scholarly journals Association of Regular Endoscopic Screening with Interval Gastric Cancer Incidence in the National Cancer Screening Program

2021 ◽  
Vol 11 (1) ◽  
pp. 230
Author(s):  
Choong-Kyun Noh ◽  
Eunyoung Lee ◽  
Gil Ho Lee ◽  
Sun Gyo Lim ◽  
Bumhee Park ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Screening ◽  
Screening Program ◽  
Interval Cancer ◽  
Endoscopic Screening ◽  
Screening Programs ◽  
Cancer Screening Program ◽  
Interval Cancer Rate ◽  
History Of

Although regular endoscopic screening may help in early detection of gastric cancer, interval cancer remains a problem in the screening program. This study evaluated the association between regular endoscopic screening and interval cancer detection in the Korean National Cancer Screening Program (KNCSP). We defined three groups (regularly, irregularly, and not screened) according to the screening interval, and the trends in the interval cancer rate (ICR) between the groups were tested using the Cochran–Armitage test. The influence of regular endoscopic screening on the risk of interval cancer was evaluated using multivariable logistic regression. Among the 11,642,410 participants who underwent endoscopy, the overall ICR was 0.36 per 1000 negative screenings. The ICR of the not screened group (0.41) was the highest among the three groups and the risk of interval cancer in this group was 1.68 times higher (p < 0.001) than that in the regularly screened group. Women in their 40s who had regular screening with no history of intestinal metaplasia and gastric polyps would have the lowest probability of having interval cancer (0.005%). Regular participation in endoscopic screening programs for reducing the risk of interval cancer may help to improve the quality of screening programs.

Do fears of getting cancer and family history of cancer influence participation in opportunistic screening or organized screening for gastric cancer?

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e13045-e13045
Author(s):  
Myung-Il Hahm ◽  
Kui Son Choi ◽  
Hoo-Yeon Lee ◽  
Mina Suh ◽  
Yoon Young Lee ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Screening ◽  
Family History ◽  
Screening Program ◽  
Opportunistic Screening ◽  
Screening Programs ◽  
Family History Of Cancer ◽  
History Of ◽  
Gastric Cancer Screening ◽  
History Of Cancer

e13045 Background: Cancer is the leading cause of death in Korea. Individuals with a family history of cancer might overestimate their personal risk for getting cancer and report high cancer-related worry or concern. Those factors could positively or negatively influence on cancer screening behavior. Although Korea has a universal screening program for common cancers, some people still choose opportunistic screening program with out-of-pocket costs. This study was to identify association between fears of getting cancer and participation on opportunistic anc organized screening programs for cancer. Methods: The study population was derived from the Korean National Cancer Screening Survey 2013, which is annual survey conducted by National Cancer Center of Korea in order to investigate trends of participation rates among general population in cancer screening. 3,004 individuals aged over 40 years were finally selected as study subjects. Chi-square tests and multinomial logistic regression model were used to identify factors associated with being screened for gastric cancer. Results: A total of 2,078 of the subjects (69.2%) underwent gastric cancer screening, of which 311 individuals (10.4%) participated in opportunistic and 1,767 individuals (58.8%) participated in organized screening programs. After adjusting socio-demographic factors and health behaviors, worry and concern about cancer were identified as factors positively associated with being screened for gastric cancer. ORs for undergoing gastric cancer screening were elevated for both screening programs according to the level of worry and concern about cancer (p for trend < 0.05). We did not found relationship between family history of gastric cancer and participation. Conclusions: The results of this study suggest that fears of getting cancer such as worry and concerned about cancer had a stronger influence on participation in not only organized screening program but also opportunistic screening program. We could identify that ORs for undergoing the opportunistic screening were slightly higher than those for undergoing the organized screening in terms of cancer worry and cancer concern.

scholarly journals Self-Reported Questionnaire Detects Family History of Cancer in a Pancreatic Cancer Screening Program

2016 ◽  
Vol 26 (4) ◽  
pp. 806-813 ◽  
Author(s):  
Aimee L. Lucas ◽  
Adam Tarlecki ◽  
Kellie Van Beck ◽  
Casey Lipton ◽  
Arindam RoyChoudhury ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Cancer Screening ◽  
Family History ◽  
Screening Program ◽  
Family History Of Cancer ◽  
Pancreatic Cancer Screening ◽  
Cancer Screening Program ◽  
History Of ◽  
History Of Cancer

scholarly journals Quality Assessment of Colonoscopy Reporting: Results from a Statewide Cancer Screening Program

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Jun Li ◽  
Marion R. Nadel ◽  
Carolyn F. Poppell ◽  
Diane M. Dwyer ◽  
David A. Lieberman ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Screening Program ◽  
Quality Of Reporting ◽  
Specimen Retrieval ◽  
Cancer Screening Program ◽  
Size And Morphology ◽  
Data Elements ◽  
Assess Quality

This paper aimed to assess quality of colonoscopy reports and determine if physicians in practice were already documenting recommended quality indicators, prior to the publication of a standardized Colonoscopy Reporting and Data System (CO-RADS) in 2007. We examined 110 colonoscopy reports from 2005-2006 through Maryland Colorectal Cancer Screening Program. We evaluated 25 key data elements recommended by CO-RADS, including procedure indications, risk/comorbidity assessments, procedure technical descriptions, colonoscopy findings, specimen retrieval/pathology. Among 110 reports, 73% documented the bowel preparation quality and 82% documented specific cecal landmarks. For the 177 individual polyps identified, information on size and morphology was documented for 87% and 53%, respectively. Colonoscopy reporting varied considerately in the pre-CO-RADS period. The absence of key data elements may impact the ability to make recommendations for recall intervals. This paper provides baseline data to assess if CO-RADS has an impact on reporting and how best to improve the quality of reporting.

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

2011 ◽  
Vol 43 (2) ◽  
pp. 83-88 ◽  
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

scholarly journals Does regular quality control improve the quality of surgery in Slovenian breast cancer screening program?

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Andraz Perhavec ◽  
Sara Milicevic ◽  
Barbara Peric ◽  
Janez Zgajnar
Keyword(s):  
Breast Cancer ◽  
Quality Control ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Program ◽  
Diagnostic Procedures ◽  
Breast Cancer Screening Program ◽  
Cancer Screening Program ◽  
Quality Of Surgery

AbstractBackgroundThe aim of our study was to evaluate the quality of surgery of Slovenian breast cancer screening program (DORA) using the requested EU standards. Furthermore, we investigated whether regular quality control over the 3-year period improved the quality of surgical management.Patients and methodsPatients who required surgical management within DORA between January 1st, 2016 and December 31st, 2018 were included in the retrospective study. Quality indicators (QIs) were adjusted mainly according to European Society of Breast Cancer Specialists (EUSOMA) and European Breast Cancer Network (EBCN) recommendations. Five QIs for therapeutic and two for diagnostic surgeries were selected. Additionally, variability in achieving the requested QIs among surgeons was analysed.ResultsBetween 2016 and 2018, 14 surgeons performed 1421 breast procedures in 1398 women. There were 1197 therapeutical (for proven breast cancer) and 224 diagnostic surgical interventions respectively. Overall, the minimal standard was met in two QIs for therapeutic and none for diagnostic procedures. A statistically significant improvement in three QIs for therapeutic and in one QI for diagnostic procedures was observed however, indicating that regular quality control improves the quality of surgery. A high variability in achieving the requested QIs was observed among surgeons, which remained high throughout the study period.ConclusionsAdherence to all selected surgical QIs in patients from screening program is difficult to achieve, especially to those specifically defined for screen-detected lesions. Regular quality control may improve results over time. Reducing the number of surgeons dedicated to breast pathology may reduce variability of management inside the institution.

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

2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 13-13 ◽  
Author(s):  
B. Kim ◽  
W. Cheon ◽  
J. Kim ◽  
J. Park ◽  
S. Kim
Keyword(s):  
Gastric Cancer ◽  
Cancer Screening ◽  
Screening Tool ◽  
Screening Program ◽  
Cost Effective ◽  
Female Ratio ◽  
Cancer Screening Program ◽  
Japanese Studies ◽  
Gastric Cancer Screening ◽  
Asymptomatic Subjects

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.

QIM19-119: Validity of the French-Language Mammography Satisfaction Instrument Evaluating Women’s Satisfaction With an Organized Breast Cancer Screening Program: A Confirmatory Study

2019 ◽  
Vol 17 (3.5) ◽  
pp. QIM19-119
Author(s):  
Isabelle Bairati ◽  
Anne-Sophie Julien ◽  
Jocelyne Chiquette
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Physical Environment ◽  
Screening Program ◽  
French Language ◽  
Breast Cancer Screening Program ◽  
Cancer Screening Program ◽  
University Level

Background: To evaluate the quality of an organized mammography screening program based on the perception of screened women, we developed and validated the French-language Mammography Satisfaction Instrument (MSI). The study objective was to confirm the validity and reliability of the MSI. Methods: A confirmatory study was conducted among 529 women who had had a recent screening mammography under the Quebec Breast Cancer Screening Program (PQDCS). Eligible women from the Quebec City region completed the online MSI between January 14 and May 23, 2016. The MSI originally included 14 items evaluating 4 factors: satisfaction with (1) the technician’s skills; (2) the physical environment; (3) the staff’s communication skills; and (4) the information provided under the program. A fifth factor with 2 items, evaluating mammography accessibility, was added. A confirmatory factor analysis (CFA) was done and goodness of fit indices were generated (SRMR, CFI, RMSEA with its 90% CI). Item reliability and composite reliability were estimated. Variance extract estimates (VEEs) were generated to assess the amount of variance explained by the factors. Multivariate logistic regressions were done to test the sensitivity of each scale to identify subgroups of unsatisfied women. Odds ratios (OR) and their 95% CI were estimated. Results: Most women (62.0%) were aged 55–64, and 32.9% had university level education. The CFA demonstrated that the 5 factors fitted the data well (SRMR=0.044; CFI=0.969; RMSEA=0.055 with its 90% CI: 0.047–0.063). Item reliabilities (≥0.55) and composite reliabilities (≥0.87) were high. All VEEs were also high (≥0.70). Pain during compression, anxiety before the mammography, perception of not having an excellent health, and the radiologic centers were the factors the most consistently and significantly associated with the 5 scales of satisfaction. In addition, women with university level education were less satisfied with the staff’s communication skills (OR=0.64; 95% CI: 0.43–0.97) and those having had less than 10 lifetime mammograms were less satisfied with the physical environment (OR=0.52; 95% CI: 0.33–0.83) and the accessibility (OR=0.53; 95% CI: 0.31–0.92). Conclusions: This confirmatory study showed the good reliability and validity of the construct of the 16-item MSI with 5 factors. The MSI is useful to detect unsatisfied women and to improve the quality of organized breast cancer screening programs.

Technologists' Characteristics and Quality of Positioning in Daily Practice in a Canadian Breast Cancer Screening Program

2016 ◽  
Vol 23 (11) ◽  
pp. 1359-1366 ◽  
Author(s):  
Marie-Hélène Guertin ◽  
Isabelle Théberge ◽  
Hervé Tchala Vignon Zomahoun ◽  
Michel-Pierre Dufresne ◽  
Éric Pelletier ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Program ◽  
Daily Practice ◽  
Breast Cancer Screening Program ◽  
Cancer Screening Program
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