Suh Mina, Choi Kui Son, Park Boyoung, Lee Yoon Young, Jun Jae Kwan, Lee Duk-Hyoung, Kim Yeol
National Cancer Control Institute, National Cancer Center, Goyang, Korea.
Cancer Res Treat. 2016 Jan;48(1):1-10. doi: 10.4143/crt.2014.204. Epub 2015 Apr 15.
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.
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).
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.
Both the lifetime screening rates and screening rates with recommendation for the five above-mentioned cancers increased annually from 2004 to 2013.
韩国国家癌症筛查调查(KNCSS)是一项全国性横断面调查,自2004年起每年开展。本研究旨在报告韩国男性和女性的筛查率趋势,并评估为减轻癌症负担而实施的癌症筛查项目相关政策。
本研究使用了KNCSS数据。符合条件的研究人群包括年龄在40 - 74岁的男性和年龄在30 - 74岁且无癌症病史的女性。计算了五种主要癌症(即胃癌、肝癌、结直肠癌、乳腺癌和子宫颈癌)的终生筛查率、推荐筛查率以及年筛查率变化。
胃癌的推荐筛查率每年增加4.2%(95%置信区间[CI],3.7%至4.8%),肝癌为1.2%(95%CI,0.1%至2.4%),结直肠癌为3.0%(95%CI,1.8%至4.1%),乳腺癌为3.7%(95%CI,2.7%至4.8%),子宫颈癌为1.3%(95%CI,0.8%至1.8%)。2013年,胃癌、肝癌、结直肠癌、乳腺癌和子宫颈癌的推荐筛查率分别为73.6%、33.6%、55.6%、59.7%和67.0%。
从2004年到2013年,上述五种癌症的终生筛查率和推荐筛查率均逐年上升。