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Results of colorectal cancer screening of the national cancer screening program in Korea, 2008.

Shim JI, Kim Y, Han MA, Lee HY, Choi KS, Jun JK, Park EC - Cancer Res Treat (2010)

Bottom Line: The recipients with a positive result in FOBT recorded approximately 7.5%.This finding meant that screening for the vulnerable needed to be encouraged by considering socio-demographic characters.Additionally, more efforts were necessary to increase the secondary screening rate of people with a positive result in primary one.

View Article: PubMed Central - PubMed

Affiliation: Division of Cancer Early Detection, National Cancer Center, Goyang, Korea.

ABSTRACT

Purpose: This study aims to investigate the current situation of national colorectal cancer screening by analyzing participation rates, positive rates of screening methods and screening rate of secondary screening tests in colorectal screening of the national cancer screening program in 2008.

Materials and methods: With database about target population and screened individuals of the national cancer screening program, the results of target population and participants of colorectal cancer screening in 2008 were analyzed. Among adults aged over 50 years of medical aid and beneficiaries of national health insurance paying lower 50% premiums in the total subscribers, 4,640,365 were target population of colorectal cancer screening and the data of 984,915 undergoing fecal occult blood test (FOBT) as a primary screening were analyzed.

Results: The colorectal cancer screening rate was 21.2% and the rates of national health insurance subscribers, females and the elderly aged 60-64 years were higher than those of others. The recipients with a positive result in FOBT recorded approximately 7.5%. Medical aid beneficiaries (7.9%), males (8.8%) and seniors aged over 75 years (9.1%) showed higher positive rates than the average one. Out of the FOBT positive recipients, 43.0% took a secondary screening and the rate undergoing colonoscopy (31.4%) was higher than that of doing double-contrast barium enema test (11.6%).

Conclusion: Colorectal cancer screening rate of medical aid beneficiaries and people paying lower 50% premiums among national health insurance subscribers, was different according to demographic characters (gender, age and types of health insurance). This finding meant that screening for the vulnerable needed to be encouraged by considering socio-demographic characters. Additionally, more efforts were necessary to increase the secondary screening rate of people with a positive result in primary one.

No MeSH data available.


Related in: MedlinePlus

Proportion of results of colonoscopy and double contrast barium enema (DCBE) in the positive group of fecal occult blood test.
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Figure 2: Proportion of results of colonoscopy and double contrast barium enema (DCBE) in the positive group of fecal occult blood test.

Mentions: Results of colonoscopy and DCBE were compared by designating the participants showing a positive result in FOBT and undergoing each of the two tests as 100 (Fig. 2). 'Normal' accounted for 31.8% and 71.5% in the results of colonoscopy and DCBE, respectively, so the latter fraction was two times higher than that in the former one. The fractions of 'Polyp' were 41.2% and 5.3% in the results of colonoscopy and DCBE, respectively, and those of 'probably cancer' were 1.2% and 1.5% in the results of colonoscopy and DCBE, respectively. 'Colorectal cancer' was observed in 1.2% and 0.2% of the participants undergoing colonoscopy and DCBE, respectively, and the fraction of the former test was higher than that of the latter test.


Results of colorectal cancer screening of the national cancer screening program in Korea, 2008.

Shim JI, Kim Y, Han MA, Lee HY, Choi KS, Jun JK, Park EC - Cancer Res Treat (2010)

Proportion of results of colonoscopy and double contrast barium enema (DCBE) in the positive group of fecal occult blood test.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021737&req=5

Figure 2: Proportion of results of colonoscopy and double contrast barium enema (DCBE) in the positive group of fecal occult blood test.
Mentions: Results of colonoscopy and DCBE were compared by designating the participants showing a positive result in FOBT and undergoing each of the two tests as 100 (Fig. 2). 'Normal' accounted for 31.8% and 71.5% in the results of colonoscopy and DCBE, respectively, so the latter fraction was two times higher than that in the former one. The fractions of 'Polyp' were 41.2% and 5.3% in the results of colonoscopy and DCBE, respectively, and those of 'probably cancer' were 1.2% and 1.5% in the results of colonoscopy and DCBE, respectively. 'Colorectal cancer' was observed in 1.2% and 0.2% of the participants undergoing colonoscopy and DCBE, respectively, and the fraction of the former test was higher than that of the latter test.

Bottom Line: The recipients with a positive result in FOBT recorded approximately 7.5%.This finding meant that screening for the vulnerable needed to be encouraged by considering socio-demographic characters.Additionally, more efforts were necessary to increase the secondary screening rate of people with a positive result in primary one.

View Article: PubMed Central - PubMed

Affiliation: Division of Cancer Early Detection, National Cancer Center, Goyang, Korea.

ABSTRACT

Purpose: This study aims to investigate the current situation of national colorectal cancer screening by analyzing participation rates, positive rates of screening methods and screening rate of secondary screening tests in colorectal screening of the national cancer screening program in 2008.

Materials and methods: With database about target population and screened individuals of the national cancer screening program, the results of target population and participants of colorectal cancer screening in 2008 were analyzed. Among adults aged over 50 years of medical aid and beneficiaries of national health insurance paying lower 50% premiums in the total subscribers, 4,640,365 were target population of colorectal cancer screening and the data of 984,915 undergoing fecal occult blood test (FOBT) as a primary screening were analyzed.

Results: The colorectal cancer screening rate was 21.2% and the rates of national health insurance subscribers, females and the elderly aged 60-64 years were higher than those of others. The recipients with a positive result in FOBT recorded approximately 7.5%. Medical aid beneficiaries (7.9%), males (8.8%) and seniors aged over 75 years (9.1%) showed higher positive rates than the average one. Out of the FOBT positive recipients, 43.0% took a secondary screening and the rate undergoing colonoscopy (31.4%) was higher than that of doing double-contrast barium enema test (11.6%).

Conclusion: Colorectal cancer screening rate of medical aid beneficiaries and people paying lower 50% premiums among national health insurance subscribers, was different according to demographic characters (gender, age and types of health insurance). This finding meant that screening for the vulnerable needed to be encouraged by considering socio-demographic characters. Additionally, more efforts were necessary to increase the secondary screening rate of people with a positive result in primary one.

No MeSH data available.


Related in: MedlinePlus