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Evaluation Studies
Usefulness of Comorbidity Indices in Operative Gastric Cancer Cases.
Se Min Hwang, Seok Jun Yoon, Hyeong Sik Ahn, Hyong Gin An, Sang Hoo Kim, Min Ho Kyeong, Eun Kyoung Lee
J Prev Med Public Health. 2009;42(1):49-58.
DOI: https://doi.org/10.3961/jpmph.2009.42.1.49
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  • 8 Crossref
AbstractAbstract PDF
OBJECTIVES
The purpose of the current study was to evaluate the usefulness of the following four comorbidity indices in gastric cancer patients who underwent surgery: Charlson Comorbidity Index (CCI), Cumulative Illness rating scale (CIRS), Index of Co-existent Disease (ICED), and Kaplan-Feinstein Scale (KFS). METHODS: The study subjects were 614 adults who underwent surgery for gastric cancer at K hospital between 2005 and 2007. We examined the test-retest and inter-rater reliability of 4 comorbidity indices for 50 patients. Reliability was evaluated with Spearman rho coefficients for CCI and CIRS, while Kappa values were used for the ICED and KFS indices. Logistic regression was used to determine how these comorbidity indices affected unplanned readmission and death. Multiple regression was used for determining if the comorbidity indices affected length of stay and hospital costs. RESULTS: The test-retest reliability of CCI and CIRS was substantial (Spearman rho=0.746 and 0.775, respectively), while for ICED and KFS was moderate (Kappa=0.476 and 0.504, respectively). The inter-rater reliability of the CCI, CIRS, and ICED was moderate (Spearman rho=0.580 and 0.668, and Kappa=0.433, respectively), but for KFS was fair (Kappa=0.383). According to the results from logistic regression, unplanned readmissions and deaths were not significantly different between the comorbidity index scores. But, according to the results from multiple linear regression, the CIRS group showed a significantly increased length of hospital stay (p<0.01). Additionally, CCI showed a significant association with increased hospital costs (p<0.01). CONCLUSIONS: This study suggests that the CCI index may be useful in the estimation of comorbidities associated with hospital costs, while the CIRS index may be useful where estimatation of comorbiditie associated with the length of hospital stay are concerned.
Summary

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  • The Association between Charlson Comorbidity Index and the Medical Care Cost of Cancer: A Retrospective Study
    Seok-Jun Yoon, Eun-Jung Kim, Hyun-Ju Seo, In-Hwan Oh
    BioMed Research International.2015; 2015: 1.     CrossRef
  • The Effect of Oral Cola Ingestion for Endoscopic Inspection of Remnant Stomach: Randomized Case Control Study
    Ho Kim, Key Hyeon Kim, Ji Won Kim, Yong Jeoung, Yang Jae Yoo, Moon Kyung Joo, Beom Jae Lee, Ji Hoon Kim, Jong Eun Yeon, Jong-Jae Park, Kwan Soo Byun, Young Tae Bak, Sang Woo Lee
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2014; 14(1): 39.     CrossRef
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    Ji-Hye Lim, Mun-Hee Nam
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(6): 2672.     CrossRef
  • The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations
    Hyun-Chul Shin, Se-Ra Kim
    Korean Journal of Health Policy and Administration.2010; 20(1): 87.     CrossRef
  • Charlson Comorbidity Index as a Predictor of Long-Term Survival after Surgery for Breast Cancer: A Nationwide Retrospective Cohort Study in South Korea
    Hye Kyung Woo, Jong Hyock Park, Han Sung Kang, So Young Kim, Sang Il Lee, Hyung Ho Nam
    Journal of Breast Cancer.2010; 13(4): 409.     CrossRef
  • Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients
    Se-Won Kim, Seok-Jun Yoon, Min-Ho Kyung, Young-Ho Yun, Young-Ae Kim, Eun-Jung Kim
    Korean Journal of Health Policy and Administration.2009; 19(4): 18.     CrossRef
  • Factors Affecting Health of the Rural Residents
    Dong-Koog Son, Kyu-Sik Lee, Jong-Ku Park, Sang-Baek Koh, Ki-Nam Jin, Eun-Woo Nam, Hae-Jong Lee
    Korean Journal of Health Policy and Administration.2009; 19(4): 1.     CrossRef
English Abstract
Factors Associated with Gastric Cancer Screening of Koreans Based on a Socio-ecological Model.
Sang Soo Bae, Heui Sug Jo, Dong Hyun Kim, Yong Jun Choi, Hun Jae Lee, Tae Jin Lee, Hye Jean Lee
J Prev Med Public Health. 2008;41(2):100-106.
DOI: https://doi.org/10.3961/jpmph.2008.41.2.100
  • 5,560 View
  • 101 Download
  • 18 Crossref
AbstractAbstract PDF
OBJECTIVES
We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. METHODS: A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1- May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. RESULTS: Among 985 survey respondents (380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. CONCLUSIONS: In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.
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  • Intentions to undergo primary screening with colonoscopy under the National Cancer Screening Program in Korea
    Kyeongmin Lee, Haejoo Seo, Sunho Choe, Seung-Yong Jeong, Ji Won Park, Mina Suh, Aesun Shin, Kui Son Choi, Filipe Prazeres
    PLOS ONE.2021; 16(2): e0247252.     CrossRef
  • Perspectives on Underlying Factors for Unhealthy Diet and Sedentary Lifestyle of Adolescents at a Kenyan Coastal Setting
    Derrick Ssewanyana, Amina Abubakar, Anneloes van Baar, Patrick N. Mwangala, Charles R. Newton
    Frontiers in Public Health.2018;[Epub]     CrossRef
  • Acculturation and Arab immigrant health in Colorado: a socio-ecological perspective
    Dana El Hajj, Paul F. Cook
    Nutrition & Food Science.2018; 48(5): 795.     CrossRef
  • Cervical Cancer: Barriers to Screening in the Somali Community in Minnesota
    Rahel G. Ghebre, Barrett Sewali, Sirad Osman, Amira Adawe, Hai T. Nguyen, Kolawole S. Okuyemi, Anne Joseph
    Journal of Immigrant and Minority Health.2015; 17(3): 722.     CrossRef
  • The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey
    Song-Ei Yang, Nam-Kyung Han, Sun-Mi Lee, Tae-Hyun Kim, Woojin Chung
    Health Policy and Management.2015; 25(3): 162.     CrossRef
  • Study on the Factors Related With Intention of Cancer Screening Among Korean Residents
    Bong Ki Kim, Heui Sug Jo, Hey Jean Lee
    Asia Pacific Journal of Public Health.2015; 27(2): NP2133.     CrossRef
  • Colorectal Cancer Screening in Korean Workers
    Su Ho Park, Gwang Suk Kim
    Cancer Nursing.2014; 37(4): 278.     CrossRef
  • Socioecological Perspectives on Cervical Cancer and Cervical Cancer Screening Among Asian American Women
    Jongwon Lee, Mauricio Carvallo
    Journal of Community Health.2014; 39(5): 863.     CrossRef
  • Effectiveness of Interventions to Increase Screening for Gastric and Colorectal Cancer in Korea
    Nam Soo Hong, Sin Kam
    Asian Pacific Journal of Cancer Prevention.2014; 15(21): 9147.     CrossRef
  • The Relationship between Socioeconomic Status and Gastric Cancer Screening in the Population of a Metropolitan Area
    Hyun-Suk Oh, Sun A Kim, Sun-Seog Kweon, Jung-Ae Rhee, So-Yeon Ryu, Min-Ho Shin
    Journal of agricultural medicine and community health.2013; 38(3): 174.     CrossRef
  • Factors Affecting Diabetic Screening Behavior of Korean Adults: A Multilevel Analysis
    Hyeongsu Kim, Minjung Lee, Haejoon Kim, Kunsei Lee, Sounghoon Chang, Vitna Kim, Jun Pyo Myong, Soyoun Jeon
    Asian Nursing Research.2013; 7(2): 67.     CrossRef
  • Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
    Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
    Journal of Korean Academy of Nursing.2012; 42(7): 928.     CrossRef
  • Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)
    Ji-Yeon Shin, Duk-Hee Lee
    Asian Pacific Journal of Cancer Prevention.2012; 13(8): 3773.     CrossRef
  • Relationships between Knowledge about Early Detection, Cancer Risk Perception and Cancer Screening Tests in the General Public Aged 40 and Over
    Young Hee Yang
    Asian Oncology Nursing.2012; 12(1): 52.     CrossRef
  • Behavioral risk factors and use of preventive screening services among spousal caregivers of cancer patients
    Ki Young Son, Sang Min Park, Chi Hoon Lee, Geum Jeong Choi, DaeGeun Lee, SeoungHee Jo, Se Hoon Lee, BeLong Cho
    Supportive Care in Cancer.2011; 19(7): 919.     CrossRef
  • The Effects of Daughter's Breast Health Education on Mother's Breast Cancer Screening Attitude
    Hee Sun Kang, Myung-Sun Hyun, Mijong Kim
    Journal of Korean Academy of Community Health Nursing.2010; 21(3): 273.     CrossRef
  • Factors associated with use of gastric cancer screening services in Korea
    Young Min Kwon, Hyung Taek Lim, Kiheon Lee, Be Long Cho, Min Sun Park, Ki Young Son, Sang Min Park
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Original Articles
H2 Receptor Antagonists and Gastric Cancer in the Elderly: A Nested Case-Control Study.
Yooni Kim, Dae Seog Heo, Seung Mi Lee, Kyoung Eun Youn, Hye Won Koo, Jong Myon Bae, Byoung Joo Park
Korean J Prev Med. 2002;35(3):245-254.
  • 65,535 View
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AbstractAbstract PDF
OBJECTIVE
To test if the intake of H2 receptor antagonists (H2-RAs) increases the risk of gastric cancer in the elderly. METHODS: The source population for this study was drawn from the responders to a questionnaire survey administered to the Korea Elderly Pharmacoepidemiological Cohort (KEPEC), who were beneficiaries of the Korean Medical Insurance Corporation, were at least 65 years old, and residing in Busan in 1993. The information on H2-RAs exposure was obtained from a drug prescription database compiled between Jan. 1993 and Dec. 1994. The cases consisted of 76 gastric cancer patients, as confirmed from the KMIC claims data, the National Cancer Registry and the Busan Cancer Registry. The follow-up period was from Jan. 1993 to Dec. 1998. Cancer free controls were randomly selected by 1:4 individual matching, which took in to consideration the year of birth and gender. Information on confounders was collected by a mail questionnaire survey. The odds ratios, and their 95% confidence intervals, were calculated using a conditional logistic regression model. RESULTS: After adjusting for a history of gastric ulcer symptoms, medication history, and body mass index, the adjusted OR (aOR) was 4.6 (95% CI=1.72-12.49). The odds ratio of long term use (more than 7 days) was 2.3 (95% CI=1.07-4.82). The odds ratio of short term use was 4.6 (95% CI=1.26-16.50). The odds ratio of parenteral use was 4.4 (95% CI=1.16-17.05) and combination use between the oral and parenteral routes (aOR, 16.8; 95% CI=1.21-233.24) had the high risk of gastric cancer. The aOR of cimetidine was 1.7 (95% CI=1.04-2.95). The aOR of ranitidine was 2.0 (95% CI=1.21-3.40). The aOR of famotidine was 1.7 (95% CI=0.98-2.80). CONCLUSION: The intake of H2-RAs might increase the risk of gastric cancer through achlorhydria in the elderly.
Summary
Serum Pepsinogen Levels as a Screening Test of Gastric Cancer and Adenoma in Korea.
Jang Rak Kim, Jin Hak Choi, Young Chai Kim, Ok Jae Lee, Kyu Il Cho, Han Woo Lee, Dae Yong Hong
Korean J Prev Med. 1994;27(4):677-692.
  • 2,262 View
  • 26 Download
AbstractAbstract PDF
To evaluate the validity of serum pepsinogen levels as a screening tool for gastric cancer and adenoma, immunoradiometric assays of serum pepsinogen I level (PG I), II level (PG II) and esphagogastroduodenal endoscopies were done in 757 health examlnees. Serum PG I level was higher in subjects with active duodenal ulcer (n=45, 75.2+/-34.3 microgram/l(mean+/-standard deviation), p<0.01) and gastroduodenal ulcers (n=8,756+/-19.8 microgram/l, p<0.05), and was lower in those with gastric adenoma (n=4,37.7+/-37.2 microgram/l, p<0.2) than those with normal, mild gastritis findings or ulcer scars (n=378, 56.6+/-24.9 microgram/l). Serum PG II level las higher in subjects with active duodenal ulcer (17.2+/-13.8 microgram/l, p<0.2), active gastro-duodenal ulcers (l8.3+/-7.4 microgram/l, p<0.2) and gastric carcinoma (n=3, 23.8+/-10.9 microgram/l, p<0.05) than those with normal, mild gastritis findings or ulcer scars (14.5+/-7.9 microgram/l). Serum PG I/PG 11 ratio was higher in subjects with active duodenal ulcer (5.1+/-1.6, p<0.05) and was lower in those with chronic gastritis (n=107, 4.1+/-1.7, p<0.05), gastric polyp (n=19, 3.9+/-1.4, p<0.2), gastric adenoma (n=4, 2.1+/-1.9, p<0.01) and gastric carcinoma (n=3, 2.7+/-1.2, p<0.1) than those with normal, mild gastritis findings or ulcer scars (4.5+/-1.7). Serum PG 11 level increased with age until 6th decade, whereas serum PG I/PG II ratio decreased with age in 378 subjects with normal, mild gastritis findings or ulcer scars. The screening criteria of serum PG I<70 microgram/l and PG I/PG II ratio<3.0 for detecting gastric cancer and adenorna gave a positive rate of 15.7%, sensitivity of 57.1% and specificity of 84.7%.
Summary
English Abstract
Fasting Serum Glucose Level and Gastric Cancer Risk in a Nested Case-control Study.
Jae Kwan Jun, Jin Gwack, Sue Kyung Park, Yun Hee Choi, Yeonju Kim, Aesun Shin, Soung Hoon Chang, Hai Rim Shin, Keun Young Yoo
J Prev Med Public Health. 2006;39(6):493-498.
  • 2,623 View
  • 89 Download
AbstractAbstract PDF
OBJECTIVES
Diabetes has been reported as a risk factor for several cancers. However, the association between diabetes and gastric cancer has been inconsistent. The aim of this study was to evaluate the association between the fasting serum glucose level and gastric cancer risk in Korea. METHODS: Among the members of the Korean Multi-Center Cancer Cohort (KMCC) from 1993 to 2004, a total of 100 incident gastric cancer cases were ascertained until December 31, 2002 and 400 controls were matched according to age, sex, and year and area of enrollment. Of the eligible subjects, those without fasting serum glucose level information were excluded, with a total of 64 cases and 236 controls finally selected. On enrollment, all subjects completed a baseline demographic and lifestyle characteristics questionnaire, and had their fasting serum glucose level measured. The Helicobacter pylori infection status was determined by an immunoblot assay using longterm stored serum. The odds ratios (ORs) were estimated using conditional and unconditional logistic regression models adjusted for the H. pylori infection status, smoking, drinking, education, follow-up period and matching variables. RESULTS: The ORs for risk of gastric cancer according to the serum glucose level were 1.33 [95% CI=0.50-3.53] and 1.66 [95% CI=0.55-5.02] for the categories of 100-125 and 126 mg/dL or greater, respectively, compared to the category of less than 100 mg/dL. No increased risk of gastric cancer according to the serum glucose level was found (p-trend=0.337). CONCLUSIONS: This study provides no evidence for an association of the serum glucose level with gastric cancer.
Summary
Research Support, Non-U.S. Gov't
Glutathione S-transferases (GSTM1, GSTT1 and GSTP1) and N-acetyltransferase 2 Polymorphisms and the Risk of Gastric Cancer.
Su Hyung Hong, Jung Wan Kim, Ho Gak Kim, In Kyu Park, Jun Wook Ryoo, Chang Hyeong Lee, Yoon Kyung Sohn, Jong Young Lee
J Prev Med Public Health. 2006;39(2):135-140.
  • 2,293 View
  • 61 Download
AbstractAbstract PDF
OBJECTIVES
Polymorphisms of genes from glutathione Stransferases (GSTs) and N-acetyltransferase 2 (NAT2) have been associated with increased susceptibility to various cancers. Previous results showed that East Asians such as Koreans, Japanese and Chinese have a much higher frequency of the GSTM1 and GSTT1 null genotypes and NAT2 rapid acetylator type. Therefore, we investigated the association between the polymorphic types of GSTs (GSTM1, GSTT1, GSTP1) and NAT2 and the incidence of gastric cancer which is one of the most prevalent cancers among the East Asians. METHODS: It was performed in a case-control study consisting of 238 healthy subjects and 108 cancer patients (54 distal and 54 proximal carcinomas). We also evaluated the association between GSTs and NAT2 and the risk factors for gastric cancer such as alcohol consumption, smoking, H. pylori infection, family history of gastric cancer, and tumor location. RESULTS: In our study, the percentage of cases whose hometown was rural was higher than those of controls (odds ratio (OR) =2.88; 95% CI=1.72-4.76), and the frequency of the lower socio-economic status increased significantly in patients (OR=2.53; 95% CI=1.59-4.02). There was no significant difference in the GST polymorphic types between the cases and controls. However, NAT2 rapid or intermediate acetylator types were frequently detected in the cases with family history of gastric cancer (OR=1.92; 95% CI=1.79-26.0). CONCLUSIONS: These results suggest that the hometown and socio-economic status are important environmental factors for gastric carcinogenesis, and NAT2 polymorphic types could be associated with familial gastric carcinoma.
Summary

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