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Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea.

 Beomseok Suh  ;  Dong Wook Shin  ;  So Young Kim  ;  Jae-Hyun Park  ;  Weon Young Chang  ;  Seung Pyung Lim  ;  Chang-Yeol Yim  ;  Be-Long Cho  ;  Eun-Cheol Park  ;  Jong-Hyock Park 
 BMC CANCER, Vol.12 : 557, 2012 
Journal Title
Issue Date
Adult ; Early Detection of Cancer/methods ; Early Detection of Cancer/statistics & numerical data ; Female ; Health Surveys/methods ; Health Surveys/statistics & numerical data ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Neoplasms/diagnosis* ; Neoplasms/prevention & control ; Neoplasms, Second Primary/diagnosis* ; Neoplasms, Second Primary/prevention & control ; Odds Ratio ; Republic of Korea ; Risk Factors ; Surveys and Questionnaires* ; Survivors/statistics & numerical data*
Cancer survivor ; Second primary cancer ; Screening ; Mode of detection ; Screen-detected
BACKGROUND: While knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors. METHODS: Data were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines. RESULTS: Being screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95% confidence interval, 1.36-3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis. CONCLUSIONS: The mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.
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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
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