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Liver cancer screening in Korea: a report on the 2008 National Cancer Screening Programme

Authors
 Eun-Ha Lee  ;  Mi Ah Han  ;  Hoo-Yeon Lee  ;  Jae Kwan Jun*  ;  Kui Son Choi  ;  Eun-Cheol Park 
Citation
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, Vol.11(5) : 1305-1310, 2010 
Journal Title
 ASIAN PACIFIC JOURNAL OF CANCER PREVENTION 
ISSN
 1513-7368 
Issue Date
2010
MeSH
Adult ; Aged ; Aged, 80 and over ; Early Detection of Cancer* ; Female ; Hepatitis B Surface Antigens/blood ; Hepatitis C Antibodies/blood ; Humans ; Liver Neoplasms/diagnosis* ; Liver Neoplasms/epidemiology* ; Male ; Mass Screening* ; Middle Aged ; Patient Participation ; Republic of Korea/epidemiology ; Risk
Keywords
liver cancer ; mass screening ; Korea
Abstract
BACKGROUND : The Korean National Cancer Screening Programme (NCSP) for liver cancer was initiated in 2003. The objective of this study was to evaluate participation in the NCSP and provide essential evidence associated with the screening of Korean adults at high risk for liver cancer. METHODS : Liver cancer screening was conducted in two stages. During the first, the fraction of the population at high risk for liver cancer was identified through detection of the hepatitis B virus surface antigen (HBsAg) and hepatitis C virus antibodies (anti-HCV Ab). During the second stage, this high-risk population was kept under surveillance to detect liver cancers as quickly as possible, and screening participation rates and recall rates were assessed. We estimated the 95% confidence intervals (CIs) for all outcome measures. RESULTS : In the first stage, 2.57% (95% CI, 2.47-2.67) of Medical Aid Programme (MAP) recipients tested positive for HBsAg and 3.70% (95% CI, 3.25-4.15) tested positive for anti-HCV Ab. The total target population for liver cancer screening in 2008 included 433,822 adults over 40 years of age. Of them, 141,381 (32.6%) participated in the NCSP for liver cancer. Participation rates were 34.9% for National Health Insurance (NHI) recipients and 25.2% for MAP recipients. Among participants, 1,139 individuals exhibited a positive screening result (recall rate = 0.81%). CONCLUSIONS : Our findings demonstrate the current status of liver cancer screening in Korea. They provide evidence for implementing an organised liver cancer screening programme among high-risk groups.
Full Text
http://journal.waocp.org/?sid=Entrez:PubMed&id=pmid:21198282&key=2010.11.5.1305
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158109
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