Skip to main content
Top
Published in: Cancer Causes & Control 12/2010

01-12-2010 | Original paper

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

Authors: Juhee Cho, Eliseo Guallar, Yea-Jen Hsu, Dong Wook Shin, Won-Chul Lee

Published in: Cancer Causes & Control | Issue 12/2010

Login to get access

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.
Appendix
Available only for authorised users
Literature
2.
go back to reference Horner MJ, Ries LAG, Krapcho M et al (2009) SEER cancer statistics review, 1975–2006. National Cancer Institute, Bethesda, MD Horner MJ, Ries LAG, Krapcho M et al (2009) SEER cancer statistics review, 1975–2006. National Cancer Institute, Bethesda, MD
3.
go back to reference 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 95:1276–1299PubMed 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 95:1276–1299PubMed
4.
go back to reference 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 96:1322–1330CrossRefPubMed 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 96:1322–1330CrossRefPubMed
5.
go back to reference Jung KW, Won YJ, Park S et al (2009) Cancer statistics in Korea: incidence, mortality and survival in 2005. J Korean Med Sci 24:995–1003CrossRefPubMed Jung KW, Won YJ, Park S et al (2009) Cancer statistics in Korea: incidence, mortality and survival in 2005. J Korean Med Sci 24:995–1003CrossRefPubMed
6.
go back to reference Annual report of the Korea central Cancer Registryed (2008) Seoul: Ministry of Health, Welfare, and Family Affairs, Korea Central Cancer Registry Annual report of the Korea central Cancer Registryed (2008) Seoul: Ministry of Health, Welfare, and Family Affairs, Korea Central Cancer Registry
7.
go back to reference National Cancer Center (Korea) (2008) Cancer Facts and Figuresed. Goyang: National Cancer Center National Cancer Center (Korea) (2008) Cancer Facts and Figuresed. Goyang: National Cancer Center
8.
go back to reference Dong C, Hemminki K (2001) Second primary neoplasms in 633, 964 cancer patients in Sweden, 1958–1996. Int J Cancer 93:155–161CrossRefPubMed Dong C, Hemminki K (2001) Second primary neoplasms in 633, 964 cancer patients in Sweden, 1958–1996. Int J Cancer 93:155–161CrossRefPubMed
9.
go back to reference 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 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.
go back to reference 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 25:4835–4843CrossRefPubMed 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 25:4835–4843CrossRefPubMed
11.
go back to reference National Comprehensive Cancer Network (2009) NCCN Clinical Practive Guidelines in Oncology: Colon Cancer. V.3 National Comprehensive Cancer Network (2009) NCCN Clinical Practive Guidelines in Oncology: Colon Cancer. V.3
12.
go back to reference Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893CrossRefPubMed Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893CrossRefPubMed
13.
go back to reference Trask PC, Rabin C, Rogers ML et al (2005) Cancer screening practices among cancer survivors. Am J Prev Med 28:351–356CrossRefPubMed Trask PC, Rabin C, Rogers ML et al (2005) Cancer screening practices among cancer survivors. Am J Prev Med 28:351–356CrossRefPubMed
14.
go back to reference Mayer DK, Terrin NC, Menon U et al (2007) Screening practices in cancer survivors. J Cancer Surviv 1:17–26CrossRefPubMed Mayer DK, Terrin NC, Menon U et al (2007) Screening practices in cancer survivors. J Cancer Surviv 1:17–26CrossRefPubMed
15.
go back to reference Earle CC, Burstein HJ, Winer EP, Weeks JC (2003) Quality of non-breast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol 21:1447–1451CrossRefPubMed Earle CC, Burstein HJ, Winer EP, Weeks JC (2003) Quality of non-breast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol 21:1447–1451CrossRefPubMed
16.
go back to reference Earle CC, Neville BA (2004) Under use of necessary care among cancer survivors. Cancer 101:1712–1719CrossRefPubMed Earle CC, Neville BA (2004) Under use of necessary care among cancer survivors. Cancer 101:1712–1719CrossRefPubMed
17.
go back to reference 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 27:1054–1061CrossRefPubMed 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 27:1054–1061CrossRefPubMed
18.
19.
go back to reference 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 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.
go back to reference 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 113:434–441CrossRefPubMed 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 113:434–441CrossRefPubMed
21.
go back to reference 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 38:473–481PubMed 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 38:473–481PubMed
22.
go back to reference 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 10:144CrossRefPubMed 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 10:144CrossRefPubMed
23.
go back to reference Duffy CM, Clark MA, Allsworth JE (2006) Health maintenance and screening in breast cancer survivors in the United States. Cancer Detect Prev 30:52–57CrossRefPubMed Duffy CM, Clark MA, Allsworth JE (2006) Health maintenance and screening in breast cancer survivors in the United States. Cancer Detect Prev 30:52–57CrossRefPubMed
24.
go back to reference 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 12:90–96CrossRef 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 12:90–96CrossRef
25.
go back to reference 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 15:3653–3659CrossRefPubMed 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 15:3653–3659CrossRefPubMed
26.
go back to reference Wardle J, Miles A, Atkin W (2005) Gender differences in utilization of colorectal cancer screening. J Med Screen 12:20–27CrossRefPubMed Wardle J, Miles A, Atkin W (2005) Gender differences in utilization of colorectal cancer screening. J Med Screen 12:20–27CrossRefPubMed
27.
go back to reference Korn EL, Graubard BI (1999) Analysis of health surveysed. Wiley, New York Korn EL, Graubard BI (1999) Analysis of health surveysed. Wiley, New York
28.
go back to reference StataCorp (2009) Statistical software: release 11.0ed. Stata Corporation, College Station StataCorp (2009) Statistical software: release 11.0ed. Stata Corporation, College Station
29.
go back to reference 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 20:1697–1703CrossRefPubMed 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 20:1697–1703CrossRefPubMed
30.
go back to reference National Cancer Center (Korea) (2009) Cancer facts and figures. National Cancer Center, Goyang National Cancer Center (Korea) (2009) Cancer facts and figures. National Cancer Center, Goyang
32.
go back to reference 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 23:254–259CrossRefPubMed 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 23:254–259CrossRefPubMed
33.
go back to reference Coughlin SS, Breslau ES, Thompson T, Benard VB (2005) Physician recommendation for papanicolaou testing among U.S. women, 2000. Cancer Epidemiol Biomarkers Prev 14:1143–1148CrossRefPubMed Coughlin SS, Breslau ES, Thompson T, Benard VB (2005) Physician recommendation for papanicolaou testing among U.S. women, 2000. Cancer Epidemiol Biomarkers Prev 14:1143–1148CrossRefPubMed
34.
go back to reference Hay JL, Ford JS, Klein D et al (2003) Adherence to colorectal cancer screening in mammography-adherent older women. J Behav Med 26:553–576CrossRefPubMed Hay JL, Ford JS, Klein D et al (2003) Adherence to colorectal cancer screening in mammography-adherent older women. J Behav Med 26:553–576CrossRefPubMed
35.
go back to reference 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 6:229–236CrossRefPubMed 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 6:229–236CrossRefPubMed
36.
go back to reference Jacobs LA, Palmer SC, Schwartz LA et al (2009) Adult cancer survivorship: evolution, research, and planning care. CA Cancer J Clin 59:391–410CrossRefPubMed Jacobs LA, Palmer SC, Schwartz LA et al (2009) Adult cancer survivorship: evolution, research, and planning care. CA Cancer J Clin 59:391–410CrossRefPubMed
37.
go back to reference Joseph E, Clark R, Berman C et al (1997) Screening childhood cancer survivors for breast cancer. Oncologist 2:228–234PubMed Joseph E, Clark R, Berman C et al (1997) Screening childhood cancer survivors for breast cancer. Oncologist 2:228–234PubMed
38.
go back to reference Powers A, Cox C, Reintgen DS (2000) Breast cancer screening in childhood cancer survivors. Med Pediatr Oncol 34:210–212CrossRefPubMed Powers A, Cox C, Reintgen DS (2000) Breast cancer screening in childhood cancer survivors. Med Pediatr Oncol 34:210–212CrossRefPubMed
39.
go back to reference 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 20:2085–2091CrossRefPubMed 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 20:2085–2091CrossRefPubMed
Metadata
Title
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
Authors
Juhee Cho
Eliseo Guallar
Yea-Jen Hsu
Dong Wook Shin
Won-Chul Lee
Publication date
01-12-2010
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 12/2010
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9640-4

Other articles of this Issue 12/2010

Cancer Causes & Control 12/2010 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine