Cancer Res Treat.  2010 Dec;42(4):199-202.

Trends of Mammography Use in a National Breast Cancer Screening Program, 2004-2008

• Lim SM
• Lee HY
• Choi KS
• Jun JK
• Park EC
• Kim Y
• Han MA
• Oh DK
• Shim JI

Abstract

PURPOSE
Korea started breast cancer screening as part of the National Cancer Screening Program (NCSP) in 1999. In order to identify under-served groups, we investigated mammography uptake in the National Breast Cancer Screening Program.
MATERIALS AND METHODS
The study population was participants in the National Breast Cancer Screening Program from 2004 to 2008. We analyzed participation rates by insurance type, age group, and area of residence.
RESULTS
Total participation rates for breast cancer screening increased from 18.2% in 2004 to 35.0% in 2008. The participation rate in the group aged 60 to 69 years showed the greatest increase, 21.3%, among the four age groups. Although the screening rate increased continuously, the participation rate of the Medical Aid Program (MAP) group was low compared to the National Health Insurance (NHI) group. Moreover, the increasing trend of mammography uptake in the MAP group was much lower than that of the NHI group.
CONCLUSION
The participation rate for breast cancer screening in the NCSP in Korea has increased. However, the participation rate in mammography among MAP recipients is still lower than that of NHI beneficiaries. To increase mammography uptake, it is important to make it available to everyone by ensuring inclusion of all population subgroups.

Keyword

Breast neoplasms; Mammography; National Cancer Screening Program; Patient participation

MeSH Terms

Aged
Breast
Breast Neoplasms
Early Detection of Cancer
Humans
Insurance
Korea
Mammography
Mass Screening
National Health Programs
Patient Participation

Reference

1. Park SK, Kang D, Kim Y, Yoo KY. Epidemiologic characteristics of the breast cancer in Korea. J Korean Med Assoc. 2009; 52:937–945.

2. Lee JH, Yim SH, Won YJ, Jung KW, Son BH, Lee HD, et al. Population-based breast cancer statistics in Korea during 1993-2002: incidence, mortality, and survival. J Korean Med Sci. 2007; 22(Suppl):S11–S16. PMID: 17923736.

3. Ahn SH. Clinical characteristics of breast cancer patients in Korea in 2000. Arch Surg. 2004; 139:27–30. PMID: 14718270.

4. Korean Breast Cancer Society. Early screening of breast cancer in Korea. J Korean Breast Cancer Soc. 2002; 5:225–234.

5. Miles A, Cockburn J, Smith RA, Wardle J. A perspective from countries using organized screening programs. Cancer. 2004; 101(Suppl 5):1201–1213. PMID: 15316915.

6. Iinuma T, Matsumoto T, Tateno Y. Cost-effectiveness of mass screening for breast cancer, using mammography with physical examination, as a function of the screening interval. J Jpn Assoc Breast Cancer Screen. 1999; 8:23–30.

7. Vainio H, Bianchini F, editors. Breast cancer screening. 2002. Lyon: IARC Press;(IARC handbooks of cancer prevention; vol. 7).

8. Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB. Cancer incidence in five continents. 1997. volume Vll. Lyon: IARC Scientific Publications.

9. Cancer trends progress report-2007 update [Internet]. US National Cancer Institute. cite 2010 October 20. Bethesda: National Cancer Institute;Available from: http://cancercontrolplanet.cancer.gov/atlas/progressreport/alacarte/.

10. Breast screening programme, England 2007-2008 [Internet]. The Health and Social Care Information Center, NHS. c2009. cite 2010 October 20. Leeds: The Health and Social Care Information Centre, NHS;Available from: http://www.ic.nhs.uk/webfiles/publications/breastscreening0708/Breast%20Screening%20Programme%20Report%2007-08.pdf.

11. Health Statistics in Japan 2007 [Internet]. Ministry of Health, Labour and Welfare, Japan. cite 2010 September 20. Tokyo: Ministry of Health, Labour and Welfare;Available from: http://www.mhlw.go.jp/english/database/db-hss/dl/hs2007a.pdf.

12. A working group chaired by Sir Patrick Forrest. Breast cancer screening: report to the Health Ministers of England, Wales, Scotland & Northern Ireland. 1986. London: HMSO.

13. Smigal C, Jemal A, Ward E, Cokkinides V, Smith R, Howe HL, et al. Trends in breast cancer by race and ethnicity: update 2006. CA Cancer J Clin. 2006; 56:168–183. PMID: 16737949.

14. Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R. Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. J Natl Cancer Inst. 2001; 93:1704–1713. PMID: 11717331.

15. Peek ME, Han JH. Disparities in screening mammography. Current status, interventions and implications. J Gen Intern Med. 2004; 19:184–194. PMID: 15009798.

16. Blustein J. Medicare coverage, supplemental insurance, and the use of mammography by older women. N Engl J Med. 1995; 332:1138–1143. PMID: 7700288.

17. Ward E, Jemal A, Cokkinides V, Singh GK, Cardinez C, Ghafoor A, et al. Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004; 54:78–93. PMID: 15061598.

18. Dershaw DD, Loring L, True SJ, Momrow DC, Liberman L, Morris EA. A comparison of screening mammography results from programs for women of different socioeconomic status. Cancer. 1998; 82:1692–1697. PMID: 9576290.

19. Evans WP 3rd, Starr AL, Bennos ES. Comparison of the relative incidence of impalpable invasive breast carcinoma and ductal carcinoma in situ in cancers detected in patients older and younger than 50 years of age. Radiology. 1997; 204:489–491. PMID: 9240541.

20. Snell JL, Buck EL. Increasing cancer screening: a meta-analysis. Prev Med. 1996; 25:702–707. PMID: 8936572.

21. Wagner TH. The effectiveness of mailed patient reminders on mammography screening: a meta-analysis. Am J Prev Med. 1998; 14:64–70. PMID: 9476837.

22. Legler J, Meissner HI, Coyne C, Breen N, Chollette V, Rimer BK. The effectiveness of interventions to promote mammography among women with historically lower rates of screening. Cancer Epidemiol Biomarkers Prev. 2002; 11:59–71. PMID: 11815402.

23. Kim J, Jang SN. Socioeconomic disparities in breast cancer screening among US women: trends from 2000 to 2005. J Prev Med Public Health. 2008; 41:186–194. PMID: 18515996.

24. Yoo KY, Yoon H, Shin A, Shin HR. Risks and benefits of breast cancer screening. J Korean Assoc Cancer Prev. 2001; 6:131–139.