pISSN 1738-6756   eISSN 2092-9900
Open Access, Peer-reviewed
    J Breast Cancer. 2010 Sep;13(3):299-304. Korean.
    Published online Sep 29, 2010.
    https://doi.org/10.4048/jbc.2010.13.3.299
    Copyright © 2010 Korean Breast Cancer Society
    Original Article

    Breast Cancer Screening in Korean Women: Report of the National Cancer Screening Program in 2008

    Dong Kwan Oh, Jung Im Shim, Mia Han, Yeonju Kim, Hoo-Yeon Lee, Jae Kwan Jun, Kui Sun Choi and Eun-Cheol Park1
      • Cancer Early Detection Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea.
      • 1National Cancer Control Institute, National Cancer Center, Goyang, Korea.
    • Corresponding author (Email: jkjun@ncc.re.kr )
    Received March 09, 2010; Accepted July 13, 2010.

    Abstract

    Purpose

    The Korean National Cancer Screening Program began in 1999. To provide essential evidence related to breast cancer screening in Korean women, we analyzed data from the KNCSP in 2008.

    Methods

    Using data obtained from the National Cancer Screening Information System, breast cancer screening participation rates were calculated. Recall rates were estimated with 95% confidence intervals (CI).

    Results

    The target population of breast cancer screening in 2008 included 3,706,062 women, 1,294,060 of whom utilized mammography as a screening tool (participation rate, 34.9%). Compared to the participation rate of women covered by the National Health Insurance Program (37.3%), women covered by the Medical Aid Program was lower (21.3%). The overall recall rate of breast cancer screening was 6.4% (95% CI, 6.39-6.47).

    Conclusion

    According to our study, efforts to facilitate the participation and to reduce disparities in breast cancer screening among Korean women are needed. These results will provide essential data for evidence-based strategies in breast cancer control in Korea.

    Keywords
    Breast neoplasms; Korea; Mammography; Mass screening

    Figures

    Figure 1
    Number of women screened by health insurance type and age from the Korean National Cancer Screening Program, 2008.

    Figure 2
    Participation rates by health insurance type and age from the Korean National Cancer Screening Program, 2008.

    Figure 3
    Recall rates by age from the Korean National Cancer Screening Program, 2008.

    Figure 4
    Recall rates by number of women screened per screening unit from the Korean National Cancer Screening Program, 2008. Blue dots mean screening units. (A) General hospital (n=300). (B) Hospital (n=557). (C) Clinic (n=1,001). The horizontal axis represents number of women (range, 1-31,813) screened with mammography according to screening units. Because recall rates by screening units follow a Poisson distribution, the horizontal line's scale is a logarithmic scale.

    Tables

    Table 1
    Screening outcomes by health insurance type, age, area of residence from the Korean National Cancer Screening Program, 2008

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    MeSH Terms
    Breast
    Breast Neoplasms
    Early Detection of Cancer
    Female
    Health Services Needs and Demand
    Humans
    Information Systems
    Korea
    Mammography
    Mass Screening
    National Health Programs
    Metrics
    Share
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