Cancer Res Treat.  2016 Jan;48(1):1-10. 10.4143/crt.2014.204.

Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004-2013

• Suh M
• Choi KS
• Park B
• Lee YY
• Jun JK
• Lee DH
• Kim Y

• KMID: 2152254
• DOI: http://doi.org/10.4143/crt.2014.204

Abstract

PURPOSE
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.
MATERIALS AND METHODS
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).
RESULTS
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.
CONCLUSION
Both the lifetime screening rates and screening rates with recommendation for the five above-mentioned cancers increased annually from 2004 to 2013.

Keyword

Early detection of cancer; Trends; Health care surveys

MeSH Terms

Breast
Breast Neoplasms
Cervix Uteri
Colorectal Neoplasms
Cross-Sectional Studies
Early Detection of Cancer*
Female
Health Care Surveys
Humans
Liver
Liver Neoplasms
Male
Mass Screening
Stomach
Stomach Neoplasms
Uterine Cervical Neoplasms

Figure

• 

  Fig. 1. Cancer screening rates with recommendation by sex, 2004-2013.

• 

  Fig. 2. Cancer screening rates with recommendation by age (yr), 2004-2013.

• 

  Fig. 3. Cancer screening rates with recommendation by household income level, 2004-2013. Monthly household income status classified by tertile.

Reference

References

1. Korea Statistical Information Service [Internet]. Daejeon: Statistics Korea;2014. [cited 2014 Jul 30]. Available from: http://kosis.kr.

2. Jung KW, Won YJ, Kong HJ, Oh CM, Lee DH, Lee JS. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2011. Cancer Res Treat. 2014; 46:109–23.

3. Lee YY, Oh DK, Choi KS, Jung KW, Lee HY, Jun JK. The current status of gastric cancer screening in Korea: report on the National Cancer Screening Programme, 2009. Asian Pac J Cancer Prev. 2011; 12:3495–500.

4. Noh DK, Choi KS, Jun JK, Lee HY, Park EC. Factors associated with attending the National Cancer Screening Program for liver cancer in Korea. Asian Pac J Cancer Prev. 2012; 13:731–6.

5. Shim JI, Kim Y, Han MA, Lee HY, Choi KS, Jun JK, et al. Results of colorectal cancer screening of the national cancer screening program in Korea, 2008. Cancer Res Treat. 2010; 42:191–8.

6. Oh DK, Shim JI, Han M, Kim Y, Lee HY, Jun JK, et al. Breast cancer screening in Korean women: report of the National Cancer Screening Program in 2008. J Breast Cancer. 2010; 13:299–304.

7. Lee YH, Choi KS, Lee HY, Jun JK. Current status of the National Cancer Screening Program for cervical cancer in Korea, 2009. J Gynecol Oncol. 2012; 23:16–21.

8. Suh M, Choi KS, Lee YY, Park B, Jun JK. Cancer screening in Korea, 2012: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev. 2013; 14:6459–63.

9. Lee HY, Park EC, Jun JK, Hahm MI, Jung KW, Kim Y, et al. Trends in socioeconomic disparities in organized and opportunistic gastric cancer screening in Korea (2005-2009). Cancer Epidemiol Biomarkers Prev. 2010; 19:1919–26.

10. Sabatino SA, Lawrence B, Elder R, Mercer SL, Wilson KM, DeVinney B, et al. Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med. 2012; 43:97–118.

11. Baron RC, Rimer BK, Coates RJ, Kerner J, Mullen PD, Chattopadhyay S, et al. Methods for conducting systematic reviews of evidence on effectiveness and economic efficiency of interventions to increase screening for breast, cervical, and colorectal cancers. Am J Prev Med. 2008; 35(1 Suppl):S26–33.

12. Sano H, Goto R, Hamashima C. What is the most effective strategy for improving the cancer screening rate in Japan? Asian Pac J Cancer Prev. 2014; 15:2607–12.

13. NHS Breast Screening Programme: annual review 2012 [Internet]. Sheffield: NHS Breast Screening Programme;2012. [cited 2014 Jul 30]. Available from: http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbspannualreview2012.pdf.

14. Smith RA, Manassaram-Baptiste D, Brooks D, Cokkinides V, Doroshenk M, Saslow D, et al. Cancer screening in the United States, 2014: a review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin. 2014; 64:30–51.

15. National Cancer Institute. Cancer trends progress report: 2011/2012 update [Internet]. Bethesda, MD: National Cancer Institute;2012. [cited 2014 Jul 30]. Available from: http://progressreport.cancer.gov/sites/default/files/archive/report2011.pdf.

16. Yoshida M, Kondo K, Tada T. The relation between the cancer screening rate and the cancer mortality rate in Japan. J Med Invest. 2010; 57:251–9.

17. NHS Cervical Screening Programme: annual review 2012 [Internet]. Sheffield: NHS Cancer Screening Programme;2012. [cited 2014 Jul 30]. Available from: http://www.cancerscreening.nhs.uk/cervical/publications/cervical-annual-review-2012.pdf.

18. National Cancer Institute. Cancer trends progress report: 2011/2012 update. Cervical cancer screening 2012 [Internet]. Bethesda, MD: National Cancer Institute;2012. [cited 2014 Jul 30]. Available from: http://progressreport.cancer.gov/sites/default/files/archive/report2011.pdf.

19. National Cancer Institute. Cancer trends progress report: 2011/2012 update. Colorectal cancer screening 2012 [Internet]. Bethesda, MD: National Cancer Institute;2012. [cited 2014 Jul 30]. Available from: http://progressreport.cancer.gov/sites/default/files/archive/report2011.pdf.

20. Caplan LS, McQueen DV, Qualters JR, Leff M, Garrett C, Calonge N. Validity of women's self-reports of cancer screening test utilization in a managed care population. Cancer Epidemiol Biomarkers Prev. 2003; 12(11 Pt 1):1182–7.

21. Hoffmeister M, Chang-Claude J, Brenner H. Validity of self-reported endoscopies of the large bowel and implications for estimates of colorectal cancer risk. Am J Epidemiol. 2007; 166:130–6.

22. Montano DE, Phillips WR. Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit. Am J Public Health. 1995; 85:795–800.

23. Ock SM, Choi JY, Cha YS, Lee J, Chun MS, Huh CH, et al. The use of complementary and alternative medicine in a general population in South Korea: results from a national survey in 2006. J Korean Med Sci. 2009; 24:1–6.

24. Park B, Lee YK, Cho LY, Go UY, Yang JJ, Ma SH, et al. Estimation of nationwide vaccination coverage and comparison of interview and telephone survey methodology for estimating vaccination status. J Korean Med Sci. 2011; 26:711–9.

25. Han MA, Choi KS, Park JH, Moore MA, Park EC. Midcourse evaluation of the second-term 10-year plan for cancer control in Korea. Asian Pac J Cancer Prev. 2011; 12:327–33.