Community-Based Multiple Screening Model: Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group

Tony Hsiu Hsi Chen, Yueh Hsia Chiu, Dih Ling Luh, Ming Fang Yen, Hui Min Wu, Li Sheng Chen, Tao Hsin Tung, Chih Chung Huang, Chang Chuan Chan, Ming Neng Shiu, Yen Po Yeh, Horng Huei Liou, Chao Sheng Liao, Hsin Chih Lai, Chun Pin Chiang, Hui Ling Peng, Chuen Den Tseng, Ming Shyen Yen, Wei Chih Hsu, Chih Hung Chen

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

BACKGROUND. Multiple disease screening may have several advantages over single disease screening because of the economics of scale, with the high yield of detecting asymptomatic diseases, the identification of multiple diseases or risk factors simultaneously, the enhancement of the attendance rate, and the efficiency of follow-up. METHODS. An integrated model of community-based multiple screening was designed and conducted between 1999 and 2001 in Keelung, Taiwan. The authors used a Papanicolaou (Pap) smear screening program as a base to integrate other screening regimens encompassing four other neoplastic diseases and three nonneoplastic chronic diseases. Screening methods, the interscreening interval, and the follow-up for each screening regimen were designed based on evidence-based literature and current national screening policy. RESULTS. A total of 42,387 subjects participated in the screening activities. A 25% increase in the attendance rate for Pap smear screening was demonstrated after the introduction of multiple disease screening programs. At the first screen, this program yielded a total of 677 asymptomatic neoplasms (16.0 per 1000), including a large proportion of precancerous lesions and small presymptomatic tumors without lymph node involvement. The association between the occurrence of neoplasm and the presence of comorbid nonneoplastic chronic disease was found to be statistically significant (odds ratio, 1.64; 95% confidence interval, 1.38-1.94 [P <0.051). The authors also identified 5314 subjects with metabolic syndrome who were at a greater risk for colorectal and oral neoplasias. CONCLUSIONS. The results of the current study demonstrate that an outreach and community-based multiple screening program not only enhances attendance rates but also has a high yield of early cases of various diseases simultaneously, and provides a natural opportunity to elucidate the correlation between neoplastic disease and nonneoplastic chronic disease.

Original languageEnglish
Pages (from-to)1734-1743
Number of pages10
JournalCancer
Volume100
Issue number8
DOIs
Publication statusPublished - Apr 15 2004
Externally publishedYes

Fingerprint

Taiwan
Papanicolaou Test
Chronic Disease
Neoplasms
Asymptomatic Diseases
Lymph Nodes
Odds Ratio
Economics
Confidence Intervals

Keywords

  • Cancer screening
  • Chronic disease screening
  • Community-based integrated screening
  • Comorbidity
  • Metabolic syndrome
  • Multiple disease screening

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Community-Based Multiple Screening Model : Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group. / Chen, Tony Hsiu Hsi; Chiu, Yueh Hsia; Luh, Dih Ling; Yen, Ming Fang; Wu, Hui Min; Chen, Li Sheng; Tung, Tao Hsin; Huang, Chih Chung; Chan, Chang Chuan; Shiu, Ming Neng; Yeh, Yen Po; Liou, Horng Huei; Liao, Chao Sheng; Lai, Hsin Chih; Chiang, Chun Pin; Peng, Hui Ling; Tseng, Chuen Den; Yen, Ming Shyen; Hsu, Wei Chih; Chen, Chih Hung.

In: Cancer, Vol. 100, No. 8, 15.04.2004, p. 1734-1743.

Research output: Contribution to journalArticle

Chen, THH, Chiu, YH, Luh, DL, Yen, MF, Wu, HM, Chen, LS, Tung, TH, Huang, CC, Chan, CC, Shiu, MN, Yeh, YP, Liou, HH, Liao, CS, Lai, HC, Chiang, CP, Peng, HL, Tseng, CD, Yen, MS, Hsu, WC & Chen, CH 2004, 'Community-Based Multiple Screening Model: Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group', Cancer, vol. 100, no. 8, pp. 1734-1743. https://doi.org/10.1002/cncr.20171
Chen, Tony Hsiu Hsi ; Chiu, Yueh Hsia ; Luh, Dih Ling ; Yen, Ming Fang ; Wu, Hui Min ; Chen, Li Sheng ; Tung, Tao Hsin ; Huang, Chih Chung ; Chan, Chang Chuan ; Shiu, Ming Neng ; Yeh, Yen Po ; Liou, Horng Huei ; Liao, Chao Sheng ; Lai, Hsin Chih ; Chiang, Chun Pin ; Peng, Hui Ling ; Tseng, Chuen Den ; Yen, Ming Shyen ; Hsu, Wei Chih ; Chen, Chih Hung. / Community-Based Multiple Screening Model : Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group. In: Cancer. 2004 ; Vol. 100, No. 8. pp. 1734-1743.
@article{7cd9cec801c84bd6bd5d7b09b356532e,
title = "Community-Based Multiple Screening Model: Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group",
abstract = "BACKGROUND. Multiple disease screening may have several advantages over single disease screening because of the economics of scale, with the high yield of detecting asymptomatic diseases, the identification of multiple diseases or risk factors simultaneously, the enhancement of the attendance rate, and the efficiency of follow-up. METHODS. An integrated model of community-based multiple screening was designed and conducted between 1999 and 2001 in Keelung, Taiwan. The authors used a Papanicolaou (Pap) smear screening program as a base to integrate other screening regimens encompassing four other neoplastic diseases and three nonneoplastic chronic diseases. Screening methods, the interscreening interval, and the follow-up for each screening regimen were designed based on evidence-based literature and current national screening policy. RESULTS. A total of 42,387 subjects participated in the screening activities. A 25{\%} increase in the attendance rate for Pap smear screening was demonstrated after the introduction of multiple disease screening programs. At the first screen, this program yielded a total of 677 asymptomatic neoplasms (16.0 per 1000), including a large proportion of precancerous lesions and small presymptomatic tumors without lymph node involvement. The association between the occurrence of neoplasm and the presence of comorbid nonneoplastic chronic disease was found to be statistically significant (odds ratio, 1.64; 95{\%} confidence interval, 1.38-1.94 [P <0.051). The authors also identified 5314 subjects with metabolic syndrome who were at a greater risk for colorectal and oral neoplasias. CONCLUSIONS. The results of the current study demonstrate that an outreach and community-based multiple screening program not only enhances attendance rates but also has a high yield of early cases of various diseases simultaneously, and provides a natural opportunity to elucidate the correlation between neoplastic disease and nonneoplastic chronic disease.",
keywords = "Cancer screening, Chronic disease screening, Community-based integrated screening, Comorbidity, Metabolic syndrome, Multiple disease screening",
author = "Chen, {Tony Hsiu Hsi} and Chiu, {Yueh Hsia} and Luh, {Dih Ling} and Yen, {Ming Fang} and Wu, {Hui Min} and Chen, {Li Sheng} and Tung, {Tao Hsin} and Huang, {Chih Chung} and Chan, {Chang Chuan} and Shiu, {Ming Neng} and Yeh, {Yen Po} and Liou, {Horng Huei} and Liao, {Chao Sheng} and Lai, {Hsin Chih} and Chiang, {Chun Pin} and Peng, {Hui Ling} and Tseng, {Chuen Den} and Yen, {Ming Shyen} and Hsu, {Wei Chih} and Chen, {Chih Hung}",
year = "2004",
month = "4",
day = "15",
doi = "10.1002/cncr.20171",
language = "English",
volume = "100",
pages = "1734--1743",
journal = "Cancer",
issn = "0008-543X",
publisher = "John Wiley and Sons Inc.",
number = "8",

}

TY - JOUR

T1 - Community-Based Multiple Screening Model

T2 - Design, Implementation, and Analysis of 42,387 Participants Taiwan Community-Based Integrated Screening Group

AU - Chen, Tony Hsiu Hsi

AU - Chiu, Yueh Hsia

AU - Luh, Dih Ling

AU - Yen, Ming Fang

AU - Wu, Hui Min

AU - Chen, Li Sheng

AU - Tung, Tao Hsin

AU - Huang, Chih Chung

AU - Chan, Chang Chuan

AU - Shiu, Ming Neng

AU - Yeh, Yen Po

AU - Liou, Horng Huei

AU - Liao, Chao Sheng

AU - Lai, Hsin Chih

AU - Chiang, Chun Pin

AU - Peng, Hui Ling

AU - Tseng, Chuen Den

AU - Yen, Ming Shyen

AU - Hsu, Wei Chih

AU - Chen, Chih Hung

PY - 2004/4/15

Y1 - 2004/4/15

N2 - BACKGROUND. Multiple disease screening may have several advantages over single disease screening because of the economics of scale, with the high yield of detecting asymptomatic diseases, the identification of multiple diseases or risk factors simultaneously, the enhancement of the attendance rate, and the efficiency of follow-up. METHODS. An integrated model of community-based multiple screening was designed and conducted between 1999 and 2001 in Keelung, Taiwan. The authors used a Papanicolaou (Pap) smear screening program as a base to integrate other screening regimens encompassing four other neoplastic diseases and three nonneoplastic chronic diseases. Screening methods, the interscreening interval, and the follow-up for each screening regimen were designed based on evidence-based literature and current national screening policy. RESULTS. A total of 42,387 subjects participated in the screening activities. A 25% increase in the attendance rate for Pap smear screening was demonstrated after the introduction of multiple disease screening programs. At the first screen, this program yielded a total of 677 asymptomatic neoplasms (16.0 per 1000), including a large proportion of precancerous lesions and small presymptomatic tumors without lymph node involvement. The association between the occurrence of neoplasm and the presence of comorbid nonneoplastic chronic disease was found to be statistically significant (odds ratio, 1.64; 95% confidence interval, 1.38-1.94 [P <0.051). The authors also identified 5314 subjects with metabolic syndrome who were at a greater risk for colorectal and oral neoplasias. CONCLUSIONS. The results of the current study demonstrate that an outreach and community-based multiple screening program not only enhances attendance rates but also has a high yield of early cases of various diseases simultaneously, and provides a natural opportunity to elucidate the correlation between neoplastic disease and nonneoplastic chronic disease.

AB - BACKGROUND. Multiple disease screening may have several advantages over single disease screening because of the economics of scale, with the high yield of detecting asymptomatic diseases, the identification of multiple diseases or risk factors simultaneously, the enhancement of the attendance rate, and the efficiency of follow-up. METHODS. An integrated model of community-based multiple screening was designed and conducted between 1999 and 2001 in Keelung, Taiwan. The authors used a Papanicolaou (Pap) smear screening program as a base to integrate other screening regimens encompassing four other neoplastic diseases and three nonneoplastic chronic diseases. Screening methods, the interscreening interval, and the follow-up for each screening regimen were designed based on evidence-based literature and current national screening policy. RESULTS. A total of 42,387 subjects participated in the screening activities. A 25% increase in the attendance rate for Pap smear screening was demonstrated after the introduction of multiple disease screening programs. At the first screen, this program yielded a total of 677 asymptomatic neoplasms (16.0 per 1000), including a large proportion of precancerous lesions and small presymptomatic tumors without lymph node involvement. The association between the occurrence of neoplasm and the presence of comorbid nonneoplastic chronic disease was found to be statistically significant (odds ratio, 1.64; 95% confidence interval, 1.38-1.94 [P <0.051). The authors also identified 5314 subjects with metabolic syndrome who were at a greater risk for colorectal and oral neoplasias. CONCLUSIONS. The results of the current study demonstrate that an outreach and community-based multiple screening program not only enhances attendance rates but also has a high yield of early cases of various diseases simultaneously, and provides a natural opportunity to elucidate the correlation between neoplastic disease and nonneoplastic chronic disease.

KW - Cancer screening

KW - Chronic disease screening

KW - Community-based integrated screening

KW - Comorbidity

KW - Metabolic syndrome

KW - Multiple disease screening

UR - http://www.scopus.com/inward/record.url?scp=1842424942&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1842424942&partnerID=8YFLogxK

U2 - 10.1002/cncr.20171

DO - 10.1002/cncr.20171

M3 - Article

C2 - 15073864

AN - SCOPUS:1842424942

VL - 100

SP - 1734

EP - 1743

JO - Cancer

JF - Cancer

SN - 0008-543X

IS - 8

ER -