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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 Res Treat. 2024;56(2):522-530. Published online October 30, 2023
- DOI: https://doi.org/10.4143/crt.2023.729
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Abstract
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Supplementary Material
PubReader
ePub - Purpose
This study assessed the temporal trends of uptake of national general health and cancer screening among women with breast cancer in Korea between 2009 and 2016.
Materials and Methods
We retrospectively analyzed the claims data from the Korean National Health Insurance Service database. Participants included 101,403 breast cancer patients diagnosed between 2009 and 2016. Information on participation in national screening programs, including breast cancer screening, general health, and gastric, colorectal, and cervical cancers, up to 2020 was collected. Screening participation rates within the first 2 and 5 years postdiagnosis were calculated by diagnosis year and fitted with joinpoint regression models to assess temporal trends.
Results
Overall, the participation rate in breast cancer screening within 2 years postdiagnosis increased from 10.9% to 14.0% from 2009-2016, with an annual percentage change (APC) of 3.7% (p < 0.05). The participation rate in breast cancer screening was lower than that in general health checkup and screening for other cancers within 2 and 5 years postdiagnosis. A steady increase in screening trends was also observed for general health, gastric, colorectal, and cervical cancers, with APC of 5.3%, 5.7%, 6.9%, and 7.6% in the 2-year postdiagnosis rate, and APC of 3.6%, 3.7%, 3.7%, and 4.4% in 5-year postdiagnosis rate, respectively. The screening rate was highest among age groups 50-59 and 60-69 in 2009 and significant upward trends were observed in all age groups for general health checkup and gastric, colorectal, and cervical cancer screening.
Conclusion
Among female breast cancer survivors in Korea, the uptake rate of screenings for general health and various cancers, including breast, gastric, colorectal, and cervical cancers, has shown a gradual increase in recent years. -
Citations
Citations to this article as recorded by
- Identifying potential medical aid beneficiaries using machine learning: A Korean Nationwide cohort study
Junmo Kim, Su Hyun Park, Hyesu Lee, Su Kyoung Lee, Jihye Kim, Suhyun Kim, Yong Jin Kwon, Kwangsoo Kim
International Journal of Medical Informatics.2025; 195: 105775. CrossRef - Unmet Needs Mediate the Impact of Fear of Cancer Recurrence on Screening Participation Among Cancer Survivors: A Cross-Sectional Study
Mi-Lee Kim, Yeol Kim, Yu-Ri Choe
Healthcare.2025; 13(10): 1184. CrossRef - Screening Adherence for Second Primary Malignancies in Breast Cancer Survivors: Behaviors, Facilitators, and Barriers to Enhance Quality Care
Fernanda Mesa-Chavez, Misael Salazar-Alejo, Cynthia Villarreal-Garza
Seminars in Oncology.2024; 51(5-6): 156. CrossRef
- Identifying potential medical aid beneficiaries using machine learning: A Korean Nationwide cohort study
- 5,644 View
- 111 Download
- 3 Web of Science
- 3 Crossref
- Fear of Cancer Recurrence and Its Negative Impact on Health-Related Quality of Life in Long-term Breast Cancer Survivors
- Thi Xuan Mai Tran, So-Youn Jung, Eun-Gyeong Lee, Heeyoun Cho, Na Yeon Kim, Sungkeun Shim, Ho Young Kim, Danbee Kang, Juhee Cho, Eunsook Lee, Yoon Jung Chang, Hyunsoon Cho
- Cancer Res Treat. 2022;54(4):1065-1073. Published online December 8, 2021
- DOI: https://doi.org/10.4143/crt.2021.835
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Abstract
PDFSupplementary MaterialPubReaderePub
- Purpose
Fear of cancer recurrence (FCR) is a common psychological issue in breast cancer (BC) survivors during early survivorship but whether the same is true among long-term survivors has yet to be empirically evaluated. This study investigated FCR level, its associated factors, and impact on quality of life (QoL) in long-term BC survivors.
Materials and Methods
Participants included women diagnosed with BC between 2004 and 2010 at two tertiary hospitals. Survey was conducted in 2020. The study measured FCR with the Fear of Cancer Recurrence Inventory and other patient-reported outcomes, including depression and cancer-related QoL. Logistic regression was used to identify factors associated with FCR, and structural equation modeling was conducted to explore the impact of FCR on other outcomes.
Results
Of 333 participants, the mean age at diagnosis was 45.5, and 46% experienced FCR. Age at diagnosis ≤ 45 (adjusted odds ratio [aOR], 2.64; 95% confidence interval [CI], 1.51 to 4.60), shorter time since diagnosis (aOR, 1.75, 95% CI, 1.08 to 2.89), and having a history of recurrence (aOR, 2.56; 95% CI, 1.16 to 5.65) was associated with more FCR. FCR was significantly associated with an increased risk of depression (β=0.471, p < 0.001) and negatively impacted emotional functioning (β=–0.531, p < 0.001). In addition, a higher FCR level may impair overall health-related QoL in long-term BC survivors (β=–0.108, p=0.021).
Conclusion
Ten years after diagnosis, long-term BC survivors still experienced a high level of FCR. Further, the negative impact of FCR on QoL and increased depression risk require an FCR screening and appropriate interventions to enhance long-term BC survivors' QoL. -
Citations
Citations to this article as recorded by- Integrative Review of Cognitive Behavioral Therapy‐Based Interventions Addressing Fear of Cancer Recurrence in Breast Cancer Survivors
So‐Young Park, So‐Youn Park
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Psycho-Oncologie.2026; 20(1): 4108. CrossRef - Health-related quality of life in long-term early-stage breast cancer survivors compared to general population in Korea
Thi Xuan Mai Tran, So-Youn Jung, Eun-Gyeong Lee, Heeyoun Cho, Na Yeon Kim, Sungkeun Shim, Ho Young Kim, Danbee Kang, Juhee Cho, Eunsook Lee, Yoonjung Chang, Hyunsoon Cho
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Journal of Rational-Emotive & Cognitive-Behavior Therapy.2025;[Epub] CrossRef - Fear of the Cancer Coming Back: A Metasynthesis of Fear of Recurrence in Breast Cancer
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European Journal of Oncology Nursing.2025; 74: 102799. CrossRef - Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model
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Xiaofan Bu, Ling Jiang, Doris Y. P. Leung
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Korean Journal of Adult Nursing.2025; 37(4): 401. CrossRef - A Double‐Blind Randomized Sham‐Controlled Trial of Two Online Cognitive Bias Modification Interventions for Fear of Cancer Recurrence in People With Breast or Ovarian Cancer
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European Journal of Oncology Nursing.2024; 70: 102600. CrossRef - Psychosocial factors associated with quality of life in cancer survivors: umbrella review
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The Lancet Regional Health - Southeast Asia.2022; 4: 100061. CrossRef
- Integrative Review of Cognitive Behavioral Therapy‐Based Interventions Addressing Fear of Cancer Recurrence in Breast Cancer Survivors
- 11,625 View
- 299 Download
- 54 Web of Science
- 65 Crossref
- Psychosocial Health of Disease-Free Breast Cancer Survivors Compared with Matched Non-cancer Controls
- Boyoung Park, Moo Hyun Lee, Sun-Young Kong, Eun Sook Lee
- Cancer Res Treat. 2019;51(1):178-186. Published online April 5, 2018
- DOI: https://doi.org/10.4143/crt.2017.585
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Abstract
PDFPubReaderePub
- Purpose
The present study investigated the psychosocial health of disease-free breast cancer survivors who receive health examinations compared to matched non-cancer controls in a community setting.
Materials and Methods
We used baseline data from the Health Examinee cohort, which is composed of subjects participating in health. The disease-free breast cancer survivors were defined as those who were ≥ 2 years from initial diagnosis of breast cancer who had completed treatment. Females without a history of cancer were randomly selected at 1:4 ratio by 5-year age groups, education, and household income as a comparison group. We analyzed results from the Psychosocial Well-being Index-Short Form (PWI-SF) as a psychosocial health measurement.
Results
A total of 347 survivors of breast cancer and 1,388 matched controls were included. Total scores on the PWI-SF were lower in breast cancer survivors than matched non-cancer controls (p=0.006), suggesting a lower level of psychosocial stress in breast cancer survivors. In comparison to the control group, prevalence of drinking, smoking and obesity were lower, while exercising for ≥ 150 min/wk was higher in breast cancer survivors (p < 0.05). These findings suggest that breast cancer survivors have better health behaviors than their noncancer controls. After adjusting for other sociodemographic variables, breast cancer survivors were 36% less likely to be included in the stress group (odds ratio, 0.64; 95% confidence interval, 0.42 to 0.98).
Conclusion
The disease-free breast cancer survivors resuming daily life demonstrated better psychosocial health status compared to matched non-cancer controls. -
Citations
Citations to this article as recorded by- Effect of perceived injustice-targeted pain neuroscience education compared with biomedically focused education in breast cancer survivors: a study protocol for a multicentre randomised controlled trial (BCS-PI trial)
Eva Roose, Eva Huysmans, Laurence Leysen, Kenza Mostaqim, Paul Van Wilgen, David Beckwée, Marijke De Couck, Annick Timmermans, Rinske Bults, Jo Nijs, Astrid Lahousse
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International Journal of Environmental Research and Public Health.2024; 21(8): 1064. CrossRef - Gender Difference in the Impact of Total Energy Intake on the Association between Low Fiber Intake and Mental Health in Middle-Aged and Older Adults
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Pain Medicine.2024; 25(12): 768. CrossRef - Determinants of Psychosocial Distress in Breast Cancer Patients at a Safety Net Hospital
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Clinical Breast Cancer.2022; 22(1): 43. CrossRef - Self-Concept and Psychosocial Well-Being among Korean Women with BRCA1/2 Gene Mutations
Kyunghwa Lee, Doo Ree Kim
Asian Oncology Nursing.2022; 22(1): 11. CrossRef - Psychosocial stress accompanied by an unhealthy eating behavior is associated with abdominal obesity in Korean adults: A community-based prospective cohort study
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Frontiers in Nutrition.2022;[Epub] CrossRef - Effect of Psychosocial Distress on the Rate of Kidney Function Decline
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Journal of General Internal Medicine.2021; 36(10): 2966. CrossRef - Signifikanter Überlebensvorteil durch Sacituzumab-Govitecan beim TNBC
Sebastian Weiße, Svenja Quaester, Jürgen Dunst
InFo Hämatologie + Onkologie.2021; 24(9): 29. CrossRef
- Effect of perceived injustice-targeted pain neuroscience education compared with biomedically focused education in breast cancer survivors: a study protocol for a multicentre randomised controlled trial (BCS-PI trial)
- 9,144 View
- 150 Download
- 7 Web of Science
- 9 Crossref
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