암진단 병력에 따른 주요 암 검진율
Screening Rates of Major Cancers after a Cancer Diagnosis in Adults in Korea
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연구배경: 암생존자의 증가와 함께 암생존자의 건강관리의 중요성이 대두되고 있다. 암생존자는 이차암의 위험도가 높은 집단으로 암검진의 필요성 또한 높다. 본 연구에서는 한국인 성인에서 암진단 병력에 따라 주요 암 검진율을 확인하고자 하였다. 방법: 제4기 국민건강영양조사의 면접조사에 참여한 40세부터 80세까지 성인 11,169명을 대상으로 하였다. 암진단력과 진단 시기를 확인하여 암미진단군, 암생존자군, 암추적관찰군으로 나누어 국립암센터의 암검진 가이드라인을 기준으로 주요 암 수검률을 예측하고, 암진단 병력과진단 후 시간이 수검률이 미치는 영향을 평가하였다. 결과: 암생존자군의 위암, 유방암, 자궁경부암, 대장암 수검률은 42.4±4.9%, 45.5±5.6%, 42.1±6.4%, 24.1±3.8%였다. 암추적관찰군에서는 각각 45.6±5.2%, 61.9±6.2%, 48.8±7.0%,20.8±4.3%였다. 암진단 여부는 진단 후 시간경과에 관계없이 위암과 자궁경부암 검사 수검률에 영향을 주지 않았고, 암추적관찰군에서는 유방암(odd ratio [OR], 1.783; 95%confidence interval [CI], 1.044-3.048)과 모든 암검진(OR,2.303; 95% CI, 1.541-3.442)에 대한 수검률이 증가하지만, 암생존자군에서는 대장암 검진수검률(OR 1.701; 95% CI,1.119-2.588)을 제외하고는 암미진단자와 다르지 않았다. 결론: 주요 암 검진 중 유방암 검진 수검률만이 암추적관찰군에서 증가하다가 암진단 후 5년이 경과한 후에는 암미진단군과 차이가 없어졌다. 한국인 암진단자에서 주요암 검진 수검률은 높지 않으며, 암진단 여부와 암검진 수검률은 진단 후 시간경과에 따라 다른 관련성을 보인다.
Abstract
Background: With the number of cancer survivors increasing, follow-up care to deal with problems related to their original cancer is needed. One of these is screening for a second primary cancer as cancer survivors are one of the high-risk groups for cancer occurrence. The purpose of this study was to assess the screening rates of major cancers in patients with a history of cancer in Korea. Methods: Our data were from the 4th Korea National Health and Nutrition Examination Survey. We narrowed the data to include 11,169 adults aged 40 and 80 years. Participants were grouped according to their history of cancer and the time since cancer diagnosis into no cancer group (no cancer diagnosis), cancer survivor group (cancer diagnosis ≥5 years ago), and cancer follow-up group (cancer diagnosis <5 years ago). We estimated the screening acceptance rates of major cancers according to the cancer history and assessed the relationships between them. Results: The cancer screening rates of stomach, breast, cervix, and colon were 42.4±4.9%, 45.5±5.6%, 42.1±6.4%,and 24.1±3.8% for the cancer survivor group and 45.6±5.2%, 61.9±6.2%, 48.8±7.0%, and 20.8±4.3% for the cancer follow-up group. A history of cancer diagnosis was not related to the acceptance rate of stomach and cervical cancer screening. Breast cancer screening (odd ratio [OR], 1.783; 95% confidence interval [CI], 1.044-3.048)increased only in the cancer follow-up group. At 5 years after a cancer diagnosis, only the screening rate for colon cancer (OR, 1.701; 95% CI, 1.119-2.588) persistently increased compared to individuals without a history of cancer. Conclusions: The screening for breast cancer was the only screening examination whose rate increased in the cancer follow-up group, with the significance disappearing in the cancer survivor group. Our results demonstrate that the screening rate for secondary cancers is below optimal in cancer patients in Korea.
참고문헌 (20)
- "Cancer Facts & Figures 2011" (2011)[URL]
- Mariotto AB, "Multiple cancer prevalence: a growing challenge in long-term survivorship", Cancer Epidemiol Biomarkers Prev, 16(3), pp.566~571 (2007)
- Cho J, "A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001-2007", Cancer Causes Control, 21(12), pp.2203~2212 (2010)
- Shin DW, "Knowledge, Attitudes, Risk Perception, and Cancer Screening Behaviors Among Cancer Survivors", CANCER, 117(16), pp.3850~3859, WILEY-BLACKWELL
- 이은하, "Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010", Cancer Research and Treatment, 43(3), pp.141~147 (2011), 대한암학회
- Sheen V, "Cancer screening practices of adult survivors of retinoblastoma at risk of second cancers", Cancer, 113(2), pp.434~441 (2008)
- Snyder CF, "Preventive care for colorectal cancer survivors: a 5-year longitudinal study", J Clin Oncol, 26(7), pp.1073~1079 (2008)
- Hewitt M, "From Cancer Patient to Cancer Survivor: Lost in Transition, In Committee on Cancer Survivorship: Improving Care and Quality of Life, Institute of Medicine and National Research Council", pp.9~186 (2006), The National Academies Press
- 정영일, "한국 성인의 암 수검 관련 요인에 대한 선행 연구 고찰", Korean Journal of Health Promotion, 10(4), pp.185~194 (2010), 대한임상건강증진학회
- Mayer DK, "Screening practices in cancer survivors", J Cancer Surviv, 1(1), pp.17~26 (2007)
- Bellizzi KM, "Health behaviors of cancer survivors: examining opportunities for cancer control intervention", J Clin Oncol, 23(34), pp.8884~8893 (2005)
- Trask PC, "Cancer screening practices among cancer survivors", Am J Prev Med, 28(4), pp.351~356 (2005)
- Nathan PC, "Screening and surveillance for second malignant neoplasms in adult survivors of childhood cancer: a report from the childhood cancer survivor study", Ann Intern Med, 153(7), pp.442~451 (2010)
- Seeff LC, "Patterns and predictors of colorectal cancer test use in the adult U.S. population", Cancer, 100(10), pp.2093~2103 (2004)
- Choi KS, "Increasing uptake of colorectal cancer screening in Korea: a population-based study", BMC Public Health, 10, pp.265~ (2010)
- Rao AV, "The older cancer survivor", Crit Rev Oncol Hematol, 60(2), pp.131~143 (2006)
- Khatcheressian JL, "American Society of Clinical Oncology 2006 update of the breast cancer follow-up and management guidelines in the adjuvant setting", J Clin Oncol, 24(31), pp.5091~5097 (2006)
- McCarthy NJ, "Care of the breast cancer survivor: increased survival rates present a new set of challenges", Postgrad Med, 116(4), pp.39~46 (2004)
- Breen N, "Toward a system of cancer screening in the United States: trends and opportunities", Annu Rev Public Health, 26, pp.561~582 (2005)
- Oeffinger KC, "Breast cancer surveillance practices among women previously treated with chest radiation for a childhood cancer", JAMA, 301(4), pp.404~414 (2009)