Kang EunKyo, Choi Kui Son, Jun Jae Kwan, Kim Yeol, Lee Hyeon Ji, Choi Chang Kyun, Kim Tae Hee, Lee Sun Hwa, Suh Mina
National Cancer Control Institute, National Cancer Center, Goyang, Korea.
Department of Family Medicine, National Cancer Center, Goyang, Korea.
Cancer Res Treat. 2025 Jan;57(1):28-38. doi: 10.4143/crt.2024.325. Epub 2024 Aug 2.
This study aimed to report the overall national trends in the rates of cancer screening based on recommendations and provide insights into the changing trends of these rates across different demographics.
This study used data from the Korean National Cancer Screening Survey (KNCSS), which surveys nationwide cancer-screening rates and includes 4,500 individuals meeting the Korean National Cancer Screening Program (NCSP) protocol age criteria. Cancer-screening rates were assessed using structured questionnaires; yearly trends were analyzed for both lifetime cancer-screening rates and rates of screening based on recommendations, and subgroup analyses were performed based on age and sex.
The rates of cancer screening based on recommendations showed significant increments: the stomach cancer-screening rate increased from 39.2% in 2004 to 77.5% in 2023 (3.50% per year), the liver cancer-screening rate increased from 20.0% to 48.8% (4.30% per year), and the colorectal cancer, increased from 19.9% to 70.7% (5.15% per year). The breast cancer-screening rate increased from 33.2% to 72.7% (2.88% per year), and the cervical cancer, increased from 58.3% to 70.2% (1.08% per year). Despite some differences, particularly in relation to sociodemographic factors, screening rates increased significantly for all cancer types.
Cancer-screening rates in Korea increased consistently from 2004 to 2023, demonstrating the effectiveness of the national cancer-screening program. However, the increments in breast, cervical and lung cancer-screening rates were relatively lower, indicating the need for additional efforts and strategies.
本研究旨在报告基于建议的癌症筛查率的全国总体趋势，并深入了解这些率在不同人口统计学特征中的变化趋势。
本研究使用了韩国国家癌症筛查调查（KNCSS）的数据，该调查对全国癌症筛查率进行了调查，包括4500名符合韩国国家癌症筛查计划（NCSP）方案年龄标准的个体。使用结构化问卷评估癌症筛查率；分析了终身癌症筛查率和基于建议的筛查率的年度趋势，并根据年龄和性别进行了亚组分析。
基于建议的癌症筛查率显示出显著增长：胃癌筛查率从2004年的39.2%增至2023年的77.5%（每年增长3.50%），肝癌筛查率从20.0%增至48.8%（每年增长4.30%），结直肠癌筛查率从19.9%增至70.7%（每年增长5.15%）。乳腺癌筛查率从33.2%增至72.7%（每年增长2.88%），宫颈癌筛查率从58.3%增至70.2%（每年增长1.08%）。尽管存在一些差异，特别是在社会人口学因素方面，但所有癌症类型的筛查率均显著提高。
韩国的癌症筛查率在2004年至2023年期间持续上升，证明了国家癌症筛查计划的有效性。然而，乳腺癌、宫颈癌和肺癌筛查率的增长相对较低，表明需要进一步努力和采取策略。
