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- Methodological Review of Cost Effectiveness Analysis of Cancer Screening.
- Ki Taig Jung
- Korean J Epidemiol. 1998;20(1):13-31.
- 5,577 View
- 49 Download
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Abstract
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AbstractThe role of economic evaluation for medical services can be summarixed as providing objective criteria for rational bgudget allocation. With medical and epidemiologial studies, cost effectiveness analysis of cancer screening will provide evidence for allocating more financial resources for cancer screening. This study reviewed comprehensive literature of cancer screening for cervical cancer and breast cancer. Through the extensive review of the literature, I suggest crucial issues of cancer screening and checkpoints in designing costeffectiveness analyses of cervical and breast cancers. The issues of cervical and breast cancer screening include ages of starting and terminating mass screening, screening interval and frequency, false positive rate, false negative rate, analytical models, and sensitivity analysis. In addition, cost effectiveness analysis of breast cancer should consider effects of screening methods-self examination, clinical examination, and mammography-that varies across different nations on cost effectiveness ratio. Study results of most issues would be relevant for performing cost effectiveness analysis of cancer screening in Korea. However, difference in incidence rate, medical fees and reimbursement by insurance across nations should be considered in designing cost effectiveness analysis.
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Summary
- General Perspective of Cancer Screening System in Japan and the Epideiologic Evaluation of its Effectiveness and Efficiency.
- Ichiro Tsuji
- Korean J Epidemiol. 1998;20(1):10-12.
- 9,712 View
- 10 Download
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AbstractNo abstract available.
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Summary
- Current Status of Cancer Screening Rate and Epidemiologic Study for Evaluating the Effectiveness of Cancer Screening in Korea.
- Won Chul Lee
- Korean J Epidemiol. 1998;20(1):1-9.
- 5,946 View
- 19 Download
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Abstract
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AbstractCurrent status of cancer screening rate and epidemiologic study for evaluating the effectiveness of cancer screening in Korea are reviewed. There are only few studies for an analysis of the current cancer screening status and associated factors in a community. Among these, a study which were done at Uijongbu city, showed the results on follows ; in the case of the screening of the stomach cancer, 16.1% of male subjects and 25.8% of female subjects turned out to have had one or more screenings for the cancer. In the cases of the breast and cervical cancers, 21.6% and 62.6% of the subjects turned out to have had one or more screenings respectively. The main epidemiologic studies which were for cancer screening effectiveness evaluation were case-control studies for stomach, cervix and breast cancer. According to these studies ; odds ratio was 0.71(95% confidence interval 0.36-1.40) for stomach cancer, 0.53(95% confidence interval 0.33-0.85), cervix cancer and 0.43(95% confidence interval 0.25-0.75) for breast cancer. Establishing cancer screening recommendation to promote national cancer control program and increasing cancer screening rate are needed to reach the goal of reducing cancer mortality and morbidity.
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Summary
- Laboratory Based Surveillance System of Communicable Disease in Korea.
- Bok Kwon Lee
- Korean J Epidemiol. 1997;19(1):22-28.
- 6,983 View
- 143 Download
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AbstractSince the communicable disease trend changes rapidly, many nations have developed communicable disease surveillance system according to their system. Among the surveillance, the laboratory based surveillance system has been particulary important for epidemiological analysis of various communicable diseases. Some communicable diseases, such as salmonellosis and shigellosis can be monitored accurately only through the laboratory based surveillance system because of the nonspecificity of the clinical syndrome. And clinical surveillance data are confirmed with laboratory findings can have substantial impacts of reporting rate and can increase the reliablity of survillance data. The current communicable disease surveillance system in Korea is notitiable disease report system and has problems in representativeness of reports and reporting rate. The object of this study is to find problems of present laboratory based surveillance system in Korea and to suggest implementation strategies.
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Summary
- Communicable Disease Surveillance System and Sentinel Surveillance.
- Eui Chul Shin, Kwang Ho Meng
- Korean J Epidemiol. 1997;19(1):14-21.
- 5,942 View
- 66 Download
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AbstractSurveillance is the ongoing and systematic collection, analysis of disease related data and dissemination of the information to the people who need it, and application of it to disease prevention and control. So, it is composed of reportable disease; system of data collection, analysis, distribution; coorporation of medical institution with public health organization and effective control. The most dynamic and important part of surveillance is the feedback mechanism. As for positive ways of feedback, there are dissemination of collected and analysed information and reimbursement to the reporters. Legal punishment is the negative way of feedback. The common systems that the developed countries use for communicable disease surveillance are notifiable disease surveillance, sentinel surveillance, and laboratory surveillance systems. Notifiable disease surveillance is for the diseases that their impact is serious to the community when epidemic occurs even though the number of cases is small. Most countries have this type of surveillance, but they suffer from low reporting rate. Sentinel surveillance is for the disease which is mild or whose trend is to be traced for the evaluation of the public health programs. Sampled reporters notifies the disease information voluntarily not by law. Laboratory surveillance is to support the notifiable and sentinel surveillance. It provides laboratory information on the microorganism and antibody level of the disease. Surveillance of communicable diseases in Korea is totally dependent on the notifiable disease reporting system, and there are many problems involved. To improve the surveillance of communicable diseases, it is strongly recommended that the sentinel and laboratory surveillance systems be adopted.
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Summary
- Communicable disease survillance system in Japan.
- Hiroshi Yanagawa
- Korean J Epidemiol. 1997;19(1):11-13.
- 5,349 View
- 7 Download
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AbstractNo abstract available.
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Summary
- Epidemiological Studies of Colonary Heart Disease in Japan.
- Kazunori Kodama, Fumiyoshi Kasagi
- Korean J Epidemiol. 1997;19(1):5-10.
- 5,467 View
- 14 Download
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