The Korean guideline for lung cancer screening

Jang, Seung Hun; Sheen, Seungsoo; Kim, Hyae Young; Yim, Hyeon Woo; Park, Boyoung; Kim, Jae Woo; Park, In Kyu; Kim, Young Whan; Lee, Kye Young; Lee, Kyung Soo; Lee, Jong Mog; Hwangbo, Bin; Paik, Sang Hyun; Kim, Jin Hwan; Sung, Nak Jin; Lee, Sang Hyun; Hwang, Seung Sik; Kim, Soo Young; Kim, Yeol; Lee, Won Chul; Sung, Sook Whan

doi:10.5124/jkma.2015.58.4.291

Cited by 37 publications

(31 citation statements)

References 23 publications

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“…Further, participants were divided in to high-risk and average-risk groups based on recommendations from Korean guidelines on lung cancer screening [ 3 ]. In the current study, the high-risk (eligible to be screened) group was defined as current smokers and ex-smokers (if less than 15 years had elapsed after smoking cessation) aged 55 to 74 years with a smoking-history of 30 pack-years or more.…”

Section: Methodsmentioning

confidence: 99%

“…In 2011, the National Lung Screening Trial (NLST) reported that lung cancer screening by low-dose computed tomography (LDCT) significantly decreased lung cancer mortality (6.7%) and overall mortality (20%) among high-risk individuals [ 2 ]. According to Korean guidelines for lung cancer screening, annual LDCT screening is recommended to current smokers and ex-smokers (if less than 15 years have elapsed since smoking cessation) aged 55 to 74 years with a smoking history of 30 pack-years or more [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males

et al. 2018

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PurposeLow-dose computed tomography (LDCT) has been reported as an effective screening method for lung cancer in high-risk populations. We aimed to examine willingness to be screened among Korean males using LDCT and to determine factors associated with lung cancer screening intentions (LCS) based on the Health Belief Model (HBM).Materials and MethodsData were obtained from the 2015 Korean National Cancer Screening Survey, a cross-sectional survey that utilized nationally representative random sampling. The survey included 1,730 male participants 40-74-year-old. Respondents were questioned regarding their willingness to undergo LCS and components of HBM. Factors associated with intentions to undergo screening were explored using logistic regression.ResultsAmong participants, 65.2% were current smokers. Among high-risk subjects, 60.6% of men reported intentions to undergo LCS, compared to 49.9% of average-risk males. Men with higher perceived susceptibility in the average- and high-risk groups were, respectively, 1.63 (95% confidence interval [CI], 1.39 to 1.91) and 2.30 (95% CI, 1.14 to 4.63) times more likely to intend to undergo LCS compared to those with lower perceived barriers. Also, men in the average- and high-risk groups with higher perceived barriers to screening were, respectively, 0.79 (95% CI, 0.68 to 0.91) and 0.52 (95% CI, 0.29 to 0.92) times less likely to intend to undergo LCS compared to those with lower perceived barriers.ConclusionTailored interventions designed to promote accurate perceptions of susceptibility and risk, as well as to reduce perceived barriers to screening, may effectively increase adherence to recommendations for LCS among high-risk Korean men.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males

et al. 2018

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“…They were assessed for screening eligibility by medical coordinators using a questionnaire including questions pertaining to the smoking history and health condition. Based on Korean guidelines for lung cancer screening ( 4 ), we considered asymptomatic current or ex-smokers aged 55–74 years with a smoking history of at least 30 pack-years who had used tobacco within the last 15 years eligible for participation. Subjects with a history of lung cancer, those requiring assistance in daily life or ambulation (Eastern Cooperative Oncology Group score ≥ 2), and those receiving treatment for pulmonary tuberculosis, pneumonia, or interstitial lung disease were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…In the National Lung Screening Trial (NLST), a randomized clinical trial, low-dose chest computed tomography (LDCT) screening resulted in 20% decrease in lung cancer-specific mortality and 6.7% decrease in the overall mortality in high-risk patients compared with conventional chest radiography ( 3 ). In 2015, a Korean multi-society collaborative committee announced guidelines for lung cancer screening, that also recommended annual LDCT screening for current smokers and ex-smokers (if less than 15 years have elapsed after smoking cessation) aged 55–74 years with a smoking history of 30 pack-years or more ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Radiological Report of Pilot Study for the Korean Lung Cancer Screening (K-LUCAS) Project: Feasibility of Implementing Lung Imaging Reporting and Data System

et al. 2018

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ObjectiveTo report the radiological results of a pilot study for the Korean Lung Cancer Screening project conducted to evaluate the feasibility of lung cancer screening using low-dose chest computed tomography (LDCT) in Korea.Materials and MethodsThe National Cancer Center and three regional cancer centers participated in this study. Asymptomatic current or ex-smokers aged 55–74 years with a smoking history of at least 30 pack-years who had used tobacco within the last 15 years were considered eligible. In total, 256 participants underwent LDCT November 2016 through March 2017. The American College of Radiology Lung Imaging Reporting and Data System (Lung-RADS) was used to categorize the LDCT findings.ResultsIn total, 57%, 35.5%, 3.9%, and 3.5% participants belonged to Lung-RADS categories 1, 2, 3, and 4, respectively. Accordingly, 7.4% participants exhibited positive findings (category 3 or 4). Lung cancer was diagnosed in one participant (stage IA, small cell lung cancer). Other LDCT findings included pulmonary emphysema (32.8%), coronary artery calcification (30.9%), old pulmonary tuberculosis (11.7%), bronchiectasis (12.9%), interstitial lung disease with a usual interstitial pneumonia pattern (1.2%), and pleural effusion (0.8%).ConclusionEven though the size of our study population was small, the positive rate of 7.4% was like or lower than those in other lung cancer screening studies. Early lung cancer was detected using LDCT screening in one participant. Lung-RADS may be applicable to participants in Korea, where pulmonary tuberculosis is endemic.

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“…In Korea, the National Cancer Information Center has been recommending lung cancer screening for people who meet the NLST criteria since 2015 [ 12 ] and based on this recommendation the Ministry of Health and Welfare established a nationwide lung cancer screening pilot study in 2017 [ 13 ]. However, the validity of the NLST criteria has not been evaluated in the Korean population thus far.…”

Section: Introductionmentioning

confidence: 99%

Utility of the National Lung Screening Trial Criteria for Estimation of Lung Cancer in the Korean Population

et al. 2018

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PurposeScreening forlung cancerin high-risk patients using the National Lung Screening Trial (NLST) criteria resulted in a decreased lung cancer-related mortality rate. However, whether these criteria are applicable to the Korean has not been investigated thus far. Therefore, we estimated the utility of the NLST criteria as a screening tool for lung cancer in the Korean population.Materials and MethodsThe total number of newly diagnosed lung cancer cases in 2013 was obtained from the Korea National Statistical Office. The proportion of newly diagnosed lung cancer cases that met the NLST criteria was calculated via a retrospective cohort of a tertiary referral hospital. We estimated the nationwide proportion of patients who met the NLST criteria using the 5th Korea National Health and Nutrition Examination Survey conducted during 2010-2012 (KNHANES V).ResultsUsing KNHANES V data, we found that approximately 6.92% of the general population of Korea would meet the NLST criteria. In the tertiary referral hospital, 29.6% of the 2,689 newly diagnosed lung cancer patients met the NLST criteria. In 2013, the total number of newly diagnosed lung cancer cases in Korea was 23,177. The estimated nationwide proportions of lung cancer patients who met and did not meet the NLST criteria were 0.37% and 0.06%, respectively, yielding a ratio of 5.78.ConclusionThe NLST criteria demonstrated sound clinical utility for lung cancer screening of high-risk patients in Korea.

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The Korean guideline for lung cancer screening

Cited by 37 publications

References 23 publications

Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males

Beliefs and Intentions to Undergo Lung Cancer Screening among Korean Males

Radiological Report of Pilot Study for the Korean Lung Cancer Screening (K-LUCAS) Project: Feasibility of Implementing Lung Imaging Reporting and Data System

Utility of the National Lung Screening Trial Criteria for Estimation of Lung Cancer in the Korean Population

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