Kim Miye, Kim Hyeongsu, Choi Heejung, Son MiSeon, Lee Kun-Sei, Han Tae-Hwa, Kim Sollip
Department of Nursing, Graduate school, Konkuk University, Chungju 27478, Korea.
Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea.
Healthcare (Basel). 2020 May 11;8(2):132. doi: 10.3390/healthcare8020132.
To compare the epidemiological characteristics of a breast cancer screening program of patients between 40-69 years of age and ≥70 years of age, we calculated the age-standardized detection rate of the breast cancer screening program and compared it with the age-standardized incidence rate from the Korea Central Cancer Registry. The data of the breast cancer screening program from January 2009 to December 2016 and the data of the health insurance claims from January 2006 to August 2017 were used. In the 40-69 year age group, the age-standardized detection rate of breast cancer increased annually from 106.1 in 2009 to 158.6 in 2015 and did not differ from the age-standardized incidence rate. In the ≥70 year age group, the age-standardized detection rate of breast cancer increased annually from 65.7 in 2009 to 120.3 in 2015 and was 1.9 to 2.7 fold of the age‑standardized incidence rate. It shows that the early detection effect of breast cancer screening was greater for patients over 70 years old. Further studies are needed to evaluate the effect of breast cancer detection in the ≥70 year age group on all-cause mortality or breast cancer mortality.
为比较40至69岁和≥70岁患者乳腺癌筛查项目的流行病学特征,我们计算了乳腺癌筛查项目的年龄标准化检出率,并将其与韩国中央癌症登记处的年龄标准化发病率进行比较。使用了2009年1月至2016年12月的乳腺癌筛查项目数据以及2006年1月至2017年8月的健康保险理赔数据。在40至69岁年龄组中,乳腺癌的年龄标准化检出率从2009年的106.1逐年增加至2015年的158.6,且与年龄标准化发病率无差异。在≥70岁年龄组中,乳腺癌的年龄标准化检出率从2009年的65.7逐年增加至2015年的120.3,是年龄标准化发病率的1.9至2.7倍。这表明乳腺癌筛查对70岁以上患者的早期检测效果更佳。需要进一步研究来评估≥70岁年龄组乳腺癌检测对全因死亡率或乳腺癌死亡率的影响。