Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea

Beomseok Suh, Dong W. Shin, So Y. Kim, Jae Hyun Park, Weon Y. Chang, Seung P. Lim, Chang Yeol Yim, Be Long Cho, Eun Cheol Park, Jong Hyock Park

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: While knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors.Methods: Data were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines.Results: Being screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95% confidence interval, 1.36-3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis.Conclusions: The mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.

Original languageEnglish
Article number557
JournalBMC cancer
Volume12
DOIs
Publication statusPublished - 2012 Nov 26

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Second Primary Neoplasms
Korea
Survivors
Neoplasms
Early Detection of Cancer
Surveys and Questionnaires
Comorbidity

All Science Journal Classification (ASJC) codes

  • Genetics
  • Oncology
  • Cancer Research

Cite this

Suh, Beomseok ; Shin, Dong W. ; Kim, So Y. ; Park, Jae Hyun ; Chang, Weon Y. ; Lim, Seung P. ; Yim, Chang Yeol ; Cho, Be Long ; Park, Eun Cheol ; Park, Jong Hyock. / Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors : a nationwide survey in Korea. In: BMC cancer. 2012 ; Vol. 12.
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abstract = "Background: While knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors.Methods: Data were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines.Results: Being screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95{\%} confidence interval, 1.36-3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis.Conclusions: The mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.",
author = "Beomseok Suh and Shin, {Dong W.} and Kim, {So Y.} and Park, {Jae Hyun} and Chang, {Weon Y.} and Lim, {Seung P.} and Yim, {Chang Yeol} and Cho, {Be Long} and Park, {Eun Cheol} and Park, {Jong Hyock}",
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Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors : a nationwide survey in Korea. / Suh, Beomseok; Shin, Dong W.; Kim, So Y.; Park, Jae Hyun; Chang, Weon Y.; Lim, Seung P.; Yim, Chang Yeol; Cho, Be Long; Park, Eun Cheol; Park, Jong Hyock.

In: BMC cancer, Vol. 12, 557, 26.11.2012.

Research output: Contribution to journalArticle

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T1 - Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors

T2 - a nationwide survey in Korea

AU - Suh, Beomseok

AU - Shin, Dong W.

AU - Kim, So Y.

AU - Park, Jae Hyun

AU - Chang, Weon Y.

AU - Lim, Seung P.

AU - Yim, Chang Yeol

AU - Cho, Be Long

AU - Park, Eun Cheol

AU - Park, Jong Hyock

PY - 2012/11/26

Y1 - 2012/11/26

N2 - Background: While knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors.Methods: Data were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines.Results: Being screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95% confidence interval, 1.36-3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis.Conclusions: The mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.

AB - Background: While knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors.Methods: Data were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines.Results: Being screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95% confidence interval, 1.36-3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis.Conclusions: The mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.

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