- Volume 13 Issue 11
DOI QR Code
Evaluation of Health Status of a Population Underwent Routine Medical Check Up at the High Risk Screening Clinic in National Cancer Institute
- Sangrajrang, Suleeporn (Research Division, National Cancer Institute) ;
- Chokvanitphong, Vanida (Out Patient Division, National Cancer Institute) ;
- Sumetchotimaytha, Wutti (Out Patient Division, National Cancer Institute) ;
- Khuhaprema, Thiravud (Surgical Oncology Division, National Cancer Institute)
- Published : 2012.11.30
The objective of the study was to evaluate the efficacy of a health check-up program among Thai people at the National Cancer Institute in the years 2008-2009. The program included history taking, physical examination, chest X-ray, EKG, and laboratory tests. A total of 28,240 women and 9,665 men were included in the study, with mean ages of 44.5 and 46.9 years, respectively. The study showed that obesity, as assessed by a BMI over 25.0 kg/m2, in men and women was present in 41.4% and 30%, respectively. Biochemical study revealed that anemia was prevalent in 21.6% of men and 20.1% of women. High plasma glucose level (>115 mg/dL), cholesterol level (>200 mg/dL), triglyceride level (>190 mg/dL) in men was 13.8%, 63.8%, 22.6% and 7.7%, 61.1%, 8.9% in women. Hepatitis B virus infection was found 7.5% in men and 4.1% in women. In this study, 177 new cancer cases were detected, of which 35 were breast, 19 were cervical and 26 were colorectal, most of these cancers being detected at early stage. In addition, precancerous states was also found including 718 cases of benign and 99 cases of adenoma in situ. In conclusion, an annual check up may detect abnormalities that have no obvious clinical symptoms of disease. Early detection of asymptomatic neoplasms and precursor lesions should contribute to a prompt provision of treatment and further decline of death from cancer.
- Aekplakorn W, Porapakkham Y, Taneepanichskul S, et al (2009). Fourth report on survey of health status in Thai populations by physical examination, 2008-2009. National health examination survey office. Bangkok.
- Collins MM, Barry MJ (1996). Controversies in prostate cancer screening. Analogies to the early lung cancer screening debate. JAMA, 276, 1976-9. https://doi.org/10.1001/jama.1996.03540240054031
- Eheman C, Henley SJ, Ballard BR, et al (2012). Annual Report to the Nation on the status of cancer, 1975-2008, featuring cancers associated with excess weight and lack of sufficient physical activity. Cancer, 118, 2338-66. https://doi.org/10.1002/cncr.27514
- Guzick DS (1978). Efficacy of screening for cervical cancer: a review. Am J Public Hlth, 68, 125-34. https://doi.org/10.2105/AJPH.68.2.125
- Jean D, Nadine M, Jean CF, et al (1998) Cigarette Smoking Is Associated with Unhealthy Patterns of Nutrient Intake: a Meta-analysis. J Nutr, 128, 1450-7. https://doi.org/10.1093/jn/128.9.1450
- Kerley-Hamilton JS, Trask HW, Ridley CJ, et al (2012). Obesity is mediated by differential aryl hydrocarbon receptor signaling in mice fed a Western diet. Environ Hlth Perspect, 120, 1252-9. https://doi.org/10.1289/ehp.1205003
- Khuhaprema, T, Srivatanakul, P, Attasara P, et al (2002). Cancer incidence in Thailand 2001-2003. National cancer institute. Bangkok, Thailand.
- Levin B, Lieberman DA, McFarland B, et al (2008). American cancer society colorectal cancer advisory group; us multisociety task force; American college of radiology colon cancer committee. screening and surveillance for the early detection of colorectal cancer and adenomatous polyps: a joint guideline from the American cancer society, the us multi-society task force on colorectal cancer, and the american college of radiology. Gastroenterology, 134, 1570-95. https://doi.org/10.1053/j.gastro.2008.02.002
- Roger C, Jennifer MC, Tracy D, et al (2011). Screening for prostate cancer -a review of the evidence for the U.S. preventive services task force. Annals of Int Med, 155, 662-771.
- Tabar L, Dean PB (1987). The control of breast cancer through mammography screening: what is the evidence? In: E. A. Sickles (ed.). The Radiologie Clinics of North America (Breast Imaging), Philadelphia, W.B. Saunders Company, pp. 993-1005.
- US Preventive Services Task Force (2011). Recommendations for adults: cancer. Rockville, MD: Available online at: http://www.uspreventiveservicestaskforce.org/adultrec.htm Accessed January 17, 2012.
- World Health Organization (2001). Introduction of hepatitis B vaccine into childhood immunization services. unpublished document WHO/V&B/01.31 available on request from Department of Vaccines and Biologicals, World Health Organization, 1211 Geneva 27, Switzerland).
- Yancik R (1983). Frame of reference: old age as the context for the prevention and treatment of cancer. In: R. Yancik, P. P. Carbone, W. B. Patterson, et al. (eds.). Perspectives on Prevention and Treatment of Cancer in the Elderly. Raven Press, New York.
- Screening in the Era of Economic Crisis: Misperceptions and Misuse from a Longitudinal Study on Greek Women Undergoing Benign Vacuum-assisted Breast Biopsy vol.14, pp.9, 2013, https://doi.org/10.7314/APJCP.2013.14.9.5023
- Validation of a Multiplex Allele-Specific Polymerase Chain Reaction Assay for Detection of KRAS Gene Mutations in Formalin-Fixed, Paraffin-Embedded Tissues from Colorectal Cancer Patients vol.11, pp.1, 2016, https://doi.org/10.1371/journal.pone.0147672