Current Status of the National Liver Cancer Surveillance Program in Korea

보건의료기술평가 2017년 5권 2호 p.102 ~ p.107

신상진(Shin Sang-Jin) - National Evidence-Based Healthcare Collaborating Agency
최하진(Tchoe Ha-Jin) - National Evidence-Based Healthcare Collaboration Agency
이자연(Lee Ja-Youn) - National Evidence-Based Healthcare Collaborating Agency
서재경(Suh Jae-Kyung) - National Evidence-Based Healthcare Collaborating Agency
권진원(Kwon Jin-Won) - National Evidence-Based Healthcare Collaborating Agency

Abstract

Objectives: Surveillance for liver cancer has been shown to improve survival via earlier cancer detection. Although liver cancer surveillance is conducted at national level in Korea, little is known of the diagnostic performance and adherence to this surveillance, especially in a real surveillance setting. The purpose of this study was to evaluate the adherence and diagnostic accuracy of the liver cancer surveillance in real practice setting in Korea.

Methods: We used the National Health Insurance Service claims data linked with the National Liver Cancer Surveillance Program (NLCSP) from 2013 to 2015. We analyzed the surveillance adherence and diagnostic accuracy. Sensitivity, specificity, and positive predictability values were assessed based on patients diagnosed with liver cancer within 3, 6, or 12 months after undergoing surveillance during the study period.

Results: The annual surveillance rate resulted that individuals undergoing the NLCSP was 41.2% in 2014. Female, the younger, and people with less comorbidity and more income received more surveillance. The sensitivity of the surveillance program was 37.0% and 40.4% for positive predictive value and it was varied depending on the criteria used to define the diagnosis of liver cancer.

Conclusion: This study highlights the current status of the NLCSP and the needs for continues efforts to help improve
the current surveillance practice in quantitative and qualitative to fulfil the goal of NLCSP.

키워드

Liver neoplasm, Surveillance, Diagnostic accuracy, Surveillance rate
원문 및 링크아웃 정보
등재저널 정보
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
The annual surveillance rate resulted that individuals undergoing the NLCSP was 41.2% in 2014. Female, the younger, and people with less comorbidity and more income received more surveillance.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
KCD코드
ICD 03
건강보험코드