Acceptance on colorectal cancer screening upper age limit in South Korea

作     者：Xuan Quy Luu Kyeongmin Lee Yun Yeong Lee Mina Suh Yeol Kim Kui Son Choi 

作者机构：Graduate School of Cancer Science and PolicyNational Cancer CenterGoyang-si 10408South Korea National Cancer Control InstituteNational Cancer CenterGoyang-si 10408South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2020年第26卷第27期

页      面：3963-3974页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Grant-in-Aid for Cancer Research and Control from the National Cancer Center of Korea No.#1910231-2 

主　　题：Colorectal cancer Cancer early detection Mass screening Patient participation Elderly Patients dropouts 

摘      要：BACKGROUND The Korea National Cancer Screening Program currently provides screening for colorectal cancer(CRC)for adults older than 50 years with no upper age *** general,people are likely to only pay attention to the benefits of cancer screening and to neglect its *** consider the benefits of cancer screening as being far greater than the risks and are unaware that any potential benefits and harms can vary with *** To report acceptance of an upper age limit for CRC screening and factors associated therewith among cancer-free individuals in *** The present study analyzed data from the Korea National Cancer Screening Survey 2017,a nationally representative random sample of 4500 Korean individuals targeted for screening for the five most common types of cancer.A total of 1922 participants were included in the final *** baseline characteristics of the study population are presented as unweighted numbers and weighted *** univariate and multivariate logistic regression models were developed to examine factors related with acceptance of an upper age limit for CRC screening;subgroup analysis was also *** About 80%(1554/1922)of the respondents agreed that CRC screening should not be offered for individuals older than 80 ***,those who had never been screened for CRC had the highest acceptance rate(91%).Overall,screening history for CRC[screened by both fecal occult blood test and colonoscopy,adjusted odds ratio(aOR)=0.33,95%CI:0.22-0.50]and other cancers(aOR=0.55,95%CI:0.34-0.87),as well as a family history of cancer(aOR=0.66,95%CI:0.50-0.87),were negatively associated with acceptance of an upper age limit for CRC *** contrast,metropolitan residents(aOR=1.86,95%CI:1.29-2.68)and people who exercised regularly(aOR=1.42,95%CI:1.07-1.89)were more likely to accept an upper age *** subgrouping,we found gender,marital status,and lifetime smoking history among never-screened individuals and r