Effectiveness of Cervical Cancer Screening Over Cervical Cancer Mortality Among Japanese Women

Aklimunnessa, Khandoker; Mori, Mitsuru; Khan, M. Monirul H.; Sakauchi, Fumio; Kubo, Toshikazu; Fujino, Yoshihisa; Suzuki, Sadao; Tokudome, Shinkan; Tamakoshi, Akiko

doi:10.1093/jjco/hyl060

Cited by 24 publications

(25 citation statements)

References 52 publications

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“…For example, the implementation of cervical cancer screening programs has decreased the incidence and mortality rate of cervical cancer in Europe and North America [14,24], as well as in Asia [25,26]. Based on the age-period-cohort analysis results, period effects imply that this screening has beneficial effects [14].…”

Section: Discussionmentioning

confidence: 99%

Trends and Age-Period-Cohort Effects on the Incidence and Mortality Rate of Cervical Cancer in Korea

Moon

Won

et al. 2017

Cancer Res Treat

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PurposeThis study was conducted to describe the trends and age-period-cohort effects on the incidence and mortality rate of cervical cancer in Korea.Materials and MethodsThe incidence and mortality rate of cervical cancer among ≥ 20-year-old women from 1993 to 2012 were obtained from the Korea Central Cancer Registry and the Korean Statistical Information Service. Age-standardized rates were calculated and Joinpoint regression was used to evaluate the trends in the incidence and mortality rate. Age-period-cohort analysis was performed to investigate the independent effects of age, period and cohort.ResultsThe incidence of cervical cancer decreased from 32.8 per 100,000 in 1993 to 15.9 per 100,000 in 2012 (annual percent change [APC], –3.9%; 95% confidence interval [CI], –4.2% to –3.6%). The mortality rate decreased from 5.2 per 100,000 in 1993 to 2.1 per 100,000 in 2012 (APC, –4.8%; 95% CI, –5.1% to –4.4%); however, the incidence and mortality rates among young women (< 30 years old) increased. An age-period-cohort model of the incidence and mortality rate showed decreasing period effects between 1993 and 2008 and decreasing cohort effects between 1928 and 1973, while birth cohorts after 1973 exhibited slight increases in the incidence and mortality rate of cervical cancer.ConclusionRecent decreases in the incidence and mortality rate of cervical cancer were due to decreases in the period and cohort effects, which reflect the implementation of a cancer screening program and changes in lifestyle. However, our findings also highlighted an increase in cohort effects on the incidence and mortality rate among young women born after 1973.

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Section: Discussionmentioning

confidence: 99%

Trends and Age-Period-Cohort Effects on the Incidence and Mortality Rate of Cervical Cancer in Korea

Moon

Won

et al. 2017

Cancer Res Treat

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“…Several studies demonstrated that cervical canser screening by Pap test reduces mortality rates. (Nygard et al, 2002;Abed et al, 2006;Aklimunnessa et al, 2006;Taylor et al, 2006). Currently, there is no organized population-based screening program available for the whole World.…”

Section: Discussionmentioning

confidence: 99%

Population-Based Cervical Screening Outcomes in Turkey over a Period of Approximately Nine and a Half Years with Emphasis on Results for Women Aged 30-34

Şengül¹,

Altınay²,

Oksuz³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…In Japan, local governments instituted a cancer detection program in the 1960s; however, this was replaced by a national cancer detection program run by the central government upon establishment of the Health and Medical Services Law for the Aged. Cervical cancer screening started in 1982, and the participation rate was 18.8% in 2009 [14,15]. …”

Section: Discussionmentioning

confidence: 99%

Current status of the National Cancer Screening Program for cervical cancer in Korea, 2009

et al. 2012

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ObjectiveThe National Cancer Screening Program (NCSP) began in 1999. In this report, we evaluate the results of the NCSP for cervical cancer in 2009 and provide participation rates in an organized cervical cancer screening program in Korea.MethodsUsing data obtained from the National Cancer Screening Information System, cervical cancer screening participation rates were calculated. Recall rates, defined as the proportion of abnormal cases among women screened, were also estimated with 95% confidence intervals.ResultsThe target population of cervical cancer screening in 2009 included 4,577,200 Korean women aged 30 and over, 1,349,668 of whom underwent the Papanicolaou smear test (29.5% participation rate). Compared with the participation rate of women covered by the National Health Insurance Program (31.3%), the participation rate of women covered by the Medical Aid Program was lower (18.4%). Participation rates also varied in different age groups (the highest of 39.3% in women aged 50 to 59 and the lowest of 14.4% in those aged 70 and older), and different areas (the highest of 34.1% in Busan and the lowest of 21.5% in Chungnam). The overall recall rate for cervical cancer screening was 0.41% (95% confidence interval, 0.40 to 0.42).ConclusionAccording to our study, efforts to facilitate participation and reduce disparities in cervical cancer screening among Korean women are needed.

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Effectiveness of Cervical Cancer Screening Over Cervical Cancer Mortality Among Japanese Women

Abstract: CC screening in Japan may reduce CC mortality significantly for women aged 30-79 years. However, further studies with more CC deaths and increased statistical power are needed to validate the findings.

Cited by 24 publications

References 52 publications

Trends and Age-Period-Cohort Effects on the Incidence and Mortality Rate of Cervical Cancer in Korea

Trends and Age-Period-Cohort Effects on the Incidence and Mortality Rate of Cervical Cancer in Korea

Population-Based Cervical Screening Outcomes in Turkey over a Period of Approximately Nine and a Half Years with Emphasis on Results for Women Aged 30-34

Current status of the National Cancer Screening Program for cervical cancer in Korea, 2009

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