Browse > Article
http://dx.doi.org/10.12799/jkachn.2021.33.2.237

The Relationship between 5-year Overall Survival Rate, Socioeconomic Status and SEER Stage for Four Target Cancers of the National Cancer Screening Program in Korea: Results from the Gwangju-Jeonnam Cancer Registry  

Kang, Jeong-Hee (Department of Nursing, U1 University)
Kim, Chul-Woung (College of Medicine.Department of Preventive Medicine.Research Institute for Medical Sciences, Chungnam National University)
Kweon, Sun-Seog (Medical School.Department of Preventive Medicine, Chonnam National University.Gwangju-Jeonnam Cancer Registry, Chonnam National University Hwasun Hospital)
Publication Information
Research in Community and Public Health Nursing / v.33, no.2, 2022 , pp. 237-246 More about this Journal
Abstract
Purpose: The aim of this study was to investigate the relationship between the 5-year survival rate, socioeconomic status, and SEER (Surveillance Epidemiology and End Results) stage of stomach, colorectal, breast and cervical cancer patients. Methods: A total of 11,770 cases of four target cancers, which were diagnosed during 2005-2007, were extracted from the database of Gwangju-Jeonnam Regional Cancer Registry. The subjects of the study were 11,770 including stomach (n=5,479), colorectal (n=3,565), breast (n=1,516) and cervical cancers (n=710). Cox's proportional hazards model was used to obtain the hazards ratio (HR) according to the SEER stage and socioeconomic status. Results: Stomach cancer had a significantly higher HR in the medical aid recipients (HR=1.39), and the group below 20% (HR=1.20) compared to the group with the highest income level. Colorectal cancer had a significantly higher HR in the medical aid recipients (HR=1.26) than in the group with the highest income level. In addition, stomach, colorectal, breast and cervical cancers had a significantly higher HR according to the SEER stage in regional direct (stomach=4.10, colorectal=1.76, breast=12.90, cervical=3.10), regional lymph only(stomach=2.58, colorectal=2.33, breast=4.32, cervical=4.43), regional both (stomach=6.74 colorectal=3.04, breast=15.57 cervical=6.50), and regional NOS (Not Otherwise Specified)/distant (stomach=17.53, colorectal=11.53, breast=25.34, cervical=26.51) than in situ and localized only. Conclusion: In order to increase the cancer survival rate, a support system for early detection and early treatment of cancer should be established for groups with low individual income levels, and regular health checkups and management measures should be actively implemented through the National Cancer Screening Program.
Keywords
Cancer survivors; Cancer staging; Screening; Socioeconomic status; SEER program;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 National Cancer Center. National Cancer Management Project. [Internet]. Goyang: National Cancer Center. 2021 [cited 2021 October 29]. Available from: https://ncc.re.kr/main.ncc?uri=manage01_1
2 Oh DL, Santiago-Rodriguez EJ, Canchola AJ, Ellis L, Tao L, Gomez SL. Changes in colorectal cancer 5-year survival disparities in California, 1997-2014. Cancer Epidemiology and Prevention. 2020;29(6):1154-1161. https://doi.org/10.1158/1055-9965.EPI-19-1544   DOI
3 Kim CW, Lee SY, Moon OR. Inequalities in cancer incidence and mortality across income groups and policy implications in South Korea. Public Health. 2008;122(3):229-236.   DOI
4 Annie FH, Uejio CK, Bhagat A, Kochar T, Embrey S, Tager A. Survival analysis of cancer patients of differing payer type in South West Virginia, between 2000 and 2013. Cureus. 2018;10(7):e3022. https://doi.org/10.7759%2Fcureus.3022   DOI
5 Shankaran V, Jolly S, Blough D, Ramsey SD. Risk factors for financial hardship in patients receiving adjuvant chemotherapy for colon cancer: A population-based exploratory analysis. Journal of Clinical Oncology. 2012;30(14):1608-1614. https://doi.org/10.1200/JCO.2011.37.9511   DOI
6 Son MA, Kim SJ, Lee JY. Development of epidemiological indicators and policy development to reduce health inequality between cancer occurrence and death. Seoul: Ministry of Health, Welfare and Family Affairs; 2008 December. Report No: 11-1351000-000466-01.
7 Kweon SS, Kim MG, Kang MR, Shin MH, Choi JS. Difference of stage at cancer diagnosis by socioeconomic status for four target cancers of the National Cancer Screening Program in Korea: Results from the Gwangju and Jeonnam cancer registries. Journal of Epidemiology. 2017;27(7):299-304. https://doi.org/10.1016/j.je.2016.07.004   DOI
8 Byers TE, Wolf HJ, Bauer KR, Bolick-Aldrich S, Chen VW, Finch JL, et al. The impact of socioeconomic status on survival after cancer in the United States: findings from the National Program of Cancer Registries Patterns of Care Study. Cancer. 2008;113(3):582-591. https://doi.org/10.1002/cncr.23567   DOI
9 Kim DJ, Lee SY, Ki M, Kim MH, Kim SS, Kim YM, et al. Health inequality indicators and policy tasks in Korea. Sejong: Korea Institute for Health and Social Affairs; 2013 December. Report No.: 1105008158.
10 Park UJ. Survival rate of cancer patients of national merit. Health Policy and Management. 2021;31(1):35-45. https://doi.org/10.4332/KJHPA.2021.31.1.35   DOI
11 Part MJ. Income status and mortality of breast cancer surgery patients in South Korea [dissertation]. [Seoul]: Yonsei University; 2009. 65 p.
12 Ryu W. Visualization of regional mortality ratios by major causes of death. Proceedings of the Korean Institute of Information and Commucation Sciences Conference. 2018;149-151.
13 Freeman HP, Chu KC. Determinants of cancer disparities: Barriers to cancer screening, diagnosis, and treatment. Surgical Oncology Clinics of North America. 2005;14(4):655-669. https://doi.org/10.1016/j.soc.2005.06.002   DOI
14 Korea Central Cancer Registry/Cancer Registration Learning Center. The SEER stage of cancer. [Internet]. Goyang: Korea Central Cancer Registry 2021. [cited 2021 Oct 29]. Available from: https://training.kccr.cancer.go.kr/user/jsp/canceweapon/summarystaging.jsp
15 Dhahri A, Kaplan J, Naqvi SMH, Brownstein NC, Ntiri SO, Imanirad I, et al. The impact of socioeconomic status on survival in stage III colon cancer patients: A retrospective cohort study using the SEER census tract dataset. Cancer Medicine. 2021;10(16):5643-5652. https://doi.org/10.1002/cam4.4099   DOI
16 Swords DS, Mulvihill SJ, Brooke BS, Firpo M, Scaife CL. Size and importance of socioeconomic status-based disparities in use of surgery in nonadvanced stage gastrointestinal cancers. Annals of Surgical Oncology, 2020;27(2):333-341. https://doi.org/10.1245/s10434-019-07922-7   DOI
17 Lee YS, Lee SY, Han IY. A study on the improvement of cancer care service system for health care disparities in korea: Based on cancer patient navigation program. Health and Social Welfare Review. 2011;31(3):308-340.   DOI
18 Statistics KOREA. Cancer incidence and mortality. [Internet]. Daejeon: Statistics KOREA. 2021 [cited 2021 October 29]. Available from: https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2770
19 National Cancer Center, Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2018. [Internet]. Goyang: National Cancer Control Institute. 2021 [cited 2021 October 29]. Available from: https://ncc.re.kr/cancerStatsView.ncc?bbsnum=558&searchKey=total&searchValue=&pageNum=1
20 American Cancer Society. Report: Social determinants must be addressed to advance health equity. Georgia: American Cancer Society. 2019 [cited 2021 October 29]. Available from: https://www.cancer.org/latest-news/report-social-determinants-must-be-addressed-to-advance-health-equity.html
21 Kweon SS, Lee YH, Choi JS, Shin MH, Kim HY, Choi SW. Brief communication: Cancer survival and status of national health insurance in a community. Korean Academy of Health Policy and Management. 2009;19(2):127-134.   DOI
22 Statistics KOREA. National Cancer Screening Examination Rate [Internet]. Daejeon: Statistics KOREA. 2018 [cited 2021 October 29]. Available from: https://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1440