Park Mi Jin, Choi Kui Son, Jun Jae Kwan, Lee Hoo-Yeon
National Cancer Control Institute, National Cancer Center, Goyang-si, Korea.
Asian Pac J Cancer Prev. 2011;12(12):3489-93.
Since 2004, the National Cancer Screening Program (NCSP) for colorectal cancer has provided annual screening by fecal immunochemical test (FIT) for individuals aged 50 years or older in the Republic of Korea. This study was conducted to investigate trends in the participation rate of the NCSP for colorectal cancer overall and according to gender, age and health insurance type. Therefore, we analyzed participation, positivity, and follow-up rates according to these factors. Overall participation rates for the NCSP for colorectal cancer increased from 10.5% in 2004 to 26.2% in 2009. FIT positivity rates decreased from 7.9% in 2004 to 7.1% in 2009. Follow-up rates among FIT-positive participants decreased from 64.5% in 2004 to 39.4% in 2009. Although the participation rate increased each year during the study period, it remained low compared with that of other countries. The FIT positivity rate decreased, however it was relatively high compared with that of other countries. Intervention is essential to raise participation rates, maximize adherence to screening recommendations, and to make certain that all population subgroups reap the benefits of screening. Also, these data suggest that structured and standardized quality improvement activity is essential to high quality for FIT in the NCSP for colorectal cancer screening in Korea.
自2004年起，韩国的国家结直肠癌筛查项目（NCSP）每年为50岁及以上的人群提供粪便免疫化学检测（FIT）筛查。本研究旨在调查NCSP结直肠癌筛查项目的总体参与率趋势，以及按性别、年龄和医疗保险类型划分的参与率趋势。因此，我们根据这些因素分析了参与率、阳性率和随访率。NCSP结直肠癌筛查项目的总体参与率从2004年的10.5%升至2009年的26.2%。FIT阳性率从2004年的7.9%降至2009年的7.1%。FIT检测呈阳性参与者的随访率从2004年的64.5%降至2009年的39.4%。尽管在研究期间参与率逐年上升，但与其他国家相比仍处于较低水平。FIT阳性率虽有所下降，但与其他国家相比仍相对较高。采取干预措施对于提高参与率、最大程度地坚持筛查建议以及确保所有人群亚组都能从筛查中获益至关重要。此外，这些数据表明，在韩国NCSP结直肠癌筛查中，结构化和标准化的质量改进活动对于FIT的高质量至关重要。
