Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)

Abstract There has been controversy regarding the clinical utility of fecal occult blood test (FOBT) as a screening tool for colorectal cancer (CRC) in the general population. The purpose of this study was to examine the results of Korea national CRC screening using FOBT from 2006 to 2013 and to eva...

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Autores principales:	John Hoon Rim, Taemi Youk, Jung Gu Kang, Byung Kyu Park, Heon Yung Gee, Jeong-Ho Kim, Jongha Yoo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/89b29e9ef6ac4368a82b5607c0f09429
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spelling	oai:doaj.org-article:89b29e9ef6ac4368a82b5607c0f094292021-12-02T16:06:48ZFecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)10.1038/s41598-017-03134-92045-2322https://doaj.org/article/89b29e9ef6ac4368a82b5607c0f094292017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03134-9https://doaj.org/toc/2045-2322Abstract There has been controversy regarding the clinical utility of fecal occult blood test (FOBT) as a screening tool for colorectal cancer (CRC) in the general population. The purpose of this study was to examine the results of Korea national CRC screening using FOBT from 2006 to 2013 and to evaluate the implementation of the program. We analyzed the results of FOBT, colonoscopy, and the side effects during colonoscopy for the subjects (n = 20,609,909) from the Korea National Health Insurance Cancer Screening database. For evaluation of Korea national CRC screening program implementation over the 8-year period, we calculated uptake rate, FOBT positivity rate, and subsequent test compliance rate. The overall uptake rate was 30.1%, with an increasing pattern from 2006 to 2011. A relatively higher FOBT positivity rate (6.4%) and lower subsequent test compliance rate (46.6%) were observed in comparison to the results previously reported in Western countries. Side effects reported within 3 months period after colonoscopy accounted for 0.17% of all procedures, with bleeding being the most prevalent type. Although the implementation of CRC screening program using FOBT in Korea seems successful, trends in key indicators for Korea national CRC screening program should be monitored continuously.John Hoon RimTaemi YoukJung Gu KangByung Kyu ParkHeon Yung GeeJeong-Ho KimJongha YooNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q John Hoon Rim Taemi Youk Jung Gu Kang Byung Kyu Park Heon Yung Gee Jeong-Ho Kim Jongha Yoo Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
description	Abstract There has been controversy regarding the clinical utility of fecal occult blood test (FOBT) as a screening tool for colorectal cancer (CRC) in the general population. The purpose of this study was to examine the results of Korea national CRC screening using FOBT from 2006 to 2013 and to evaluate the implementation of the program. We analyzed the results of FOBT, colonoscopy, and the side effects during colonoscopy for the subjects (n = 20,609,909) from the Korea National Health Insurance Cancer Screening database. For evaluation of Korea national CRC screening program implementation over the 8-year period, we calculated uptake rate, FOBT positivity rate, and subsequent test compliance rate. The overall uptake rate was 30.1%, with an increasing pattern from 2006 to 2011. A relatively higher FOBT positivity rate (6.4%) and lower subsequent test compliance rate (46.6%) were observed in comparison to the results previously reported in Western countries. Side effects reported within 3 months period after colonoscopy accounted for 0.17% of all procedures, with bleeding being the most prevalent type. Although the implementation of CRC screening program using FOBT in Korea seems successful, trends in key indicators for Korea national CRC screening program should be monitored continuously.
format	article
author	John Hoon Rim Taemi Youk Jung Gu Kang Byung Kyu Park Heon Yung Gee Jeong-Ho Kim Jongha Yoo
author_facet	John Hoon Rim Taemi Youk Jung Gu Kang Byung Kyu Park Heon Yung Gee Jeong-Ho Kim Jongha Yoo
author_sort	John Hoon Rim
title	Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
title_short	Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
title_full	Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
title_fullStr	Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
title_full_unstemmed	Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)
title_sort	fecal occult blood test results of the national colorectal cancer screening program in south korea (2006–2013)
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/89b29e9ef6ac4368a82b5607c0f09429
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Fecal Occult Blood Test Results of the National Colorectal Cancer Screening Program in South Korea (2006–2013)

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