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국가암조기검진 사업의 유방암 검진 수검과 유방암 발생의 관련성

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Author(s)
한미아
Issued Date
2009
Abstract
Aims : The incidence of breast cancer in Korea is rapidly increasing. The increased cancer incidences is typically interpreted as a rise in the true occurrence of disease but may also reflect changing pathological criteria or increased diagnostic activity. Randomized controlled trials have shown that the policy of mammographic screening contributes to a substantial and significant reduction in breast cancer mortality. We assessed the participation rate of the National Cancer Screening Program (NCSP), which was initiated in 1999 so as to decrease death rates from cancer by early detection and treatment, and analyzed data to find the effect of breast cancer screening on cancer incidence.
Methods : We collected data from target population of NCSP in 2002-2005 and accessed participation in cancer screening. The women were classified into a screening group who participated in breast cancer screening or a nonscreening group without such experience. The outcome was expressed as the incidence rate of breast cancer. The incidence of breast cancer in follow-up period was identified using Korea Central Cancer Registry Database. The follow-up period was 1 year from their screening in the first group and the year when they had a screening invitation in the second group. Age standardized rate (ASR), standardized incidence ratio (SIR) and standardized rate ratio (SRR) were calculated for comparing the effect of breast screening on cancer incidence.
Results : Yearly age standardized participation rates gradually increased (13.7%, 17.1%, 18.0% and 24.4% in 2002-2005) while the incidence rates of breast steadily increased from 2002 to 2005. The cancer incidence rates of breast were significantly high in our study population compared with those of Korea's total population. The rate ratio for incidence of breast cancer in the screening group was significantly high, compared to that of the nonscreening group in 2002-2005.
Conclusions : The incidence rates of breast cancer were significantly high in screening group compared with nonscreening group. The increase of breast cancer incidence in Korea could be explained with the combination of screening effect and increased risk factors for breast cancer.
Alternative Title
The association between the participation of breast cancer screening and incidence in National Cancer Screening Program
Alternative Author(s)
Han, Mi Ah
Affiliation
조선대학교 대학원 의학과, 국립암센터 국가암관리사업단
Department
일반대학원 의학과
Advisor
김기순
Awarded Date
2010-02
Table Of Contents
ABSTRACT vi

I. 서론 1

II. 연구대상 및 방법 5

A. 연구대상 5
B. 자료수집방법 7
C. 조사변수 정의 9
D. 자료 분석 13

III. 연구결과 14

A. 대상자의 일반적 특성 14
B. 유방암 검진 수검률 16
C. 유방암 발생률 19
D. 유방암 검진 수검에 따른 유방암 발생률 25
E. 유방암의 조직학적 유형 33

IV. 고찰 36

V. 요약 및 결론 44

참고문헌 45
Degree
Doctor
Publisher
조선대학교
Citation
한미아. (2009). 국가암조기검진 사업의 유방암 검진 수검과 유방암 발생의 관련성.
Type
Dissertation
URI
https://oak.chosun.ac.kr/handle/2020.oak/8451
http://chosun.dcollection.net/common/orgView/200000239250
Appears in Collections:
General Graduate School > 4. Theses(Ph.D)
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  • Embargo2010-01-25
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