Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
28.0%
11.3%
US $ 14.1 Billion
2002 2005
Kim SG et al, 2008
Cumulative Risk of Cancer in Korea
Total Male Female
Life expectancy 79 75 82
(2005)
Lung(48.5) Thyroid(36.2)
Liver(44.9) Stomach(34.1)
Coloretum(37.9) Colorectum(28.0)
Prostate(12.7) Lung(17.9)
Bladder(9.3) Cervix(16.7)
Male Female
Gallbladder(8.0) Liver(14.7)
Pancreas(7. Gallbladder(8.1)
9)
Esophagus(7.4) Pancreas(6.3)
Crude rate/100,000
Trend of major cancer death rates
Age-standardized rate per 100,000
male female
year year
1/3: Prevention
Anti-smoking campaign
HBV vaccination
1/3: Early detection
Screening
1/3: Palliative care
Understand cancer Develop new diagnosis & Provide evidence for policy-
biology/pathology treatment makers
Research Basic / Translational / Clinical / Policy
Objectives of 2nd 10-Year Plan (2006-2015)
ØMortality
5,437
89,934
69,154
116.7
/100,000 94.1
/100,000
Objectives of 2nd 10-Year Plan (2006-2015)
Ø5YR Survival Rate
Primary Prevention: Anti-smoking program
Source: Ministry of Health & Welfare, Korean Association of Smoking & Health
PP: Smoking prevalence : Youths
Source: Ministry of Health & Welfare, Korean Association of Smoking & Health
PP: Hepatitis B vaccination
n HBV vaccination History in Korea
¨ 1985: Temporary basis
¨ 1995: Regular basis
(Nationwide childhood immunization)
Level of
Contribution
Medicaid
Stomach Liver Colorectum Breast Cervix
ED: Population Coverage for NCSP
• Source population for screening: 24.4 million
– Women •30 yrs and men• 40 yrs
• No. of persons covered by NSCP: 13.7 million
– Coverage rate: 56%
12.7 million
10.7 million (52%)
(44%) NHI Beneficiaries
(lower 50%)
1.0 million
(4%) Medicaid recipients
NHI Beneficiaries
(upper 50%)
ED: Screening Guideline of NCSP
•40
Liver 6 mo Liver sonography & AFP
high risk group*
FOBT
Colorectum •50 1 yr
→ colonoscopy or DCBE
70
60
50 Mean
40 Stomach
% Liver
30
Colorectum
20 Breast
10 Cervix
0
2004 2005 2006 2007 2008
n 2006-2007
¨ Enactment for Evaluation of Cancer Screening Unit (ECSU)
passed by revision of Cancer Control Act (Oct. 28, 2006)
¨ Model test with 5 hospitals
¨ Establishing three year period evaluation system
n 2008-2010
¨ 2008: evaluation of general hospitals
¨ 2009: evaluating of hospitals
¨ 2010: evaluating of clinics
Medical Care: 5Year Relative Survival rate
(Unit: %)
Korea USA 1) Japan 2) Eurocare 2)
(‘01-’05) (’96-’04) (‘97-’99) (‘95-’99)
Stomach 56.4 24.7 62.1 24.1
Lung 15.5 15.2 25.6 12.6
Colorectum 64.8 64.4 65.2 53.5
Liver 18.9 11.7 23.1 8.6
Thyroid 98.1 96.9 92.4 86.5
Breast 87.3 88.7 85.5 81.1
Cervix uteri 81.1 71.2 71.5 66.5
All Cancers 52.2 65.3 54.3 51.9
1) Ries LAG, et al (eds). SEER Cancer Statistics Review, 1975-2005, National Cancer Institute, 2008
2) National Cancer Center in Japan. Cancer Statistics in Japan, 2008
MC: Cancer Patient Financial Aid Program
1. Jeon-Nam 2. Busan
1. Gyeong-Nam
3. Jeju
Registry & Evaluation: Cancer Registry
• Cancer Registry
Korea Central Cancer Registry 8 Regional Cancer Registry
Seoul
Headquarters: NCC Busan
Daegu
Gwangju
Incheon
start; 1980 Hospital Regional CRs Daejeon
Ulsan
based CR KCCR Jejudo
Coverage: 90% of
cancer cases
Site-
specific Coverage: 50% of
Survey for NHI claims- Medical Record CR
review for unregistered cancer cases population
Breast, Cervix…
2 Cancer Prevention
3 Cancer Screening
6 Cancer Infrastructure
Research Institute
• 2000
– Incidence cases 3M
– Mortality cases 2M
• 2050
– Incidence cases 7.8 M (2.6 times)
– Mortality cases 5.7 M (2.9 times)
Source: Yang BH, et al. 2004
Sharing with Asia
• Sharing experiences of cancer control
– Success and failure