Cancer Registration in Korea: The Present and Furtherance

암 등록사업의 현황과 추진방향

  • Ahn, Yoon-Ok (Seoul Cancer Registry & Department of Preventive Medicine, Seoul National University College of Medicine)
  • 안윤옥 (서울시 지역암 등록사업소, 서울의대 예방의학교실)
  • Published : 2007.07.31

Abstract

It was not until 1975 that cancer registration was initiated in Korea; voluntary registration of cancer patients of training hospitals throughout the country began under the auspices of the Korean Cancer Society(KCS). However, an official cancer registration, the Korea Central Cancer Registry(KCCR), began on July 1st, 1980. Forty-five training and two non-training hospitals throughout the country initiated registration of patients in whom neoplasms had been found. Data related to case information specified are to be sent to the KCCR at the National Medical Center(it moved at National Cancer Center in 2000). The initial cancer registration of KCS was merged to the KCCR in 1980. Although the KCCR covers most all the large training hospitals in Korea, it cannot provide incidence data. It is, however, the only of its kind in the world, being neither hospital nor population based. The first population based cancer registry(PBCR) was launched in a small county, Kangwha(it has around 80,000 inhabitants), by Yonsei University Medical College in 1983. All data were collected by active methods, and incidence statistics for 1986-1992 appeared in Vol VII of the CI5. Another PBCR, Seoul Cancer Registry(SCR), started in 1991. It was supported by a civilian foundation, the Korean Foundation for Cancer Research. The basic idea of case registration of SCR was the incorporation of KCCR data to PBCR, e. g. dual sources of case registration, i.e., from the KCCR and also including cases diagnosed in small hospitals and other medical facilities. Assessing completeness and validity of case registration of SCR, the program and methodology used by the SCR was later extended to other large cities and areas in Korea, and the PBCR in each area was established. Cancer incidence statistics of Seoul for 1993-1997, Busan for 1996-1997, and Daegu for 1997-1998, as well as Kangwha for 1993-1997, appeared eventually in Vol VIII of the CI5. The Korean or 'pillar' model for a PBCR is a new one. The KCCR data file is a reliable basis, as a pillar, for a PBCR in each area. The main framework of the model for such a registry is the incorporation of a KCCR data file with data from additionally surveyed cases; the data related to cancer deaths, medical insurance claims, and visit-and surveillance of non-KCCR medical facilities. Cancer registration has been adopted as a national cancer control program by Korean government in 2004 as the Anti-Cancer Act was enacted. Since then, some officers have tried to launch a nation-wide PBCR covering whole country. In the meantime, however, cancer registration was interrupted and discontinued for years due to the Privacy Protection Law, which was solved by an amendment of the Anti-Cancer Act in 2006. It would be premature to establish the nation-wide PBCR in Korea. Instead, continuous efforts to improve the completeness of registration of the KCCR, to progress existing PBCRs, and to expand PBCRs over other areas are still to be devoted. The nation-wide PBCR in Korea will be established eventually with summation of the PBCRs of the Korean model.

Keywords

References

  1. Jensen OM, Parkin DM, MacClennan R, Muir CS, Skeet RG, Editors. Cancer Registration: Principles and Methods. lARC Scientific Publications No. 95. Lyon: lARC Scientific Publications; 1991
  2. 이충원 편역. 암 등록과 질 관리. 계축문화사;2002
  3. AIm YO. Descriptive Epidemiology of Cancer. In: Seoul National University College of Medicine. Oncology. Seoul: Seoul Natl Univ Press; 2005. p. 5-34 (Korean)
  4. Wagner G. Cancer registration: Historical aspects. In : Parkin DM, Wagner G, Muir CS, Editors. The Role of the Registry in Cancer Control. IARC Scientific Publications No. 66. Lyon: International Agency for Research on Cancer; 1985. p.3-12
  5. Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB, Editors. Cancer Incidence in Five Continents, Vol. VIII. IARC Scientific Publications No. 155. Lyon: IARC Scientific Publications; 2002
  6. Shin HR, Won YJ, Jung KW, Kong HJ, Yim SH, Lee JK, Noh HI, Pisani P, Park JG, Ahn YO, Lee SY, Lee CW, Woo ZH, Lee TY, Choi JS, Yoo CI, Bae JM. Nationwide cancer incidence in Korea, 1999-2001: First result using the national cancer incidence database. Cancer Res Treat 2005; 37(6): 325-331 https://doi.org/10.4143/crt.2005.37.6.325
  7. WHOSIS (WHO Statistical Information System): Mortality database [database on the Internet]. Geneva: World Health Organization. c2007 - [cited 2007 July 3]. Available from: URL:htlp://www.who.int/whosis
  8. Korea National Statistical Office. Korean Statisticallnfonnation System (KOSIS): Annual report on the cause of death statistics. 1983-2005 [database on the Internet]. Daejeon: Korea National Statistical Office - [cited 2007 July 3]. Available from: URL: http://www.kosis.kr
  9. Ministry ofHealth & Welfare. Cancer Incidence Statistics(1999-2001). Gwacheon: Ministry of Health & Welfare; 2005 (Korean)
  10. Kim JB, editors. History of Korea Cancer Society 37 Years, 1966-2003 Seoul: Korea Cancer Society; 2003 (Korean)
  11. Ahn YO, Lee JB, editors. Korea Central Cancer Registry. Two Years' Report for Cancer Registration Programme in ROK: July 1, 1980-June 30, 1982. Seoul: The National Medical Center; 1983 (Korean)
  12. Central Cancer Registry Center in Korea. Annual Report of the Central Cancer Registry in Korea 2002. Gwacheon: Ministry of Health & Welfare; 2003 (Korean)
  13. 안돈희. 중앙암등록사업의 충실도와 타당도를 높이는 방법 개발 연구, 1996년도 보건의료기술 연구개발 사업, 질병지표 탐색 및 건강증진 기술연구 분야 연구개발 보고서. 국립의료원; 1997
  14. 신해림. 중앙암등록 자료 구축 및 충실도 조사, 2002년도 암등록사업 보고서. 국립암센터; 2002
  15. 중앙암등록본부. 국가 암등록사업, 2004년도 국민건강증진기금 국가암예방관리사업의 결과보고서. 국립암센터; 2005
  16. Parkin DM, Whelan SL, Ferlay J, Raymond L, Young J, Editors. Cancer Incidence in Five Continents, Vol. VII. lARC Scientific Publication No. 193. Lyon: IARC Scientific Publications; 1997
  17. Kim JP, Park IS, Abn YO, Shin MH, Abn DH, Kang TW, Ko UR, Ku PS, Kim KY, Kim KH, Kim NK, Kim DJ, Kim DH, Kim BS, Kim SH, Park CT, Min JS, Park TK, Woo BH, Yoo H, Lee SW, Lee SJ, Cho KS, Joo HZ, Ham EK. 1991 Cancer Incidence in Seoul, Korea: Results of the implementation study of the Seoul Cancer Registry. J Korean Med Sci 1995; 10(2): 74-84 https://doi.org/10.3346/jkms.1995.10.2.74
  18. Shin MH, Ahn YO. Evaluation of the completeness and validity of the registration in the implementation study of seoul cancer registry(ISSCR). Korean J Prev Med 1994; 27(4): 735-746 (Korean)
  19. Kim JP, Abn YO, Shin MH, Abn DH. Cancer facts and estimates in Seoul, 1992-1995. Seoul: Korean Foundation for Cancer Research; 1998 (Korean)
  20. Shin HR, Lee DH, Park TS, Abn DH, Ahn YO, Jeong DH. Development of procedures of cancer case ascertainment in pusan city area. Cancer Res Treat 1996; 28(6): 943-950 (Korean)
  21. 안돈희, 안윤옥, 신해림, 천병렬, 최진수, 우제홍, 신명희. 5대 대도시 지역암등록사업, 1998년도 암정복 추진 연구개발사업 보고서. 국립의료원; 1999
  22. Abn YO. Population-based cancer registries in Korea. Asian Pacific J Cancer Prev 2001; 2(IACR Supple): 39-42