrossRef

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