Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Comparative Analysis of Stomach Cancer Stages and Related Factors according to the Diagnosis Path

위암 환자의 진단 경로에 따른 병기 및 관련요인의 차이

  • Lee, Hyun-Ah (Chung cheongnam-do Health and Environmental Research Institute Department of Food analysis) ;
  • Lee, Tae-Yong (Department of preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Kim, Young-Ran (Department of Radiotechnology, Wonkwang Health Science University)
  • 이현아 (충남보건환경연구원 식품분석과) ;
  • 이태용 (충남대학교 의학전문대학원 예방의학교실) ;
  • 김영란 (원광보건대학교 방사선과)
  • Received : 2015.01.09
  • Accepted : 2015.04.09
  • Published : 2015.04.30
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Abstract

The purpose of this study is to compare the difference between stomach cancer stages and related factors according to the diagnosis path. The self-administered questionnaire was filled out by 375 inpatients with primary stomach cancers who had been scheduled at Chungnam National University Hospital were targeted for the survey during the period from August 1st 2010 to March 31st 2013. Rogistic regression model were estimated to identify related factors between Medical checkups group and symptom group. As a results, the study suggests that early checkups is important because ratio of early stomach cancer is higher in Medical checkups group than in symptom group(p=0.001). And if there was a symptom at diagnosis of stomach cancer, stomach cancer stage appeared to have a strong possibility(p=0.001). If cancer screening has been widely implemented and supported by a large scale prospective studies will be possible even in the most appropriate tests and interval estimation for the country.

본 연구는 위암 진단 당시 진단 경로에 따라 병기 및 관련요인의 차이가 있는지 비교하기 위해 시행되었다. 조사대상은 충남대학교 병원에서 위암에 대해 진단 받은 뒤 수술하기 위해 내원한 환자 375명으로 하였으며, 자료 수집은 2010년 8월 1일부터 2013년 3월 31일까지 표준화된 자기기입식 설문지를 사용하여 수집하였다. 증상군과 검진군간에 영향을 미치는 요인의 위험도를 측정하기 위해 로지스틱회귀분석을 사용 하였다. 연구결과, 검진군에서의 조기위암의 비율이 증상군에서 보다 유의하게 높아(p=0.001) 조기검진의 중요성을 시사해 주었다. 또한 증상군은 검진군에 비해 병기가 상대적으로 높았다.(p=0.001). 앞으로 위암 선별검사가 널리 시행되고 대규모의 전향적인 연구가 뒷받침 되면 우리나라에 가장 적절한 검사 및 간격에 대한 추정까지도 가능할 것이다.

Keywords

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