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A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001–2007

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Abstract

Objective

This study aimed to describe cancer screening rates for second primary cancer among cancer survivors in Korea, and to compare these rates with those of two control groups: individuals without a history of cancer but with other chronic diseases, and individuals without a history of cancer and without other chronic diseases.

Methods

The study is a cross-sectional analysis of 15,556 adults ≥30 years old who participated in the 2001, 2005, and 2007 Korean National Health and Nutrition Examination Surveys (KNHANES). The prevalence of breast, cervical, gastric, and colorectal cancer screening examinations according to national guidelines was assessed and compared to two control groups.

Results

Screening rates among cancer survivors were 48.5, 54.7, 34.7, and 28.6% for breast, cervical, gastric, and colorectal cancer screening, respectively. Cancer survivors showed higher screening rates for all four cancer sites compared with both control groups, but breast cancer screening was only statistically significant after adjusting gender, age, marital status, education, income, working status, health insurance, smoking and drinking status, and self-reported health status.

Conclusions

Cancer survivors were more likely than individuals without a cancer history to obtain screening examinations according to recommended guidelines. Still, screening rates even among survivors were suboptimal, emphasizing the need for a more systematic approach to second primary cancer screening and prevention.

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References

  1. Cancer Trends Progress Report—2007 Update, National Cancer Institute, NIH, DHHS, Bethesda, MD, December 2007, http://progressreport.cancer.gov

  2. Horner MJ, Ries LAG, Krapcho M et al (2009) SEER cancer statistics review, 1975–2006. National Cancer Institute, Bethesda, MD

    Google Scholar 

  3. Weir HK, Thun MJ, Hankey BF et al (2003) Annual report to the nation on the status of cancer, 1975–2000, featuring the uses of surveillance data for cancer prevention and control. J Natl Cancer Inst 95:1276–1299

    PubMed  Google Scholar 

  4. Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML (2004) Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 96:1322–1330

    Article  PubMed  Google Scholar 

  5. Jung KW, Won YJ, Park S et al (2009) Cancer statistics in Korea: incidence, mortality and survival in 2005. J Korean Med Sci 24:995–1003

    Article  PubMed  Google Scholar 

  6. Annual report of the Korea central Cancer Registryed (2008) Seoul: Ministry of Health, Welfare, and Family Affairs, Korea Central Cancer Registry

  7. National Cancer Center (Korea) (2008) Cancer Facts and Figuresed. Goyang: National Cancer Center

  8. Dong C, Hemminki K (2001) Second primary neoplasms in 633, 964 cancer patients in Sweden, 1958–1996. Int J Cancer 93:155–161

    Article  CAS  PubMed  Google Scholar 

  9. Curtis RE, Freedman DM, Ron E, Ries LAG, Hacker DG, Edwards BK, Tucker MA, Fraumeni JF Jr (eds) (2006) New malignancies among cancer survivors: SEER cancer registries, 1973–2000. National Cancer Institute. NIH Publ. No. 05-5302. Bethesda, MD

  10. Park SM, Lim MK, Jung KW et al (2007) Prediagnosis smoking, obesity, insulin resistance, and second primary cancer risk in male cancer survivors: National Health Insurance Corporation Study. J Clin Oncol 25:4835–4843

    Article  PubMed  Google Scholar 

  11. National Comprehensive Cancer Network (2009) NCCN Clinical Practive Guidelines in Oncology: Colon Cancer. V.3

  12. Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893

    Article  PubMed  Google Scholar 

  13. Trask PC, Rabin C, Rogers ML et al (2005) Cancer screening practices among cancer survivors. Am J Prev Med 28:351–356

    Article  PubMed  Google Scholar 

  14. Mayer DK, Terrin NC, Menon U et al (2007) Screening practices in cancer survivors. J Cancer Surviv 1:17–26

    Article  PubMed  Google Scholar 

  15. Earle CC, Burstein HJ, Winer EP, Weeks JC (2003) Quality of non-breast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol 21:1447–1451

    Article  PubMed  Google Scholar 

  16. Earle CC, Neville BA (2004) Under use of necessary care among cancer survivors. Cancer 101:1712–1719

    Article  PubMed  Google Scholar 

  17. Snyder CF, Frick KD, Kantsiper ME et al (2009) Prevention, screening, and surveillance care for breast cancer survivors compared with controls: changes from 1998 to 2002. J Clin Oncol 27:1054–1061

    Article  PubMed  Google Scholar 

  18. Yoo KY (2008) Cancer control activities in the Republic of Korea. Jpn J Clin Oncol 38:327–333

    Article  PubMed  Google Scholar 

  19. The Ministry of Health, Welfare, and Family Affairs & Center for Disease Control and Prevention (2007) The guideline for the usage of KNHANES raw data. Seoul, Korea

  20. Sheen V, Tucker MA, Abramson DH, Seddon JM, Kleinerman RA (2008) Cancer screening practices of adult survivors of retinoblastoma at risk of second cancers. Cancer 113:434–441

    Article  PubMed  Google Scholar 

  21. Kwak MS, Park EC, Bang JY, Sung NY, Lee JY, Choi KS (2005) Factors associated with cancer screening participation, Korea. J Prev Med Public Health 38:473–481

    PubMed  Google Scholar 

  22. Lee K, Lim HT, Park SM (2010) Factors associated with use of breast cancer screening services by women aged ≥ 40 years in Korea: The Third Korea National Health and Nutrition Examination Survey 2005 (KNHANES III). BMC Cancer 10:144

    Article  PubMed  Google Scholar 

  23. Duffy CM, Clark MA, Allsworth JE (2006) Health maintenance and screening in breast cancer survivors in the United States. Cancer Detect Prev 30:52–57

    Article  PubMed  Google Scholar 

  24. Fukuda Y, Nakamura K, Takano T, Nakao H, Imai H (2007) Socioeconomic status and cancer screening in Japanese males: large inequlaity in middle-aged and urban residents. Environ Health Prev Med 12:90–96

    Article  Google Scholar 

  25. Kwon YM, Lim HT, Lee K, Cho BL, Park MS, Son KY, Park SM (2009) Factors associated with use of gastric cancer screening services in Korea. World J Gastroenterol 15:3653–3659

    Article  PubMed  Google Scholar 

  26. Wardle J, Miles A, Atkin W (2005) Gender differences in utilization of colorectal cancer screening. J Med Screen 12:20–27

    Article  CAS  PubMed  Google Scholar 

  27. Korn EL, Graubard BI (1999) Analysis of health surveysed. Wiley, New York

    Google Scholar 

  28. StataCorp (2009) Statistical software: release 11.0ed. Stata Corporation, College Station

  29. Park SM, Park CT, Park SY et al (2009) Factors related to second cancer screening practice in disease-free cervical cancer survivors. Cancer Causes Control 20:1697–1703

    Article  PubMed  Google Scholar 

  30. National Cancer Center (Korea) (2009) Cancer facts and figures. National Cancer Center, Goyang

  31. World Bank (2007) World development indicators database; GNI per capita 2005, Atlas method and PPP. Washington, DC. Avaialble at : http://siteresources.worldbank.org/DATASTATISTICS/Resources/GNIPC05.pdf

  32. Snyder CF, Earle CC, Herbert RJ, Neville BA, Blackford AL, Frick KD (2008) Trends in follow-up and preventive care for colorectal cancer survivors. J Gen Intern Med 23:254–259

    Article  PubMed  Google Scholar 

  33. Coughlin SS, Breslau ES, Thompson T, Benard VB (2005) Physician recommendation for papanicolaou testing among U.S. women, 2000. Cancer Epidemiol Biomarkers Prev 14:1143–1148

    Article  PubMed  Google Scholar 

  34. Hay JL, Ford JS, Klein D et al (2003) Adherence to colorectal cancer screening in mammography-adherent older women. J Behav Med 26:553–576

    Article  PubMed  Google Scholar 

  35. Metsch LR, McCoy CB, McCoy HV, Pereyra M, Trapido E, Miles C (1998) The role of the physician as an information source on mammography. Cancer Pract 6:229–236

    Article  CAS  PubMed  Google Scholar 

  36. Jacobs LA, Palmer SC, Schwartz LA et al (2009) Adult cancer survivorship: evolution, research, and planning care. CA Cancer J Clin 59:391–410

    Article  PubMed  Google Scholar 

  37. Joseph E, Clark R, Berman C et al (1997) Screening childhood cancer survivors for breast cancer. Oncologist 2:228–234

    PubMed  Google Scholar 

  38. Powers A, Cox C, Reintgen DS (2000) Breast cancer screening in childhood cancer survivors. Med Pediatr Oncol 34:210–212

    Article  CAS  PubMed  Google Scholar 

  39. Diller L, Medeiros Nancarrow C, Shaffer K et al (2002) Breast cancer screening in women previously treated for Hodgkin’s disease: a prospective cohort study. J Clin Oncol 20:2085–2091

    Article  PubMed  Google Scholar 

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Conflict of interest

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Authors and Affiliations

  1. Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Juhee Cho

  2. Departments of Epidemiology and Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Juhee Cho

  3. Departments of Epidemiology and Medicine and Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Eliseo Guallar

  4. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Yea-Jen Hsu

  5. Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, 101 Daehangno, Jongno-Gu, Seoul, 110-744, Korea

    Dong Wook Shin

  6. Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

    Won-Chul Lee

Authors
  1. Juhee Cho
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  2. Eliseo Guallar
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  3. Yea-Jen Hsu
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  4. Dong Wook Shin
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  5. Won-Chul Lee
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Corresponding author

Correspondence to Dong Wook Shin.

Appendix

Appendix

See Tables 5 and 6.

Table 5 Incidence and 5-year relative survival rates of stomach, colorectal, breast and cervical cancers in Korea
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Table 6 Factors related to cancer screening
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Cho, J., Guallar, E., Hsu, YJ. et al. A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001–2007. Cancer Causes Control 21, 2203–2212 (2010). https://doi.org/10.1007/s10552-010-9640-4

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  • DOI: https://doi.org/10.1007/s10552-010-9640-4

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