Outcomes and efficiency of National Cancer Screening Program for gastric cancer in Korea.

13 Background: Gastric Cancer is a major cause of death and a substantial socioeconomic burden in Korea. The National Cancer Screening Program for Medicaid recipients was initiated in 1999 and has contributed to reduction of cancer-related mortality in Korea. Endoscopy may be cost-effective screening tool in Korea, where the cost of endoscopy and UGIS are similar and the gastric cancer incidence is high. Most of Japanese studies on the efficiency of mass screening for gastric cancer have dealt with photoflurography as a screening tool. Although biennial gastric cancer screening by endoscopy has been increasing in Korea as part of the National Cancer Screening Program, few studies have evaluated its efficiency. Therefore, we analyzed the outcomes and efficiency of the National Cancer Screening Program for gastric cancer using endoscopy in Korea. Methods: We reviewed results from the National Cancer Screening Program for gastric cancer at Chung-Ang University Yongsan Hospital in Korea from March 2003 to March 2008. The study population was comprised of Medicaid recipients ≥ 40 years of age who were taken from the National Health Insurance Corporation. Results: A total of 7,278 asymptomatic subjects underwent endoscopy for gastric cancer screening. The mean age of the screened subjects was 51.3 years for men and 48.9 years for women. The male to female ratio of the screened subjects was 1.2:1. Gastric cancer was diagnosed in 32 (0.44%) of 7,278 subjects (22 men and 10 women). Their mean age was 54.4 years. Of these, 21 subjects (0.29%) were diagnosed as early gastric cancer and 11 subjects (0.15%) were advanced gastric cancer. The proportion of EGCs among total gastric cancers was 65.6%. The compliance with this program was low (59% for men and 49% for women). Conclusions: Despite accomplishments of the National Cancer Screening Program for gastric cancer in Korea, its effectiveness remains an issue. Efficiency and cost-effectiveness analysis will be needed for successful progression. No significant financial relationships to disclose.

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Outcomes and efficiency of national gastric cancer screening program in Korea: Single-center, large-scale study.

Journal of Clinical Oncology ◽

10.1200/jco.2012.30.4_suppl.29 ◽

2012 ◽

Vol 30 (4_suppl) ◽

pp. 29-29

Author(s):

Beom Jin Kim ◽

Chae Heo ◽

Bong Ki Cha ◽

Jae G. Kim ◽

Sang-Jung Kim

Keyword(s):

Gastric Cancer ◽

Cancer Screening ◽

Early Gastric Cancer ◽

Large Scale ◽

Screening Tool ◽

Screening Program ◽

University Hospital ◽

Female Ratio ◽

Cancer Screening Program ◽

Gastric Cancer Screening

29 Background: Gastric cancer is a major cause of death and a substantial socioeconomic burden in Korea. The National Cancer Screening Program for Medicaid recipients was initiated in 1999 and has contributed to reduction of cancer-related mortality in Korea. Endoscopy may be cost-effective screening tool in Korea, where the cost of endoscopy and UGIS are similar and the incidence of gastric cancer is high. Most of Japanese studies on the efficiency of mass screening for gastric cancer have dealt with photoflurography as a screening tool. Although biennial gastric cancer screening by endoscopy has been increasing in Korea as part of the National Cancer Screening Program, few studies have evaluated its efficiency. Therefore, we analyzed the outcomes and efficiency of the National Gastric Cancer Screening Program using endoscopy in Korea. Methods: We reviewed medical records from the National Gastric Cancer Screening Program at Chung-Ang University hospital in Korea from January 2007 to December 2010. The study population was comprised of Medicaid recipients ≥ 40 years of age who were taken from the National Health Insurance Corporation. Results: A total of 41,150 asymptomatic subjects underwent endoscopy for gastric cancer screening. The mean age of the screened subjects was 56.3 years for men and 48.9 years for women. The male to female ratio of the screened subjects was 1.57:1. Gastric cancer was diagnosed in 102 (0.24%) of 41,150 subjects (60 men and 42 women). Their mean age was 54.4 years. Of these, 76 subjects (0.18%) were diagnosed as early gastric cancer and 26 subjects (0.06%) as advanced gastric cancer. The proportion of early gastric cancer among total gastric cancers was 74.5%. During the period, only 6,586 (16.0%) subjects participated in the biennial gastric cancer screening (59% for men and 49% for women). Conclusions: Despite accomplishments of the National Gastric Cancer Screening Program in Korea, low compliance to the screening program remains an issue. Furthermore, its cost-effectiveness analysis will be needed for successful progression.

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Gastric Cancer Screening in Korea: Report on the National Cancer Screening Program in 2008

Cancer Research and Treatment ◽

10.4143/crt.2011.43.2.83 ◽

2011 ◽

Vol 43 (2) ◽

pp. 83-88 ◽

Cited By ~ 67

Author(s):

Kyung Sook Lee ◽

Dong Kwan Oh ◽

Mi Ah Han ◽

Hoo-Yeon Lee ◽

Jae Kwan Jun ◽

...

Keyword(s):

Gastric Cancer ◽

Cancer Screening ◽

Screening Program ◽

Cancer Screening Program ◽

Gastric Cancer Screening

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Saving Women's Lives From Cervical Cancer: Promoting a Cost-Effective Cervical Cancer Screening Tool in Rural Albania

Journal of Global Oncology ◽

10.1200/jgo.18.54400 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 158s-158s

Author(s):

B. Hylviu ◽

G. Cekodhima ◽

M. Rista ◽

B. Shehu ◽

M. Vandewiele ◽

...

Keyword(s):

Public Health ◽

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Screening Tool ◽

Screening Program ◽

Cost Effective ◽

Key Stakeholders ◽

Cancer Screening Program ◽

Cervical Cancer Screening Program

Background and context: The WHO has presented that more than 90% of deaths from cervical cancer happened in low and middle-income countries. Albania is one of them. Albania has a national cervical cancer screening program. However, the program is not well-promoted and the service is not always available at the primary public health care level. The situation worsens when it comes to rural areas. In 2016, to bridge the gap and achieve health equity the Albanian Center for Population and Development (ACPD) initiated a series of activities to promote the utilization of visual inspection with acetic acid (VIA) and cryotherapy for the first time as a pilot study in rural Albania. ACPD sees this as a health priority to strengthen the existing national screening program through advocacy with the Ministry of Health and Social Protection (MoHSP). Aim: To enable VIA and cryotherapy provision in rural Albania to expand cervical cancer screening by advocating for its integration into the national cervical cancer screening program. Strategy/Tactics: The strategy applies a client-centered and bottom-up approach. The changes are driven through four sections, namely: context understanding, providers' engagement, partnership strengthening, and sustainability development (Fig 1). Program/Policy process: Following the proposed strategy, four main approaches were developed. · Demand generation: ACPD promoted relevant cervical cancer prevention and treatment information as well as redressed misconceptions through developing education materials and carrying out education sessions. · Provide services in rural settings: ACPD engaged different health providers into the VIA and cryotherapy training and institutional protocol development. · Collaborate with key stakeholders: ACPD worked closely with stakeholders, such as civil society organizations (CSOs), media, and health facilities. · Provide medical evidence to affect national policy-making processes: ACPD provided strong evidence to support the integration of VIA and cryotherapy into the existing cervical cancer screening program. Outcomes: In line with aforementioned process, the project succeeded to establish an effective model improve national cervical cancer screening program. All achievements and outcomes are summarized in Table 1. What was learned: The proposed strategy enabled VIA and cryotherapy in rural Albania. From clients' perspectives, this cost-effective cervical cancer screening tool is well-accepted, and most women were thrilled by the idea that the precancerous lesions could be screened and eliminated at the same visit. It is evident that ACPD distributed this desired service in rural Albania through collaborating with key stakeholders, including media, CSOs and public health facilities. ACPD still works on integrating VIA and cryotherapy into the national cancer screening program to reduce cervical cancer deaths. [Figure: see text][Table: see text]

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