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Special Article
Primary Care Physicians’ Action Plans for Responding to Results of Screening Tests Based on the Concept of Quaternary Prevention
Jong-Myon Bae, Marc Jamoulle
J Prev Med Public Health. 2016;49(6):343-348.   Published online October 13, 2016
DOI: https://doi.org/10.3961/jpmph.16.059
  • 10,532 View
  • 215 Download
  • 5 Crossref
AbstractAbstract PDF
Since noncommunicable diseases (NCDs) are generally controllable rather than curable, more emphasis is placed on prevention than on treatment. For the early detection of diseases, primary care physicians (PCPs), as well as general practitioners and family physicians, should interpret screening results accurately and provide screenees with appropriate information about prevention and treatment, including potential harms. The concept of quaternary prevention (QP), which was introduced by Jamoulle and Roland in 1995, has been applied to screening results. This article summarizes situations that PCPs encounter during screening tests according to the concept of QP, and suggests measures to face such situations. It is suggested that screening tests be customized to fit individual characteristics instead of being performed based on general guidelines. Since screening tests should not be carried out in some circumstances, further studies based on the concept of prevention levels proposed by Jamoulle and Roland are required for the development of strategies to prevent NCDs, including cancers. Thus, applying the concept of QP helps PCPs gain better insights into screening tests aimed at preventing NCDs and also helps improve the doctor-patient relationship by helping screenees understand medical uncertainties.
Summary

Citations

Citations to this article as recorded by  
  • Healthy lifestyle status related to alcohol and food addiction risk among college students: a logistic regression analysis
    Cheong Hoon Kim, Kyung-Ah Kang, Sunhwa Shin
    Journal of American College Health.2023; 71(3): 775.     CrossRef
  • Quaternary prevention: reviewing the concept
    Carlos Martins, Maciek Godycki-Cwirko, Bruno Heleno, John Brodersen
    European Journal of General Practice.2018; 24(1): 106.     CrossRef
  • Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention
    Marc Jamoulle, Michel Roland, Jong-Myon Bae, Bruno Heleno, Giorgio Visentin, Gustavo Diniz Ferreira Gusso, Maciek Godycki-Ćwirko, Miguel Pizzanell, Patrick Ouvrard, Ricardo La Valle, Luis Filipe Gomes, Daniel Widmer, Jorge Bernstein, Mariana Mariño, Hamil
    Revista Brasileira de Medicina de Família e Comunidade.2018; 13(40): 1.     CrossRef
  • National health examination expansion policy
    Young Sik Kim, Jung Ah Lee
    Journal of the Korean Medical Association.2017; 60(2): 104.     CrossRef
  • Shared decision making: relevant concepts and facilitating strategies
    Jong-Myon Bae
    Epidemiology and Health.2017; 39: e2017048.     CrossRef
Original Articles
Rates of Change to a Positive Result in Subsequent Screening Mammography in Korean Women: A Retrospective Observational Study
Jong-Myon Bae, Sang Yop Shin, Eun Hee Kim, Yoon-Nam Kim, Chung Mo Nam
J Prev Med Public Health. 2015;48(1):48-52.   Published online December 26, 2014
DOI: https://doi.org/10.3961/jpmph.14.042
  • 10,005 View
  • 82 Download
AbstractAbstract PDF
Objectives
This retrospective cohort study aimed at calculating some parameters of changes in the findings of the subsequent screening mammography (SSM) in female Korean volunteers.
Methods
The study included screenees aged 30 to 79 years who underwent SSM voluntarily after testing negative in the baseline screenings performed between January 2007 and December 2011. A change to a positive result was defined as category 4 or 5 by using the American College of Radiology Breast Imaging Reporting and Data System. The proportion of results that had changed to positive (CP, %) was calculated by dividing the number of cases with results that were positive in the SSM by the total number of study participants. The rate of results that had changed to positive (CR, cases per 100 000 screenee-months) was calculated by dividing the number of cases with results that were positive in the SSM by the total number of months of the follow-up period.
Results
The overall CP and CR in all age groups (n=77 908) were 2.26% and 93.94 cases per 100 000 screenee-months, respectively. The median CP interval in the subjects who had positive SSM results was 30 to 36 months, while that in the age group of 30 to 39 years was shorter.
Conclusions
Different screening intervals should be considered among women aged between 30 and 59 years. In addition, a strategy for a screening program should be developed for the age group of 30 to 39 years, in particular.
Summary
Mean Sojourn Time of Preclinical Gastric Cancer in Korean Men: A Retrospective Observational Study
Jong-Myon Bae, Sang Yop Shin, Eun Hee Kim
J Prev Med Public Health. 2014;47(4):201-205.   Published online July 31, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.4.201
  • 13,345 View
  • 100 Download
  • 11 Crossref
AbstractAbstract PDF
Objectives
This retrospective cohort study aimed to estimate the mean sojourn time (MST) of preclinical gastric cancer in Korean men.
Methods
The subjects consisted of voluntary male screenees aged 40 to 69 years who underwent subsequent screening gastroscopies after testing negative at a baseline screening performed between January 2007 and December 2011. A new case was defined if gastric cancer cells were present in the biopsy specimens obtained from gastroscopy. The follow-up period was calculated as the number of person-years between the date of baseline screening gastroscopy and positive findings at a subsequent screening. The MST was calculated using transition rates of gastric cancer to determine the best screening interval.
Results
Of the 171 979 voluntary male screenees, 61 688 (36%) underwent subsequent screening gastroscopies between January 2007 and December 2011. A total of 91 incident cases were found during 19 598 598 person-years of follow-up. The MST of gastric cancer was 2.37 years (95% confidence intervals, 1.92 to 2.96), and those aged 40 to 49 years had a shorter MST than those 50 to 69 years did.
Conclusions
These findings support the 2-year interval of screening recommended by the nationwide gastric cancer screening program in Korea. Further studies for the age-specific MST among women are needed.
Summary

Citations

Citations to this article as recorded by  
  • The Clinical Impact and Cost-Effectiveness of Surveillance of Incidentally Detected Gastric Intestinal Metaplasia: A Microsimulation Analysis
    Nikhil R. Thiruvengadam, Shashank Gupta, Seth Buller, Imad Awad, Devika Gandhi, Allison Ibarra, Gonzalo Latorre, Arnoldo Riquelme, Michael L. Kochman, Gregory Cote, Shailja C. Shah, Monica Saumoy
    Clinical Gastroenterology and Hepatology.2024; 22(1): 51.     CrossRef
  • Gastric Cancer Incidence and Mortality After Endoscopic Resection of Gastric Adenoma: A Nationwide Cohort Study
    Jae Myung Park, Songhee Cho, Ga-Yeong Shin, Jayoun Lee, Minjee Kim, Hyeon Woo Yim
    American Journal of Gastroenterology.2023; 118(12): 2166.     CrossRef
  • Effect and cost-effectiveness of national gastric cancer screening in Japan: a microsimulation modeling study
    Hsi-Lan Huang, Chi Yan Leung, Eiko Saito, Kota Katanoda, Chin Hur, Chung Yin Kong, Shuhei Nomura, Kenji Shibuya
    BMC Medicine.2020;[Epub]     CrossRef
  • Potential of non-invasive breath tests for preselecting individuals for invasive gastric cancer screening endoscopy
    Agne Krilaviciute, Christian Stock, Marcis Leja, Hermann Brenner
    Journal of Breath Research.2018; 12(3): 036009.     CrossRef
  • Screening Upper Endoscopy for Early Detection of Gastric Cancer
    Jeong Seop Moon
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Occurrence of gastric cancer in patients with atrophic gastritis during long-term follow-up
    Liming Zhang, Yulan Liu, Peng You, Guijian Feng
    Scandinavian Journal of Gastroenterology.2018; 53(7): 843.     CrossRef
  • Ischemic Gastritis Improved by Supportive Care
    Yun Sun Choi, Chan Soo So, Dong Hee Koh, Min Ho Choi, Hyun Joo Jang, Sea Hyub Kae, Jin Lee, Young Hee Choi
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2017; 17(2): 103.     CrossRef
  • Optimal Interval for Repeated Gastric Cancer Screening in Normal-Risk Healthy Korean Adults: A Retrospective Cohort Study
    Jong-Myon Bae, Sang Yop Shin, Eun Hee Kim
    Cancer Research and Treatment.2015; 47(4): 564.     CrossRef
  • Methodological issues for determining intervals of subsequent cancer screening
    Jong-Myon Bae
    Epidemiology and Health.2014; 36: e2014010.     CrossRef
  • Endoscopic Gastric Cancer Screening and Surveillance in High-Risk Groups
    Il Ju Choi
    Clinical Endoscopy.2014; 47(6): 497.     CrossRef
  • Distribution of Dense Breasts using Screening Mammography in Korean Women: a Retrospecitive Observational Study
    Jong-Myon Bae, Sang Yop Shin, Eun Hee Kim, Yoon-Nma Kim, Chung Mo Nam
    Epidemiology and Health.2014; : e2014027.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health
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