Evidence map›Paper›PMID 28657224›Full record

ArticleJournal of gynecologic oncology2017

Nationwide cervical cancer screening in Korea: data from the National Health Insurance Service Cancer Screening Program and National Cancer Screening Program, 2009-2014.

Seung Hyuk Shim, Hyeongsu Kim, In Sook Sohn, Han Sung Hwang, Han Sung Kwon, Sun Joo Lee, Ji Young Lee, Soo Nyung Kim, Kunsei Lee, Sounghoon Chang

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  16. Updates on Cancer Epidemiology in Korea, 2018.Chonnam medical journal · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Seung Hyuk ShimDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8043-2257
Hyeongsu KimDepartment of Preventive Medicine, Konkuk University School of Medicine, Seoul, Korea. mubul@kku.ac.kr.ORCID https://orcid.org/0000-0002-5379-134X
In Sook SohnDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8943-1637
Han Sung HwangDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Han Sung KwonDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Sun Joo LeeDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Ji Young LeeDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Soo Nyung KimDepartment of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Kunsei LeeDepartment of Preventive Medicine, Konkuk University School of Medicine, Seoul, Korea.
Sounghoon ChangDepartment of Preventive Medicine, Konkuk University School of Medicine, Seoul, Korea.
Konkuk University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe rates of participation in the Korean nationwide cervical cancer screening program and the rates of abnormal test results were determined.

methodsThe database of the National Health Insurance Service (NHIS) was used during the study period (2009-2014).

resultsThe participation rate increased from 41.10% in 2009 to 51.52% in 2014 (annual percentage change, 4.126%; 95% confidence interval [CI]=2.253-6.034). During the study period, women ≥70 years of age had the lowest rate of participation (range, 21.7%-31.9%) and those 30-39 years of age the second-lowest (27.7%-44.9%). The participation rates of National Health Insurance beneficiaries (range, 48.6%-52.5%) were higher than those of Medical Aid Program (MAP) recipients (29.6%-33.2%). The rates of abnormal results were 0.65% in 2009 and 0.52% in 2014, with a decreasing tendency in all age groups except the youngest (30-39 years). Every year the abnormal result rates tended to decrease with age, from the age groups of 30-39 years to 60-69 years but increased in women ≥70 years of age. The ratio of patients with atypical squamous cells of undetermined significance compared with those with squamous intraepithelial lesions increased from 2.71 in 2009 to 4.91 in 2014.

conclusionDifferences related to age and occurring over time were found in the rates of participation and abnormal results. Further efforts are needed to encourage participation in cervical cancer screening, especially for MAP recipients, elderly women and women 30-39 years of age. Quality control measures for cervical cancer screening programs should be enforced consistently.

Indexed as

AdultAgedAtypical Squamous Cells of the CervixEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedNational Health ProgramsPapanicolaou TestRepublic of KoreaSquamous Intraepithelial Lesions of the CervixUterine Cervical NeoplasmsVaginal SmearsEarly Detection of CancerMass ScreeningNational Health ProgramsPapanicolaou TestUterine Cervical Neoplasms

Identifiers

PMID28657224
PMCPMC5540722
OpenAlexW2617042015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.