Cancer Res Treat.  2024 Apr;56(2):522-530. 10.4143/crt.2023.729.

Temporal Trend in Uptake of the National General Health Checkups and Cancer Screening Program among Korean Women with Breast Cancer

• Tran TXM
• Kim S
• Cha C
• Park B

• KMID: 2554341
• DOI: http://doi.org/10.4143/crt.2023.729

Abstract

Purpose
This study assessed the temporal trends of uptake of national general health and cancer screening among women with breast cancer in Korea between 2009 and 2016.
Materials and Methods
We retrospectively analyzed the claims data from the Korean National Health Insurance Service database. Participants included 101,403 breast cancer patients diagnosed between 2009 and 2016. Information on participation in national screening programs, including breast cancer screening, general health, and gastric, colorectal, and cervical cancers, up to 2020 was collected. Screening participation rates within the first 2 and 5 years postdiagnosis were calculated by diagnosis year and fitted with joinpoint regression models to assess temporal trends.
Results
Overall, the participation rate in breast cancer screening within 2 years postdiagnosis increased from 10.9% to 14.0% from 2009-2016, with an annual percentage change (APC) of 3.7% (p < 0.05). The participation rate in breast cancer screening was lower than that in general health checkup and screening for other cancers within 2 and 5 years postdiagnosis. A steady increase in screening trends was also observed for general health, gastric, colorectal, and cervical cancers, with APC of 5.3%, 5.7%, 6.9%, and 7.6% in the 2-year postdiagnosis rate, and APC of 3.6%, 3.7%, 3.7%, and 4.4% in 5-year postdiagnosis rate, respectively. The screening rate was highest among age groups 50-59 and 60-69 in 2009 and significant upward trends were observed in all age groups for general health checkup and gastric, colorectal, and cervical cancer screening.
Conclusion
Among female breast cancer survivors in Korea, the uptake rate of screenings for general health and various cancers, including breast, gastric, colorectal, and cervical cancers, has shown a gradual increase in recent years.

Keyword

Breast neoplasms; Breast cancer survivors; General health checkup; Gastric cancer screening; Colorectal cancer screening; Medical adherence

Figure

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  Fig. 1. Flowchart of selection of the study population.

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  Fig. 2. Temporal trend in uptake of breast cancer screening within 2 and 5 years postdiagnosis among breast cancer survivors. Trend lines modeled by joinpoint are shown as lines and symbols denote observed rates. Annual percentage change (APC) for screening rate within 2 years was assessed for diagnosis year from 2009-2016, and APC for screening rate within 5 years was assessed for diagnosis year from 2009-2015.

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  Fig. 3. Temporal trend in uptake of general health checkup and gastric, colorectal, and cervical cancer screening within 2 and 5 years postdiagnosis among breast cancer survivors. Trend lines modeled by joinpoint are shown as lines and symbols denote observed rates. Annual percentage change (APC) for screening rate within 2 years was assessed for diagnosis year from 2009-2016, and APC for screening rate within 5 years was assessed for diagnosis year from 2009-2015.

Reference

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