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A Survey of Liver Cancer Specialists’ Views on the National Liver Cancer Screening Program in Korea

대한간암학회지 2020년 20권 1호 p.53 ~ 59
손원, 이영선, 이재근, 안지현, 장은선, 이동호, 신동현,
소속 상세정보
손원 ( Sohn Won ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
이영선 ( Lee Young-Sun ) - Korea University College of Medicine Department of Internal Medicine
이재근 ( Lee Jae-Geun ) - Yonsei University College of Medicine Department of Surgery
안지현 ( An Ji-Hyun ) - Korea University College of Medicine Department of Internal Medicine
장은선 ( Jang Eun-Sun ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Internal Medicine
이동호 ( Lee Dong-Ho ) - Seoul National University College of Medicine Seoul National University Hospital Department of Radiology
신동현 ( Sinn Dong-Hyun ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine

Abstract


Background/Aims: To reduce the cancer burden, the Korean government initiated the National Cancer Control Plan including the National Liver Cancer Screening Program (NLCSP). Ultrasonography examinations and α-fetoprotein tests at six-month intervals are currently offered for high-risk individuals. High-risk individuals are identified by reviewing the National Health Insurance Service claims data for medical use for the past two years using International Classification of Diseases Codes for specific liver disease. We surveyed the attitudes and opinions towards the NLCSP to understand the issues surrounding the NLCSP in Korea.

Methods: Altogether, 90 Korean Liver Cancer Association members participated in online and offline surveys between November and December 2019.

Results: Approximately one-quarter (27%) of the survey participants rated the NLCSP as very contributing and about two-thirds (68%) as contributing to some extent toward reducing hepatocellular carcinoma (HCC)-related deaths in Korea. Most (87.8%) responded that the current process of identifying high-risk individuals needs improvement. Many (78.9%) were concerned that the current process identifies individuals who use medical services and paradoxically misses those who do not. When asked for the foremost priority for improvement, solving ‘duplication issues between the NLCSP and private clinic HCC screening practices’ was the most commonly selected choice (23.3%).

Conclusions: The survey participants positively rated the role of the NLCSP in reducing liver cancer deaths. However, many participants rated the NCLSP as needing improvement in all areas. This survey can be a relevant resource for future health policy decisions regarding the NLCSP in Korea.

키워드

ocellular carcinoma; National Cancer Screening Program; Survey

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