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KMID : 0384320050260020081
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Korean Journal of Family Medicine
2005 Volume.26 No. 2 p.81 ~ p.87
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The Barriers for Screening Test of Hepatocellular Carcinoma of Hepatitis B Surface Antigen Positive Patients
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Oh Seung-Min
Chang Yoon-Jung
Lee Dong-Ju
Kim Yu-il
Kim Ju-Young
Huh Bong-Ryul
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Abstract
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Background: The optimal screening tools for hepatocellular carcinoma are regular tests of alpha fetoprotein (aFP) and liver ultrasonography every 6 months in high risk group. To implement successful long-term project for reducing cancer-mortality, it is essential to know the reasons for non-compliance among the high risk group.
Methods: A telephone survey was done among the hepatitis B surface antigen positive patient group who had not received a follow-up test of aFP and liver ultrasonography. This group was selected among the patients who had received health examinations from January, 2002 to December, 2002 at a university hospital center for health promotion, and the reasons for non-compliance were inquired.
Results: There were no statistical differences in educational level, economic status, age, and sex between the patient group who had taken appropriate follow-up tests and the group who had not. But there were statistically significant differences in the admission history and transfusion history between the two groups. The reasons for non-compliance were as follows: 1. ignorance to the significance of follow-up examination (41.7%), 2. lack of time (27.8%), 3. no specific signs of cancer (22.2%), 4. high costs (5.6%), and 5. fear of discovering serious disease.
Conclusion: It is important to have patients educated on the significance of screening and early diagnosis of hepatocellular carcinoma. (J Korean Acad Fam Med 2005;26:81-87)
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KEYWORD
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hepatitis, hepatocellular carcinoma, screening, barrier, compliance
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