Asian Nurs Res.
2018 Mar;12(1):9-16. 10.1016/j.anr.2017.12.002.
Contributions and Limitations of National Cervical Cancer Screening Program in Korea: A Retrospective Observational Study
- Affiliations
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- 1Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul, Republic of Korea. mubul@kku.ac.kr
- 2Department of Nursing, College of Nursing, Konkuk University, Seoul, Republic of Korea.
- 3Department of Nursing, College of Nursing, Gachon University, Incheon, Republic of Korea.
- 4Department of Obstetrics and Gynecology, School of Medicine, Konkuk University, Seoul, Republic of Korea.
- 5Bigdata Steering Department, National Health Insurance Service, Wonju, Republic of Korea.
- KMID: 2409865
- DOI: http://doi.org/10.1016/j.anr.2017.12.002
Abstract
- PURPOSE
The purpose of this study was to evaluate the contributions and limitations of the cervical cancer screening test with accuracy in Korea.
METHODS
This was a retrospective observational study. The study population consisted of all participants who underwent cervical cancer screening test from 2009 to 2014. The data were obtained from National Health Information Database (NHID) which represents medical use records of most Koreans. As the indices for contributions and limitations of the screening test, crude detection rate, incidence rate of interval cancer, sensitivity, specificity, and positive predictive value were used.
RESULTS
The crude detection rate of screening test per 100,000 participants increased from 100.7 in 2009 to 102.1 in 2014. The incidence rate of interval cancer per 100,000 negatives decreased from 13.0 in 2009 to 10.2 in 2014. The sensitivities of screening test were 88.7% in 2009 and 91.2% in 2014, and the specificities were 98.5% in 2009 and 97.7% in 2014. The positive predictive value of screening decreased from 6.2% in 2009 to 4.3% in 2014.
CONCLUSIONS
The Korean national cervical cancer screening program has improved in accuracy and has contributed to detection of early stage of cervical cancer over the years. Along with efforts to promote participation in cancer screening programs, quality control over the screening program should be enhanced.
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