3 281

Cited 0 times in

Adherence to follow-up after a positive fecal occult blood test in an organized colorectal cancer screening program in Korea, 2004-2008

Authors
 Kui Son Choi  ;  Hoo-Yeon Lee  ;  Jae Kwan Jun  ;  Aesun Shin  ;  Eun-Cheol Park 
Citation
 JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.27(6) : 1070-1077, 2012 
Journal Title
 JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 
ISSN
 0815-9319 
Issue Date
2012
MeSH
Age Factors ; Aged ; Barium Sulfate ; Colonoscopy/trends ; Colonoscopy/utilization ; Colorectal Neoplasms/diagnosis* ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/psychology ; Early Detection of Cancer/methods ; Early Detection of Cancer/psychology ; Early Detection of Cancer/trends* ; Enema/trends ; Enema/utilization ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Occult Blood* ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Compliance/statistics & numerical data* ; Program Evaluation ; Republic of Korea/epidemiology
Keywords
colonoscopy ; colorectal cancer ; double contrast barium enema ; fecal occult blood test ; screening
Abstract
BACKGROUND AND AIM: To investigate the participation rates, positivity rates, and follow-up rates from 2004 to 2008 in an organized colorectal cancer (CRC) screening program using a fecal occult blood test (FOBT) in Korea. METHODS: The study population was men and women aged 50 years or older who were invited to participate in the National Cancer Screening Program for CRC between 1 January 2004 and 31 December 2008. We collected the FOBT results and follow-up information for the FOBT positives. RESULTS: Participation rates increased steadily each year from 10.5% in 2004 to 21.1% in 2008. Between 2004 and 2008, FOBT positivity rates declined from 8.0% to 6.8%. Among the FOBT-positives, 61.3% of participants underwent either colonoscopy or double contrast barium enema (DCBE) in 2004, and this rate decreased to 38.6% in 2008. Age, health insurance type, and screening history were associated with adherence to follow-up test after a positive FOBT. With regard to follow-up tests, colonoscopy rates increased from 17.9% in 2004 to 27.6% in 2008, while DCBE decreased from 43.4% in 2004 to 11.0% in 2008. Colonoscopy was significantly more likely to be chosen as a follow-up test by men, participants aged 50-59 years, and National Health Insurance beneficiaries. CONCLUSION: These findings suggest that targeting participants for follow-up, based on age and previous screening history, could be a good way to improve the follow-up rate.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1746.2011.06944.x/abstract
DOI
22004224
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/22282913/90809
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse