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Cancer Research and Treatment > Accepted Articles
doi: https://doi.org/10.4143/crt.2024.325    [Accepted]
Trends in Cancer-screening Rates in Korea: Findings from the National Cancer Screening Survey, 2004–2023
EunKyo Kang1,2 , Kui Son Choi1,3, Jae Kwan Jun1, Yeol Kim1,2, Hyeon Ji Lee1, Chang Kyun Choi1, Tae Hee Kim1, Sun Hwa Lee1, Mina Suh1,3
1National Cancer Control Institute, National Cancer Center, Goyang, Korea
2Department of Family Medicine, National Cancer Center, Goyang, Korea
3Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea
Correspondence  Mina Suh ,Tel: 82-31-920-2911, Fax: 82-31-920-2189, Email: omnibus@ncc.re.kr
Received: March 31, 2024;  Accepted: August 1, 2024.  Published online: August 2, 2024.
ABSTRACT
Purpose
This study aimed to report the overall national trends in the rates of cancer screening based on recommendations and provide insights into the changing trends of these rates across different demographics.
Materials and Methods
This study used data from the Korean National Cancer Screening Survey (KNCSS), which surveys nationwide cancer-screening rates and includes 4,500 individuals meeting the Korean National Cancer Screening Program (NCSP) protocol age criteria. Cancer-screening rates were assessed using structured questionnaires; yearly trends were analyzed for both lifetime cancer-screening rates and rates of screening based on recommendations, and subgroup analyses were performed based on age and sex.
Results
The rates of cancer screening based on recommendations showed significant increments: the stomach cancer-screening rate increased from 39.2% in 2004 to 77.5% in 2023 (3.50% per year), the liver cancer-screening rate increased from 20.0% to 48.8% (4.30% per year), and the colorectal cancer, increased from 19.9% to 70.7% (5.15% per year). The breast cancer-screening rate increased from 33.2% to 72.7% (2.88% per year), and the cervical cancer, increased from 58.3% to 70.2% (1.08% per year). Despite some differences, particularly in relation to sociodemographic factors, screening rates increased significantly for all cancer types.
Conclusion
Cancer-screening rates in Korea increased consistently from 2004 to 2023, demonstrating the effectiveness of the national cancer-screening program. However, the increments in breast, cervical and lung cancer-screening rates were relatively lower, indicating the need for additional efforts and strategies.
Key words: Early detection of cancer, Mass screening, Healthcare surveys, Trends, Stomach neoplasms, Colorectal neoplasms, Liver neoplasms, Breast neoplasms, Uterine cervical neoplasms, Lung neoplasms
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