• Title/Summary/Keyword: 조기 암 검진

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Effect of Thyroid Cancer on Ultrasound Screening (갑상선암 초음파 수검의도에 영향을 미치는 요인)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.802-805
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    • 2011
  • 본 연구는 갑상선암 초음파 수검의도에 영향을 미치는 요인들을 규명하기 위해 시도하였다. 자료는 2010년 12월 13일부터 2011년 1월 31일까지 한 종합병원 건강검진센타에 내원한 검진자 205명을 대상으로 설문 및 면접조사로 도출하였다. 연구결과 첫째, 보건의료에 따른 갑상선암 초음파수검의도는 수검의도가 있는 응답자의 경우 본인의 건강이 양호하다는 85.5%로 건강이 양호하지 못하다의 14.5%보다 유의하게 높았다($X^2$=6.73 p<.01). 둘째 갑상선암 초음파수검의도의 영향요인은 본인이 건강하다는 사람이 그렇지 않은 사람에 비해 2.53배 수검의도가 유의하게 높았다(95% Cl=1.39-12.7) 따라서 홍보를 통한 초음파검진에 대한 국민적 호응을 유도하는 것이 갑상선암의 조기발견을 위한 초음파검진 정책을 효율적으로 운영하는 대안이 될 것이다.

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Estimating the Value of Statistical Life by Analysing Disease Protective Behavior: Focusing on Medical Examination of Cancer (질병예방행위 분석을 통한 확률적 인간생명가치 추정: 암 검진 행위 분석을 중심으로)

  • Shin, YoungChul
    • Environmental and Resource Economics Review
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    • v.17 no.4
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    • pp.845-873
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    • 2008
  • This study estimates the VSL(value of a statistical life) as well as the WTP(willingness to pay) for mortality risk reduction using sample selection model with data on liver cancer examination which is associated with little possibility of multi-purpose(i.e. joint production) in averting behavior. The marginal benefits of mortality risk reduction are estimated by applying for household production function model with medical expense and the time required for medical examination of liver cancer. Individuals are more likely to take liver cancer test if they are male, older, higher educated, those with spouse, smoker, more income of household, and more anxious about their health. The costs of liver cancer examination are statistically significantly affected with expected signs by size of mortality risk reduction, sex, period of eduction, those with spouse, and household income. The marginal effect of mortality risk reduction owing to taking liver cancer examination is estimated at 321,097 won. The costs of liver cancer examination are increased by 905 won with more one year of education period and by 1,743 won with more one million won in household income. On liver cancer examination, male spends more 12,310 won than female and those with spouse pay more 7,969 won than those without spouse. Therefore the VSL from mortality risk reduction due to liver cancer examination is 321.10 million won at mean size of mortality risk reduction and mean cost of liver cancer examination. The results of sensitivity tests on costs and effects of liver cancer test shows that the VSLs are estimated in a range from 160.55 million won to 642.19 million won.

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Convergence Study on Factors that Influence Cancer Screening Rate in Korea and Japan (한일간 암검진 수검율에 영향을 미치는 정책적 요인에 대한 융합연구)

  • Mun, Sung-Hyun
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.247-253
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    • 2015
  • The purpose of this convergence study was to analysis the current status of the cancer screening and background healthcare systems in Korea and Japan. First, Cancer Screening Program is coordinated well with National Health Insurance Service(NHIS) under a unified insurer system in Korea. But in Japan, there are over 3,500 insurer and coordinating a comprehensive strategy for cancer screening promotion has been very difficult. Second, Rate of cancer screening is influenced by public healthcare system. In Korea public healthcare does not cover a wide rage of services. Almost free cancer screening provides high incentive to participation. It is very important to understand the impacts of each healthcare system when designing an efficient cancer screening system.

Cervical cancer screening strategies based on stochastic process (확률모형을 이용한 자궁경부암 조기검진 전략)

  • Phee, Young-Gyu;Lee, Jeong-Hee;Jeong, Seong-Hwa
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.1
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    • pp.129-138
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    • 2010
  • The purpose of this study was to investigate the most cost-effectiveness screening strategies for cervical cancer in Korea. We calculated the age-specific cervical cancer incidence rate from Korea Central Cancer Registry (2003), and then estimated the schedule sensitivity, detection probability, and screening and confirmative costs of each screening strategy based on the stochastic process (Lee and Zelen, 1998). The efficiency of the screening strategy was evaluated by incremental cost-effectiveness analysis. The most effective strategy was every 3 years pap smear test between the age of 35 and 65 years in the cervical cancer screening. The findings of this study will be helpful to evaluate efficiency of cancer screening strategies, and to provide the theoretical background of development and assessment of early detection of cancer in Korea.

Factors Influencing on Rectal Cancer Screening (직장암 검진에 영향을 미치는 요인 분석)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.941-946
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    • 2011
  • 본 연구는 직장암 검진에 영향을 미치는 요인을 규명하기 위해 시도하였다. 자료수집은 2011년 1월 10일부터 2월 23일까지 서울에 소재한 건강검진센터에 내원한 환자 211명을 대상으로 설문 및 면접조사를 하였다. 연구결과 첫째, 성별의 경우 남성 수검자는 74.2%로 비수검자 31.6%보다 유의하게 높은 분포를 보였다((p=0.035). 둘째, 흡연여부는 흡연자가 수검하는 경우는 47.4%, 비수검자는 25.4%로 두군간의 유의한 차이를 보였다(p=0.006). 셋째, 가족력이 있는 경우가 가족력이 없는 경우에 비해 교차비가 1.95로 유의하게 나타났다(95% Cl=1.69-3.41). 이러한 결과를 토대로 직장암 검진을 위한 적극적인 홍보를 위한 장-단기적인 전략을 세우는 것이 직장암 조기발견을 위한 효율적인 정책이라고 할 수 있겠다.

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명사칼럼-예방과 조기검진이 가장 중요한 '암'

  • Kim, Yeong-Gon
    • 건강소식
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    • v.32 no.7
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    • pp.4-5
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    • 2008
  • 오래 사는 것 보다 건강을 유지하며 사는 것을 더욱 중요시하는 시대에 한국인이 가장 조심해야 할 질병은 암. 우리나라 국민들이 평균수명까지 생존할 경우 암에 걸릴 확률은 남자 27.7%, 여자 22.2%로 국민 3명 당 1명은 암에 걸릴 수 있다. 그러나 암은 금연, 균형 잡힌 식단, 꾸준한 운동 등 생활 습관을 올바르게 유지함으로써 예방 할 수 있고, 초기에 발견하면 치료 확률도 높다.

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A Study on the Effect of Info Seeking on Breast Cancer Screening Intention: Focusing on HBM and Autonomous Motives (건강 정보 추구가 유방암 검진행동에 미치는 영향 연구: 건강신념모형과 자율적 동기를 중심으로)

  • Ku, Yunhee;Noh, Ghee Young
    • Journal of Digital Contents Society
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    • v.19 no.7
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    • pp.1381-1387
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    • 2018
  • This study was conducted to find ways to improve people's perceptions to prevent and detect breast cancer. Health belief model(HBM) was used to examine the relationship between. risk perception of breast cancer, and benefit perception, and information seeking. In addition, the role of autonomous motives was included in the model. The results shows that the more people perceived cancer as dangerous, or perceived cancer screeing as beneficial, the more likely they seek relavant health information. Also, high autonomous motives showed positive effects on info seeking. Information seeking behaviors also had a positive impact on health screening intentions.

Usefulness of $^{18}F$-FDG Fusion PET for Diagnosing an Early Stage Cancer (조기 암 진단을 위한 $^{18}F$-FDG Fusion PET의 유용성)

  • Jeon, Jae-Hwan;Kim, Byeong-Jin;Lee, Hong-Jae;Kim, Jin-Eui;Kim, Hyun-Joo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.145-149
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    • 2010
  • Purpose: Recently, $^{18}F$-FDG Fusion PET which has a high sensitivity for diagnosing cancer is being used for purpose of health examination. This study is to demonstrate that $^{18}F$-FDG fusion PET study is useful for diagnosing an early stage cancer. Materials and Methods: This research has been conducted with 2790 patients visited Seoul National University Hospital Healthcare System (SNUHHS) for $^{18}F$-FDG fusion PET study for a health examination from February, 2004 to December 2008. PET/CT images were acquired from skull base to femur after 1 hour from injecting $^{18}F$-FDG 0.14 mCi/kg to the patients. GEMINI GS (Philips, Netherlands) was used for scanning. Results: From February 2004 to December 2008, $^{18}F$-FDG Fusion PET study was performed for 99,009 patients among all patients who visited SNUHHS and 2,790 patients was performed. Diagnostic rate for malignant cancer was 0.95% for the patients who were not examined by $^{18}F$-FDG Fusion PET study. 1.94% was for the patients who were. The rate of malignant tumor was showed 10% and benign tumor was 90% among 542 patients who showed abnormality in the PET/CT images. Types and rates of malignant tumor showed thyroid cancer: 31.5%, lung cancer: 14.8%, stomach cancer: 9.3%, rectum cancer: 3.7%, breast cancer: 3.7%, metastasis cancer: 16.7%. Nonspecific lymph node in the mediastinum, physiologic uptake in the colon, diffuse mild hypermetabolism in bilateral thyroid gland were shown as a benign tumor. Conclusion: The diagnostic rate of malignant tumor with $^{18}F$-FDG Fusion PET for a purpose of health examination was relatively higher than general medical examination. Consequently, it is superior and useful for applying $^{18}F$-FDG Fusion PET study for health examination.

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