Cancer Res Treat.  2015 Apr;47(2):149-157. 10.4143/crt.2013.167.

Setting a Health Policy Research Agenda for Controlling Cancer Burden in Korea

Affiliations
  • 1Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea. ecpark@yuhs.ac

Abstract

PURPOSE
The aim of study was to provide suggestions for prioritizing research in effort to reduce cancer burden in Korea based on a comprehensive analysis of cancer burden and Delphi consensus among cancer experts.
MATERIALS AND METHODS
Twenty research plans covering 10 topics were selected based on an assessment of the literature, and e-mail surveys were analyzed using a two-round modified Delphi method. Thirty-four out of 79 experts were selected from four organizations to participate in round one, and 21 experts among them had completed round two. Each item had two questions; one regarding the agreement of the topic as a priority item to reduce cancer burden, and the other about the importance of the item on a nine-point scale. A consensus was defined to be an average lower coefficient of variation with less than 30% in importance.
RESULTS
Seven plans that satisfied the three criteria were selected as priority research plans for reducing cancer burden. These plans are "research into advanced clinical guidelines for thyroid cancer given the current issue with over-diagnosis," "research into smoking management plans through price and non-price cigarette policy initiatives," "research into ways to measure the quality of cancer care," "research on policy development to expand hospice care," "research into the spread and management of Helicobacter pylori," "research on palliative care in a clinical setting," and "research into alternative mammography methods to increase the accuracy of breast cancer screenings."
CONCLUSION
The seven plans identified in this study should be prioritized to reduce the burden of cancer in Korea. We suggest that policy makers and administrators study and invest significant effort in these plans.

Keyword

Cancer burden; Delphi technique; Agenda; Research plan; Priority; Thyroid neoplasms; Hospices; Helicobacter pylori; Early detection of cancer

MeSH Terms

Administrative Personnel
Breast Neoplasms
Consensus
Delphi Technique
Early Detection of Cancer
Electronic Mail
Health Policy*
Helicobacter
Helicobacter pylori
Hospices
Humans
Korea
Mammography
Palliative Care
Policy Making
Smoke
Smoking
Thyroid Neoplasms
Tobacco Products
Smoke

Reference

References

1. Soerjomataram I, Lortet-Tieulent J, Parkin DM, Ferlay J, Mathers C, Forman D, et al. Global burden of cancer in 2008: a systematic analysis of disability-adjusted life-years in 12 world regions. Lancet. 2012; 380:1840–50.
Article
2. Jung KW, Won YJ, Kong HJ, Oh CM, Seo HG, Lee JS. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2010. Cancer Res Treat. 2013; 45:1–14.
Article
3. Lee KS, Park JH. Burden of disease in Korea during 2000-10. J Public Health (Oxf). 2014; 36:225–34.
Article
4. Kim J, Hahm MI, Park EC, Park JH, Park JH, Kim SE, et al. Economic burden of cancer in South Korea for the year 2005. J Prev Med Public Health. 2009; 42:190–8.
Article
5. Jung KW, Won YJ, Kong HJ, Oh CM, Seo HG, Lee JS. Prediction of cancer incidence and mortality in Korea, 2013. Cancer Res Treat. 2013; 45:15–21.
Article
6. Woolf SH, Stange KC. A sense of priorities for the healthcare commons. Am J Prev Med. 2006; 31:99–102.
Article
7. Austin P, Henderson S, Power I, Jirwe M, Alander T. An international Delphi study to assess the need for multiaxial criteria in diagnosis and management of functional gastrointestinal disorders. J Psychosom Res. 2013; 75:128–34.
Article
8. Park JH, Lee KS, Choi KS. Burden of cancer in Korea during 2000-2020. Cancer Epidemiol. 2013; 37:353–9.
Article
9. Park S, Jung KW, Park EH, Lee B, Boniol M, Boffetta B, et al. Attributable causes of cancer in Korea. In : Proceedings of the 72nd Annual Meeting of the Japanese Cancer Association; 2013 Oct 3-5; Yokohama, Japan. Tokyo: Japanese Cancer Association;2013.
10. Jee SH, Samet JM, Ohrr H, Kim JH, Kim IS. Smoking and cancer risk in Korean men and women. Cancer Causes Control. 2004; 15:341–8.
Article
11. Shin A, Park S, Shin HR, Park EH, Park SK, Oh JK, et al. Population attributable fraction of infection-related cancers in Korea. Ann Oncol. 2011; 22:1435–42.
Article
12. Kang MH, Park EC, Choi KS, Suh M, Jun JK, Cho E. The National Cancer Screening Program for breast cancer in the Republic of Korea: is it cost-effective? Asian Pac J Cancer Prev. 2013; 14:2059–65.
Article
13. Sugiyama T. Development of gastric cancer associated with Helicobacter pylori infection. Cancer Chemother Pharmacol. 2004; 54 Suppl 1:S12–20.
Article
14. Kweon SS, Shin MH, Chung IJ, Kim YJ, Choi JS. Thyroid cancer is the most common cancer in women, based on the data from population-based cancer registries, South Korea. Jpn J Clin Oncol. 2013; 43:1039–46.
Article
15. Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA. 2006; 295:2164–7.
Article
16. Do YK, Farooqui MA. Differential subjective responsiveness to a future cigarette price increase among South Korean youth smokers. Nicotine Tob Res. 2012; 14:209–16.
Article
17. Do YK, Park K. Local governments' dependence on tobacco tax revenue: a deterrent to tobacco control in the Republic of Korea. Bull World Health Organ. 2009; 87:692–9.
Article
18. Oh PJ, Han SJ. Meta-analysis of psychosocial interventions to reduce pain in patients with cancer. J Korean Acad Nurs. 2013; 43:658–68.
Article
19. Jung M. Cancer control and the communication innovation in South Korea: implications for cancer disparities. Asian Pac J Cancer Prev. 2013; 14:3411–7.
Article
20. Do MY, Lee YC, Choi CH, Kim SJ, Mun CS, Moon HJ, et al. The changes in prevalence and the related factors of Helicobacter pylori infection in Korean health check-up subjects during 8 years. Korean J Gastroenterol. 2009; 53:76–83.
21. Yoon H, Kim N, Lee HS, Shin CM, Park YS, Lee DH, et al. Helicobacter pylori-negative gastric cancer in South Korea: incidence and clinicopathologic characteristics. Helicobacter. 2011; 16:382–8.
Article
22. Khanna AK, Seth P, Nath G, Dixit VK, Kumar M. Correlation of Helicobacter pylori and gastric carcinoma. J Postgrad Med. 2002; 48:27–8.
23. Gotzsche PC, Nielsen N. Screening for breast cancer with mammography. Cochrane Database Syst Rev. 2006; (4):CD 001877.
Article
24. Kalager M, Zelen M, Langmark F, Adami HO. Effect of screening mammography on breast-cancer mortality in Norway. N Engl J Med. 2010; 363:1203–10.
Article
25. Cho N, Moon WK, Chang JM, Yi A, Koo HR, Han BK. Sonographic characteristics of breast cancers detected by supplemental screening US: Comparison with breast cancers seen on screening mammography. Acta Radiol. 2010; 51:969–76.
Article
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