Changes in cervical dysplasia, carcinoma in situ, and cervical cancer after expanding the National Cancer Screening Program to younger women in Korea

Abstract The National Cancer Screening Program of South Korea for cervical cancer was expanded from women aged ≥30 years to women aged ≥20 years in 2016. This study investigated the effect of this policy on occurrence rates of cervical dysplasia, carcinoma in situ, and cervical cancer in women in th...

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Bibliographic Details
Published in:International journal for quality in health care 2023-05, Vol.35 (2)
Main Authors: Kim, Woorim, Chun, Sungyoun, Lee, Sang Ah
Format: Article
Language:English
Subjects:
Adult
Carcinoma in Situ - diagnosis
Carcinoma in Situ - epidemiology
Carcinoma in Situ - pathology
Early Detection of Cancer
Female
Humans
Mass Screening
Republic of Korea - epidemiology
Uterine Cervical Dysplasia - diagnosis
Uterine Cervical Dysplasia - epidemiology
Uterine Cervical Neoplasms - diagnosis
Young Adult
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Summary:Abstract The National Cancer Screening Program of South Korea for cervical cancer was expanded from women aged ≥30 years to women aged ≥20 years in 2016. This study investigated the effect of this policy on occurrence rates of cervical dysplasia, carcinoma in situ, and cervical cancer in women in their twenties. The National Health Information Database for the years 2012–19 was used. The outcome measures were monthly occurrence rates of cervical dysplasia, cervical carcinoma in situ, and cervical cancer. An interrupted time series analysis was performed to investigate whether the number of occurrences changed after policy implementation. For cervical dysplasia, a pre-intervention decreasing trend of 0.3243 per month (P-value 
ISSN:1353-4505
1464-3677
DOI:10.1093/intqhc/mzad024