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

doi:10.4143/crt.2011.43.3.141

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Original Article Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010: Eun-Ha Lee, MD¹, Hoo-Yeon Lee, MD, PhD¹, Kui Son Choi, PhD¹, Jae Kwan Jun, MD, PhD¹, Eun-Cheol Park, MD, PhD², Jin Soo Lee, MD, PhD³; Cancer Research and Treatment : Official Journal of Korean Cancer Association 2011;43(3):141-147.
DOI: https://doi.org/10.4143/crt.2011.43.3.141
Published online: September 30, 2011

¹National Cancer Control Institute, National Cancer Center, Goyang, Korea.

²Department of Preventive Medicine, Institute of Health Service Research, Yonsei University College of Medicine, Seoul, Korea.

³National Cancer Center, Goyang, Korea.

Correspondence: Jae Kwan Jun, MD, PhD. National Cancer Control Institute, National Cancer Center, 323 Madu 1-dong, Ilsandong-gu, Goyang 410-769, Korea.
Tel: 82-31-920-2184, Fax: 82-31-920-2189, jkjun@ncc.re.kr

• Received: April 25, 2011 • Accepted: June 20, 2011

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

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.
Key words: Early detection of cancer, Trends, Health care surveys

Introduction

Cancer is the leading cause of death in Korea, with approximately 178,000 people developing cancer annually and 70,000 deaths reported in 2008 [1]. The Korean government established the Comprehensive 10-Year Plan for Cancer Control in 1996 to reduce cancer burden at the national level. National cancer control programs were formulated and have been implemented since 1996. As part of these programs, guidelines for cancer screening programs were developed and initiated in 1999 [2].

Cancer screening of a population may be opportunistic, part of an organized program, or a combination of the two. The primary distinction between opportunistic and organized screening is that the target population is selected from centralized population registers in organized programs [3]. Organized screening programs have nationally implemented guidelines that define who should be invited to participate in screenings, how frequently they should be screened, and how abnormalities detected on screening should be followed up and treated. In contrast, with no central register, opportunistic screening depends on the decision of an individual to seek screening or on the recommendation of a health-care provider.

In Korea, both organized and opportunistic cancer screening programs have been widely used. The organized programs include the National Cancer Screening Program (NCSP) and the cancer screening services carried out by the National Health Insurance Corporation (NHIC) [4-6]. The NCSP for stomach, breast, and cervix uteri cancer was established in 1999 to increase access to cancer screening services for Medical Aid Program (MAP) recipients. Since 2002, the NCSP has gradually extended its target population to National Health Insurance (NHI) recipients. Liver cancer screening programs for a high-risk group were added to the NCSP in 2003, and colorectal cancer screening was implemented in 2004. Currently, the NCSP provides MAP recipients and lower than 50% of NHI recipients with free-of-charge screening services for the five most common cancers, which are stomach, liver, colorectal, breast, and cervical cancers. The upper 50% of NHI recipients not covered by the NCSP are enrolled in the organized cancer screening program run by the NHIC.

The aim of the present study was to report trends in overall screening rates among Korean men and women in opportunistic and organized cancer screening programs and to evaluate policies on cancer screening programs implemented at the national level to reduce the cancer burden.

Materials and Methods

The present study used Korean National Cancer Screening Survey (KNCSS) data from 2004 to 2010. The KNCSS is a continuous nationwide survey that has been conducted by the National Cancer Center since 2004. To obtain a nationally representative sample, the KNCSS study population was selected based on Resident Registration Population data using a stratified, multistage, and random sampling procedure according to geographic area, age, and gender.

Investigators from a professional research agency conducted face-to-face interviews in participant homes, except in 2004 when the data was collected using computer-assisted telephone interviews. The subjects in the present study were recruited by door-to-door contact, and at least three attempts to contact a resident at each dwelling were made. The response rates were 34.8-58.3% between 2005 and 2010. Informed consent was obtained from all study participants. General characteristics of the survey respondents for each year are shown in Appendix 1.

Eligibility was restricted to respondents with no history of a cancer diagnosis. The respondents were asked about their screening experience with the five common cancers, which were stomach, liver, colorectal, breast, and cervix uteri. The current recommended screening guidelines in Korea are the following: upper endoscopy or upper gastrointestinal (UGI) series every 2 years for gastric cancer; abdominal ultrasonography and serum α-fetoprotein every 6 months for liver cancer; fecal occult blood test (FOBT) every year, double-contrast barium enema every 5 years, or colonoscopy every 10 years for colorectal cancer; mammography every 2 years for breast cancer; and conventional cytology every 2 years for cervical cancer.

According to these guidelines, we limited our analyses to cancer-free men aged 40 years and over and women age 30 years and over. The gastric cancer screening survey participants were men and women aged over 40 years, and the subjects in the colorectal cancer survey were men and women over 50 years of age. Women over 40 were included in the breast cancer screening survey, and women over 30 were included in the cervical cancer survey. Liver cancer screening was restricted to high-risk groups such as people positive for the hepatitis B virus surface antigen, the hepatitis C virus antibody, or cirrhosis of the liver. Thus, the survey for liver cancer screening was performed in high-risk men and women over 40 years of age.

Questions were developed to assess the uptake of each of the five cancer screening programs. Previous cancer screening experience was assessed by asking participants: (a) whether they had ever been screened for a specific cancer by a screening modality, and (b) when they underwent their most recent screening. Screening rates were calculated from the proportion of men and women who responded 'yes' to question (a). 'Lifetime screening' was defined as ever having had a screening test and was derived from question (a) by collapsing across all types of screening tests. For 'screening with recommendation,' participants in the targeted age group for the relevant cancer who underwent screening were determined from the response to question (b) taking the cancer screening guidelines into consideration. Despite the 6-month interval for liver cancer screening, screening with recommendation was defined as a screening test performed within 1 year. Changes in the annual screening rates were assessed by calculating the annual percentage change and the corresponding 95% confidence intervals [7].

Furthermore, subgroup analyses by gender, age, and income level were performed. Income level was determined by monthly household income and classified into three groups by tertiles for each year. Liver cancer was excluded from the subgroup analyses because of too few subjects, and the data were not stable from year to year.

Results

Screening with recommendation and lifetime screening rates increased steadily from 2004. Between 2004 and 2010, screening with recommendation rates increased annually by 4.4% for stomach cancer, 1.5% for liver cancer, 2.8% for colorectal cancer, 4.5% for breast cancer, and 1.2% for cervix uteri cancer (Table 1). We found a significant increase in the screening with recommendation rate for all types of cancer except liver cancer (Table 1). Trends in the screening rate differed according to the screening method. For example, stomach cancer screening using upper endoscopy increased more rapidly than screening using the UGI series (4.6% vs. 2.2% per year, respectively). The increase in the trend for colorectal cancer screening using the FOBT was steeper than that for overall colorectal cancer screening (3.5% vs. 2.8% per year, respectively).

The trend in colorectal screening rates among men in the recommended screening population was slow in comparison to the increase in the gastric cancer screening rates. The trend in stomach and breast cancer screening rates among women in the recommended screening population increased steeply, but despite the high screening rate for cervix uteri cancer, the trend in the uptake of cervical cancer screening plateaued in recent years (Fig. 1). According to age groups, increasing trends in cancer screening rates for individuals in the recommended screening population were observed across the board, particularly in women aged 70 and over for breast cancer screening and in women aged 60 and over for cervical cancer screening (Fig. 2).

In 2004, the screening rates for stomach, colorectal, breast, and cervix uteri cancer among the screening with recommendation participants were lower in the low-income group than in the middle- and high-income groups. However, the increment in the screening rate was greater in the low-income group compared to the middle- and high-income groups, and by 2010, the screening rates were similar for all income levels (Fig. 3). An increase in the trend for cervix uteri cancer screening was observed only in low-income women.

Discussion

Screening rates for stomach, liver, colorectal, breast, and cervix uteri cancer have steadily increased since 2004. The screening rate for cervical cancer exceeded 60% in 2009 and those for stomach and breast cancer reached 61.1%, and 65.1%, respectively, in 2010. These rates are close to the 70% screening rate target of the Second-term 10-Year Plan for Cancer Control with recommendation in Korea [8].

In the United States [9,10], where screening is predominantly opportunistic, the breast cancer screening rate using mammography (women aged≥40 years) was 67% and the cervical cancer screening rate using the Pap smear test (women aged≥18 years) was 78% in 2005. The trend in breast cancer screening rose until 2000, remained stable until 2003, and fell slightly in 2005. The trend for cervical cancer screening rose until 2000 and then declined slightly.

In the United Kingdom, where nationwide organized screening programs have been implemented, 73.7% of women aged 45-74 years underwent mammography screening in 2008-2009, showing a slight increase from the 2007-2008 rates [11]. The 5-yearly coverage of cervical cancer screening using the Pap smear test was 78.9% in women aged 25-64 in 2009-2010 [12]. The coverage of cervical cancer continued to fall slightly from 80% in 2008-2009, particularly in women aged 50-64. This finding reflects a downward trend in screening uptake in this age group, and the first time coverage has fallen below the target of 80% in the United Kingdom.

According to a Japanese study [13], the screening rate for stomach cancer was 11.8% in 2007, showing a declining trend. The screening rate for cervix uteri cancer had declined since 1991, but recently increased to 18.8% in 2007. The screening rate for breast cancer increased dramatically in 2005 and showed a steadily increasing trend up to 14.2% in 2007. The screening rate for colon and rectal cancer in Japan increased by 0.5% per year and was 18.8% in 2007.

The National Cancer Control Plan in Korea has led to several improvements in cancer screening in addition to increasing participation in screening. First, socioeconomic disparities in the use of cancer screening programs have decreased from year to year. Second, an increasing number of Korean men and women in the targeted aged groups for the relevant cancers have undergone screening tests according to the recommendations. Although the influence of opportunistic screening cannot be ruled out, the introduction of the NCSP has played an important role in improving the use of screening in Korea.

The KNCSS conducted a nationwide survey to investigate participation rates in cancer screening for five kinds of cancers in Korea and reported the current status. However, this survey has several limitations. First, our results relied on self-reported data. Some tests may have been performed following a physician's order for other purposes because screening tools such as endoscopies are used not only for cancer but also for the diagnosis and follow-up of other diseases. Although survey data from self-reported interviews may have introduced a misclassification bias, many studies have shown the reliability of self-reported histories of cancer screening, which have been shown to agree well with medical records [14,15]. Second, although our response rates (34.8-58.3%) were acceptable in Korea [16,17], it may have nonetheless produced a non-response bias. In general, the preventative health behaviour patterns of survey participants may differ from those who refuse to participate [18]. For example, those with more interest in gastric cancer screening may have been more likely to participate in the survey.

Conclusion

The KNCSS is the ongoing systematic collection, analysis, and interpretation of data essential to the planning, implementation, and evaluation of nationwide cancer screening policies in Korea. These efforts will provide decision-makers with guidance for developing and implementing the best strategies to use in screening programs for cancer prevention and control in Korea.

Acknowledgements

Acknowledgments

This study was supported by a Grant-in-Aid for Cancer Research and Control from the National Cancer Center of Korea (#1010201-2).

NOTES

Conflict of interest relevant to this article was not reported.

REFERENCES

1. Jung KW, Park S, Kong HJ, Won YJ, Lee JY, Park EC, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2008. Cancer Res Treat. 2011;43:1–11. PMID: 21509157Article PubMed PMC PDF
2. Yoo KY. Cancer control activities in the Republic of Korea. Jpn J Clin Oncol. 2008;38:327–333. PMID: 18407932Article PubMed
3. Miles A, Cockburn J, Smith RA, Wardle J. A perspective from countries using organized screening programs. Cancer. 2004;101(5 Suppl):1201–1213. PMID: 15316915Article PubMed
4. Lee KS, Oh DK, Han MA, Lee HY, Jun JK, Choi KS, et al. Gastric cancer screening in Korea: report on the National Cancer Screening Program in 2008. Cancer Res Treat. 2011;43:83–88. PMID: 21811423Article PubMed PMC PDF
5. Oh DK, Shim JI, Han M, Kim Y, Lee HY, Jun JK, et al. Breast cancer screening in Korean women: report of the National Cancer Screening Program in 2008. J Breast Cancer. 2010;13:299–304. Article
6. Lee EH, Han MA, Lee HY, Jun JK, Choi KS, Park EC. Liver cancer screening in Korea: a report on the 2008 National Cancer Screening Programme. Asian Pac J Cancer Prev. 2010;11:1305–1310. PMID: 21198282PubMed
7. Kim HJ, Fay MP, Feuer EJ, Midthune DN. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19:335–351. PMID: 10649300Article PubMed
8. Han MA, Choi KS, Park JH, Moore MA, Park EC. Midcourse evaluation of the second-term 10-year plan for cancer control in Korea. Asian Pac J Cancer Prev. 2011;12:327–333. PMID: 21517281PubMed
9. Cancer trends progress report-2009/2010 update [Internet]. National Cancer Institute. 2010. cited 2011 Mar 31Bethesda, MD: National Cancer Institute; Available from: http://progressreport.cancer.gov/summary-tables_female.asp
10. Smith RA, Cokkinides V, Brooks D, Saslow D, Brawley OW. Cancer screening in the United States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin. 2010;60:99–119. PMID: 20228384Article PubMed
11. NHS breast screening programme annual review 2010 [Internet]. NHS Cancer Screening Programmes. 2010. cited 2011 Mar 31Sheffield: NHS Cancer Screening Programmes; Available from: http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp-annualreview2010.pdf
12. NHS breast screening programme annual review 2010 [Internet]. NHS Cancer Screening Programmes. 2010. cited 2011 Mar 31Sheffield: NHS Cancer Screening Programmes; Available from: http://www.cancerscreening.nhs.uk/cervical/publications/cervical-annual-review-2010.pdf
13. Yoshida M, Kondo K, Tada T. The relation between the cancer screening rate and the cancer mortality rate in Japan. J Med Invest. 2010;57:251–259. PMID: 20847525Article PubMed
14. Caplan LS, McQueen DV, Qualters JR, Leff M, Garrett C, Calonge N. Validity of women's self-reports of cancer screening test utilization in a managed care population. Cancer Epidemiol Biomarkers Prev. 2003;12(11 Pt 1):1182–1187. PMID: 14652278PubMed
15. Jones RM, Mongin SJ, Lazovich D, Church TR, Yeazel MW. Validity of four self-reported colorectal cancer screening modalities in a general population: differences over time and by intervention assignment. Cancer Epidemiol Biomarkers Prev. 2008;17:777–784. PMID: 18381476Article PubMed
16. Kwon YC, Shin DW, Lee JH, Heo DS, Hong YS, Kim SY, et al. Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes. Palliat Med. 2009;23:87–94. PMID: 18996980Article PubMed
17. Park K, Eun SJ, Lee EJ, Lee CE, Park DY, Han K, et al. The incidence and patterns of unintentional injuries in daily life in Korea: a nationwide study. J Prev Med Public Health. 2008;41:265–271. PMID: 18664733Article PubMed PDF
18. Kwak MS, Choi KS, Spring BJ, Park S, Park EC. Predicting the stages of adoption of cervical cancer screening among Korean women. Prev Med. 2009;49:48–53. PMID: 19465046Article PubMed

Appendix

Appendix 1

Distribution (%) of general characteristics of the study population in the Korean National Cancer Screening Survey (KNCSS) 2004-2010

	Survey year

	2004	2005	2006	2007	2008	2009	2010
Total (n)	3,592	2,028	2,030	2,021	2,038	2,000	4,056
Gender
Male	42.4	41.0	40.2	39.4	40.6	41.0	41.4
Female	57.6	59.0	59.8	60.6	59.4	59.1	58.6
Age (yr)
30-39^a)	14.1	12.0	17.6	17.8	17.7	17.0	15.9
40-49	35.9	41.1	34.6	34.8	35.5	35.6	34.9
50-59	22.7	28.6	21.8	21.6	24.7	25.2	27.3
60-69	17.3	15.6	19.1	21.9	16.4	16.4	16.8
≥70	10.2	2.7	6.9	3.9	5.8	5.9	5.2
Education^b) (yr)
≤8	25.8	16.4	20.9	18.2	13.6	15.1	8.1
9-11	15.6	16.1	15.1	14.3	16.6	11.3	10.9
12-15	34.3	47.6	44.7	46.3	46.6	46.8	52.1
≥16	22.6	18.5	17.6	19.1	20.7	24.9	28.8
Monthly household income^b) ($)^c)
≤999	25.3	11.4	14.1	10.0	9.3	9.4	4.6
1,000-2,999	39.0	57.1	53.1	50.5	48.8	45.0	37.6
≥3,000	18.8	29.7	29.9	38.7	40.3	44.5	57.7
Marital status^b)
Married	88.2	92.8	89.6	89.8	90.3	90.2	91.5
Not married	1.6	2.1	2.2	2.8	2.5	3.6	3.0
Other^d)	9.5	5.1	8.3	7.4	7.2	6.3	5.5
Residence area
Metropolitan	46.8	47.4	47.4	47.5	46.5	46.6	44.3
Urban	53.2^e)	39.8	40.5	40.3	44.2	44.0	42.2
Rural	53.2^e)	12.7	12.1	12.2	9.3	9.4	13.5
Health insurance type^b)
National Health Insurance	90.8	95.8	94.5	96.7	95.9	95.3	96.5
Medical Aid Program	6.0	4.2	4.2	3.2	3.8	4.3	3.5

^a)Restricted to women aged 30-39, ^b)Some data are missing, which is why row sums are not 100% every year, ^c)1 USD=1,000 KWN, ^d)Others: divorced or separated, ^e)The question related to residence area did not distinguish between urban and rural area in 2004.

Fig. 1

Cancer screening rates by sex, 2004-2010.

Fig. 2

Cancer screening rates by age group, 2004-2010.

Fig. 3

Cancer screening rates by income level, 2004-2010.

Table 1

Cancer screening rates of the five major cancers in Korea, 2004-2010

	Survey year							APC (95% CI)

	2004	2005	2006	2007	2008	2009	2010
Lifetime screening rate (%)^a)
Stomach	52.0	48.5	53.5	55.3	65.0	65.1	76.7	4.2 (2.2-6.2)
Liver	31.8	47.7	58.3	57.6	64.8	81.3	54.2	5.0 (-0.6 to 0.7)
Colon and rectum	25.3	27.9	34.0	40.7	50.4	48.1	57.1	5.4 (4.1-6.7)
Breast	55.9	57.4	60.2	66.4	72.7	78.1	79.5	4.5 (3.5-5.4)
Cervix uteri	76.8	74.0	68.0	73.6	74.4	76.1	75.0	0.2 (-1.3 to 1.7)
Screening rate with recommendation (%)^b)
Stomach^c)	39.2	39.4	43.3	45.6	53.5	56.9	65.1	4.4 (3.1-5.7)
Upper endoscopy^h)	(31.1)	(39.4)	(43.3)	(45.6)	(53.5)	(56.9)	(58.9)	4.6 (3.7-5.5)
UGI series^h)	(10.5)	(13.3)	(15.2)	(20.4)	(21.1)	(19.5)	(24.9)	2.2 (1.3-3.1)
Liver^d)	20.0	16.3	16.5	22.7	19.7	31.3	22.9	1.5 (-0.6 to 3.6)
Colon and rectum^e)	19.9	25.4	29.4	34.1	37.9	36.7	35.5	2.8 (1.2-4.3)
Colonoscopy^h)	(16.8)	(18.2)	(19.2)	(20.1)	(24.3)	(23.4)	(23.3)
DCBE^h)	(16.8)	(18.2)	(19.2)	(20.1)	(24.3)	(6.1)	(6.1)
FOBT^h)	(3.8)	(7.2)	(13.6)	(23.3)	(20.9)	(19.0)	(25.9)	3.5 (1.5-5.4)
Breast^f)	33.2	38.4	40.6	45.8	49.3	55.2	61.6	4.5 (3.9-5.1)
Cervix uteri^g)	58.3	57.0	54.9	57.0	59.9	63.9	62.9	1.2 (0.0-2.3)

APC, annual percent change; CI, confidence interval; UGI, upper gastrointestinal; DCBE, double-contrast barium enema; FOBT, fecal occult blood test. ^a)Lifetime screening rate was defined as the proportion of respondents who ever underwent the screening test(s), ^b)Recommended screening rate was defined as the proportion of respondents who fulfilled the screening recommendation criteria among the respondents in the targeted age group for the relevant cancer, ^c)Respondents were restricted to those whose last screening upper endoscopy or UGI series was performed within 2 years among men and women aged 40 years and over, ^d)Respondents were restricted to examinees whose last screening with abdominal ultrasonography and serum α-fetoprotein was performed within 1 year among men and women aged 40 and over at high risk for liver cancer [hepatitis B virus surface antigen (+), hepatitis C virus antibody (+), or liver cirrhosis], ^e)Respondents were restricted to examinees whose last screening with colonoscopy, DCBE, or FOBT was undergone within 1, 5, or 10 years, respectively, among men and women aged 50 and over. However, the question asked about the last screening without consideration of colonoscopy and DCBE within 5 years during 2004-2008, ^f)Respondents were restricted to examinees whose last screening with mammography was performed within 2 years among women aged 40 and over, ^g)Respondents were restricted to examinees whose last screening with conventional cytology was undertaken within 2 years among women aged 30 and over, ^h)Screening rates in parentheses are modality-specific rates.

Figure & Data

REFERENCES

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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

Cancer Res Treat. 2011;43(3):141-147. Published online September 30, 2011

DOI: https://doi.org/10.4143/crt.2011.43.3.141

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Abstract
Introduction
Materials and Methods
Results
Discussion
Conclusion
Acknowledgments
NOTES
REFERENCES
Appendix

Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010

Fig. 1 Cancer screening rates by sex, 2004-2010.

Fig. 2 Cancer screening rates by age group, 2004-2010.

Fig. 3 Cancer screening rates by income level, 2004-2010.

Fig. 1

Fig. 2

Fig. 3

Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010

	Survey year							APC (95% CI)

	2004	2005	2006	2007	2008	2009	2010
Lifetime screening rate (%)^a)
Stomach	52.0	48.5	53.5	55.3	65.0	65.1	76.7	4.2 (2.2-6.2)
Liver	31.8	47.7	58.3	57.6	64.8	81.3	54.2	5.0 (-0.6 to 0.7)
Colon and rectum	25.3	27.9	34.0	40.7	50.4	48.1	57.1	5.4 (4.1-6.7)
Breast	55.9	57.4	60.2	66.4	72.7	78.1	79.5	4.5 (3.5-5.4)
Cervix uteri	76.8	74.0	68.0	73.6	74.4	76.1	75.0	0.2 (-1.3 to 1.7)
Screening rate with recommendation (%)^b)
Stomach^c)	39.2	39.4	43.3	45.6	53.5	56.9	65.1	4.4 (3.1-5.7)
Upper endoscopy^h)	(31.1)	(39.4)	(43.3)	(45.6)	(53.5)	(56.9)	(58.9)	4.6 (3.7-5.5)
UGI series^h)	(10.5)	(13.3)	(15.2)	(20.4)	(21.1)	(19.5)	(24.9)	2.2 (1.3-3.1)
Liver^d)	20.0	16.3	16.5	22.7	19.7	31.3	22.9	1.5 (-0.6 to 3.6)
Colon and rectum^e)	19.9	25.4	29.4	34.1	37.9	36.7	35.5	2.8 (1.2-4.3)
Colonoscopy^h)	(16.8)	(18.2)	(19.2)	(20.1)	(24.3)	(23.4)	(23.3)
DCBE^h)	(16.8)	(18.2)	(19.2)	(20.1)	(24.3)	(6.1)	(6.1)
FOBT^h)	(3.8)	(7.2)	(13.6)	(23.3)	(20.9)	(19.0)	(25.9)	3.5 (1.5-5.4)
Breast^f)	33.2	38.4	40.6	45.8	49.3	55.2	61.6	4.5 (3.9-5.1)
Cervix uteri^g)	58.3	57.0	54.9	57.0	59.9	63.9	62.9	1.2 (0.0-2.3)

Table 1 Cancer screening rates of the five major cancers in Korea, 2004-2010