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韩国胃癌筛查的现状:2009年国家癌症筛查计划报告

The current status of gastric cancer screening in Korea: report on the National Cancer Screening Programme, 2009.

作者信息

Lee Yoon Young, Oh Dong Kwan, Choi Kui Son, Jung Kyu-Won, Lee Hoo-Yeon, Jun Jae Kwan

机构信息

National Cancer Control Institute, National Cancer Centre, Goyang, Korea.

出版信息

Asian Pac J Cancer Prev. 2011;12(12):3495-500.

PMID:22471504
Abstract

OBJECTIVE

The objective of this study was to evaluate the results of the National Cancer Screening Programme (NCSP) for gastric cancer in 2009 and provide the rates of participation in organized gastric cancer screening in Korea.

METHODS

The data were obtained from the National Cancer Screening Information System, and the participation rates in gastric cancer screening were calculated. Recall rates, defined as the proportion of abnormal cases among participants, were estimated with 95% confidence intervals (CIs).

RESULTS

The target population of the 2009 NCSP included 6,842,209 Korean men and women aged 40 and older. Of those adults, 2,328,715 were screened with upper endoscopy or upper gastrointestinal (UGI) series (34.0%). For the first time, the number of adults (56.3%) screened with upper endoscopy exceeded the number screened with UGI series. Participation rates varied by gender and health insurance type. Overall, the recall rates of upper endoscopy and UGI series were 0.3% (95% CI, 0.34 to 0.36) and 1.6% (95% CI, 1.62 to 1.67), respectively.

CONCLUSIONS

According to our research, efforts to facilitate participation and to reduce disparities in gastric cancer screening among Korean men and women are needed.

摘要

目的

本研究旨在评估2009年国家癌症筛查计划(NCSP)针对胃癌的筛查结果,并提供韩国参加有组织胃癌筛查的比率。

方法

数据来自国家癌症筛查信息系统,并计算胃癌筛查的参与率。召回率定义为参与者中异常病例的比例,采用95%置信区间(CI)进行估计。

结果

2009年NCSP的目标人群包括6842209名40岁及以上的韩国男性和女性。在这些成年人中,2328715人接受了上消化道内镜检查或上消化道造影(UGI)(34.0%)。上消化道内镜检查的成年人数量(56.3%)首次超过了接受UGI检查的人数。参与率因性别和医疗保险类型而异。总体而言,上消化道内镜检查和UGI的召回率分别为0.3%(95%CI,0.34至0.36)和1.6%(95%CI,1.62至1.67)。

结论

根据我们的研究,需要努力促进韩国男性和女性参与胃癌筛查,并减少筛查差异。

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