Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

  • Sano, Hiroshi (Faculty of Economics, Shiga University) ;
  • Goto, Rei (The Hakubi Center of Advanced Research, Graduate School of Economics, Kyoto University) ;
  • Hamashima, Chisato (Cancer Screening Assessment and Management Division, Research Center for Cancer Prevention and Screening, National Cancer Center)
  • Published : 2014.03.30
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Abstract

Background: Cancer screening rates in Japan are much lower than those in Western countries. This study evaluated the relationship between cancer screening rates and strategies used to improve screening rates, and determined which strategy is the most effective. Materials and Methods: All municipalities are responsible for conducting gastric, lung, colorectal, cervical, and breast cancer screenings in Japan. Of the 1,746 municipalities in total, 92-99% were included in the analyses for each cancer screening. Using national data in 2009, the correlations between cancer screening rates and strategies for improving screening rates of all municipalities, both large (populations of over 30,000) and small (populations of under 30,000), were determined. The strategies used were as follows: sending personal invitation letters, personal visits by community health workers, use of a clinical setting for screening, and free screening. Results: Of all four strategies used to improve cancer screening rates, sending personal invitation letters had the highest correlations with all screening rates, with the exception of breast cancer screening. The partial correlation coefficients linking this strategy with the screening rates in all municipalities were 0.28, 0.32, 0.30, and 0.26 for gastric, lung, colorectal, and cervical cancer screening, respectively. In large municipalities, the correlations between the number of examinees in a clinical setting and the screening rates were also relatively high, particularly for cervical cancer screening (r=0.41). Conclusions: Sending personal invitation letters appears to be particularly effective in improving cancer screening rates in all municipalities. All municipalities should implement a system that sends personal invitation letters for cancer screening. In large municipalities, increasing the availability of screening in a clinical setting is also effective in improving cancer screening rates.

Keywords

References

  1. Arisue T, Yasuda I, Eizuka T, et al (2007). Current status and issues for individual cancer screening. J Gastroenterol Cancer Screen, 45, 172-82.
  2. Baron RC, Rimer BK, Coates RJ, et al (2008a). Methods for conducting systematic reviews of evidence on effectiveness and economic efficiency of interventions to increase screening for breast, cervical, colorectal cancers. Am J Prev Med, 35, 26-33. https://doi.org/10.1016/j.amepre.2008.04.003
  3. Baron RC, Rimer BK, Breslow RA, et al (2008b). Client-directed interventions to increase community demand to breast, cervical, colorectal cancer screening: a systematic review. Am J Prev Med, 35, 34-55. https://doi.org/10.1016/j.amepre.2008.04.002
  4. Baron RC, Rimer BK, Coates RJ, et al (2008c). Client-directed interventions to increase community access to breast, cervical, colorectal cancer screening: a systematic review. Am J Prev Med, 35, 56-66. https://doi.org/10.1016/j.amepre.2008.04.001
  5. Blumenthal DS, Smith SA, Majett CD, Alema-Mensah E (2010). A trial of 3 interventions to promote colorectal cancer screening in African Americans. Cancer, 116, 922-9. https://doi.org/10.1002/cncr.24842
  6. Champion V, Maraj M, Hui S, et al (2003) Comparison of tailored interventions to increase mammography screening in nonadherent older women. Prev Med, 36, 150-8. https://doi.org/10.1016/S0091-7435(02)00038-5
  7. Community Preventive Services Task Force (2013). Cancer prevention and control: client-oriented interventions to increase breast, cervical, colorectal cancer screening. [http:// www.thecommunityguide.org/cancer/screening/clientoriented/ index.html ]
  8. Dolan N, McDermott M, Morrow M, Venta L, Martin G (1999). Impact of same-day screening mammography availability: results of a controlled clinical trial. Arch Intern Med, 159, 393-8. https://doi.org/10.1001/archinte.159.4.393
  9. Frie KG, Ramadas K, Anju G, et al (2013). Determinants of participation in a breast cancer screening trial in Trivandrum District, India. Asian Pac J Cancer Prev, 14, 7301-7. https://doi.org/10.7314/APJCP.2013.14.12.7301
  10. Hamashima C, Shibuya D, Yamazaki H, et al (2008). The Japanese guidelines for gastric cancer screening. Jpn J Clin Oncol, 38, 259-67. https://doi.org/10.1093/jjco/hyn017
  11. Hamashima C, Aoki D, Miyagi E, et al (2010). The Japanese guideline for cervical cancer screening. Jpn J Clin Oncol, 40, 485-504. https://doi.org/10.1093/jjco/hyq036
  12. Hannon PA, Vu T, Ogdon S, et al (2012). Implementation and Process Evaluation of a Workplace Colorectal Cancer Screening Program in Eastern Washington. Health Promot Pract, first published on Jul 13.
  13. Hisamichi S, Fukao A, Sugawara N, et al (1991). Evaluation of mass screening programme for stomach cancer in Japan. Cancer Screening, UICC, Cambridge University Press, Cambridge, 357-72.
  14. King ES, Rimer BK, Seay J, Balshem A, Engstrom PF (1994). Promoting mammography use through progressive interventions: Is it effective? Am J Public Health, 84, 104-6. https://doi.org/10.2105/AJPH.84.1.104
  15. Kuroki H (2012). Survey on the trends in uterine cervical cancer screening in Japanese women: The efficacy of free coupons in the screening. J Obstet Gynaecol Res, 38, 35-9. https://doi.org/10.1111/j.1447-0756.2011.01672.x
  16. Lee MH, Lee YY, Jung DW, et al (2012). Effectiveness of interventions to increase the participation rate of gastric cancer screening in the republic of Korea: a pilot study. Asian Pac J Cancer Prev, 13, 861-6. https://doi.org/10.7314/APJCP.2012.13.3.861
  17. Lobb R, Opdyke KM, McDonnell CJ, et al (2011). Use of evidence-based strategies to promote mammography among medically underserved women. Am J Prev Med, 40, 561-5. https://doi.org/10.1016/j.amepre.2010.12.024
  18. Matsuda T, Monnma T, Oizumi H, et al (2011). Measures to improve the cancer screening rate in Yamagata prefecture. J Gastroenterol Cancer Screen, 49, 252-9.
  19. McAvoy BR, Raza R (1991). Can health education increase uptake of cervical smear testing among Asian women? BM J, 302, 833-6. https://doi.org/10.1136/bmj.302.6780.833
  20. Ministry of Health, Labour, Welfare (2010). Report on regional public health services and health promotion services.
  21. Ministry of Health, Labour, Welfare (2012a). The National Cancer Control Plan.
  22. Ministry of Health, Labour, Welfare (2012b). Assessment on progress of the medical care expenditure regulation plan (mid-year/ FY 2010).
  23. Ministry of Internal Affairs and Communications (2011). Annual report on municipal finances FY 2009.
  24. National cancer center (2013). Recommendation for cancer screenings.
  25. OECD (2011). StatExtracts.
  26. Osaka City (2010). Cancer screenings in the future in Osaka City.
  27. Quinn M, Babb P, Jones J, Allen E (1998). Effect of screening on incidence of and mortality from cancer of cervix in England: evaluation based on routinely collected statistics. BMJ, 318, 904-8.
  28. Sabatino SA, Lawlence B, Elder R, et al (2012). Effectiveness interventions to increase screening for breast, cervical, colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med, 43, 97-118. https://doi.org/10.1016/j.amepre.2012.04.009
  29. Sabatino SA, Habarta N, Baron RC (2008) Interventions to increase recommendation and delivery of screening for breast, cervical, colorectal cancers by healthcare providers: systematic reviews of provider assessment and feedback and provider incentives. Am J Prev Med, 35, 67-74. https://doi.org/10.1016/j.amepre.2008.04.008
  30. Saywell RM Jr, Champion VL, Skinner CS, Menon U, Daggy J (2004). A cost-effectiveness comparison of three tailored interventions to increase mammography screening. J Womens Health, 13, 909-18. https://doi.org/10.1089/jwh.2004.13.909
  31. Saywell RM Jr, Champion VL, Zollinger TM, et al (2003). The cost effectiveness of 5 interventions to increase mammography adherence in a managed care population. Am J Manag Care, 9, 33-44.
  32. Saywell RM Jr, Champion VL, Skinner CS, et al (1999). Costeffectiveness of five interventions to increase mammography screening. Prev Med, 29, 374-82. https://doi.org/10.1006/pmed.1999.0568
  33. Shimada T, Kato K, Inomata Y, Kikuchi R, Shibuya D (2010a). Evaluation of recall letters and application methods in view of increasing gastric cancer screening rates. J Gastroenterol Cancer Screen, 48, 647-54.
  34. Shimada T, Kato K, Inomata Y, Kikuchi R, Shibuya D (2010b). Evaluation of recall letters and application methods in view of increasing colorectal cancer screening rates. J Gastroenterol Cancer Screen, 48, 655-62.
  35. Stockdale S, Keeler E, Duan N, Derose K, Fox S (2000). Cost and cost-effectiveness of a church-based intervention to promote mammography screening. Health Serv Res, 35, 1037-57.
  36. Suh M, Choi KS, Lee YY, Park B, Jun JK (2013). Cancer screening in Korea, 2012: results from the Korean National Cancer Screening Survey. Asian Pac J Cancer Prev, 14, 6459-63. https://doi.org/10.7314/APJCP.2013.14.11.6459
  37. Takaku R (2011). Do municipalities want to increase checkup rates of cancer screening tests?: an empirical analysis on the implementation of individual cancer checkup system. Iryo To Shakai, 21, 121-36. https://doi.org/10.4091/iken.21.121
  38. Takemura S, Sone T, Ohida T, et al (2001). Estimating price elasticities of demand for cancer screening programs: using the willingness to pay the user fee measured by the contingent valuation method. Byoin Kanri, 38, 119-28.
  39. Tsunematsu M, Kawasaki H, Masuoka Y, Kakehashi M (2013). Factors affecting breast cancer screening behavior in Japan - assessment using the health belief model and conjoint analysis. Asian Pac J Cancer Prev, 14, 6041-8. https://doi.org/10.7314/APJCP.2013.14.10.6041
  40. Townsend JS, Richardson LC, Steele CB, White DE (2009). Evidence-based interventions and screening recommendations for colorectal cancer in comprehensive cancer control plans: a content analysis. Prev Chronic Dis, 6, 1-9.
  41. Watanabe R (2003). An analysis of participation in cancer screening in Japan. Iryo To Shakai, 13, 113-32.
  42. Yoshida M, Kondo K, Nakanishi C, Tada T (2012). Interventional study for improvement of lung cancer screening rate. J Med Invest, 59, 127-35. https://doi.org/10.2152/jmi.59.127

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