Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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The Relationship between 5-year Overall Survival Rate, Socioeconomic Status and SEER Stage for Four Target Cancers of the National Cancer Screening Program in Korea: Results from the Gwangju-Jeonnam Cancer Registry

국가 암검진 사업의 주요 암종별 5년 생존율과 사회경제적 수준 및 요약병기의 관련성: 광주·전남 지역암등록본부 자료를 중심으로

  • Kang, Jeong-Hee (Department of Nursing, U1 University) ;
  • Kim, Chul-Woung (College of Medicine.Department of Preventive Medicine.Research Institute for Medical Sciences, Chungnam National University) ;
  • Kweon, Sun-Seog (Medical School.Department of Preventive Medicine, Chonnam National University.Gwangju-Jeonnam Cancer Registry, Chonnam National University Hwasun Hospital)
  • 강정희 (유원대학교 간호학과) ;
  • 김철웅 (충남대학교 의과대학.예방의학교실.의학연구소) ;
  • 권순석 (전남대학교 의과대학.예방의학교실.광주전남 지역암등록본부)
  • Received : 2022.02.17
  • Accepted : 2022.05.26
  • Published : 2022.06.30
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Abstract

Purpose: The aim of this study was to investigate the relationship between the 5-year survival rate, socioeconomic status, and SEER (Surveillance Epidemiology and End Results) stage of stomach, colorectal, breast and cervical cancer patients. Methods: A total of 11,770 cases of four target cancers, which were diagnosed during 2005-2007, were extracted from the database of Gwangju-Jeonnam Regional Cancer Registry. The subjects of the study were 11,770 including stomach (n=5,479), colorectal (n=3,565), breast (n=1,516) and cervical cancers (n=710). Cox's proportional hazards model was used to obtain the hazards ratio (HR) according to the SEER stage and socioeconomic status. Results: Stomach cancer had a significantly higher HR in the medical aid recipients (HR=1.39), and the group below 20% (HR=1.20) compared to the group with the highest income level. Colorectal cancer had a significantly higher HR in the medical aid recipients (HR=1.26) than in the group with the highest income level. In addition, stomach, colorectal, breast and cervical cancers had a significantly higher HR according to the SEER stage in regional direct (stomach=4.10, colorectal=1.76, breast=12.90, cervical=3.10), regional lymph only(stomach=2.58, colorectal=2.33, breast=4.32, cervical=4.43), regional both (stomach=6.74 colorectal=3.04, breast=15.57 cervical=6.50), and regional NOS (Not Otherwise Specified)/distant (stomach=17.53, colorectal=11.53, breast=25.34, cervical=26.51) than in situ and localized only. Conclusion: In order to increase the cancer survival rate, a support system for early detection and early treatment of cancer should be established for groups with low individual income levels, and regular health checkups and management measures should be actively implemented through the National Cancer Screening Program.

Keywords

References

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