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Time to follow up after an abnormal finding in organized gastric cancer screening in Korea.

 Hoo-Yeon Lee  ;  Kui Son Choi  ;  Jae Kwan Jun  ;  Myung-Il Hahm  ;  Eun-Cheol Park 
 BMC CANCER, Vol.12 : 400, 2012 
Journal Title
Issue Date
Adult ; Aged ; Early Detection of Cancer/methods* ; Female ; Follow-Up Studies ; Humans ; Logistic Models ; Male ; Mass Screening/methods* ; Middle Aged ; Multivariate Analysis ; National Health Programs ; Republic of Korea ; Risk Factors ; Stomach Neoplasms/diagnosis* ; Stomach Neoplasms/therapy* ; Time Factors ; Time-to-Treatment
Cancer screening ; Delays in follow up ; Gastric cancer ; Organized screening
BACKGROUND: The prognosis for an abnormal medical finding is affected by both early detection and adherence to the presecribed schedule for follow-up examinations. In this study, we examined the time to follow up after an abnormal finding and determined the risk factors related to delays in follow up in a population-based screening program. METHODS: The study population consisted of patients who were newly diagnosed with gastric cancer through a gastric cancer screening program sponsored by the National Cancer Screening Program (NCSP) in 2005. Due to the skewed nature of the distribution of time to follow up, medians and interquartile ranges (IQR) are presented, and we analyzed the number of days preceding the follow-up time as a binary variable (≤ 90 days or >90 days). We used logistic regression analyses to evaluate the risk factors for a long delay. RESULTS: The median number of days to follow-up initiation after an abnormal finding was 11 (IQR 7-27); 13.9% of the patients with gastric cancer obtained their follow-up evaluation more than 90 days. Age, type of health insurance, screening method, and screening results were risk factors for delays in follow up. CONCLUSIONS: This study examined delays from the time of the discovery of an abnormal finding to time of the follow-up evaluation. Because inadequate follow up of abnormal exam results undermines the potential benefits of cancer screening, it is important to organize services that minimize delays between cancer screening and treatment.
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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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