Comparing mass screening techniques for gastric cancer in Japan

doi:10.3748/wjg.v12.i30.4873

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Aug 14, 2006 (publication date) through Nov 23, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 14, 2006; 12(30): 4873-4874
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4873

Comparing mass screening techniques for gastric cancer in Japan

Atsushi Tashiro, Masatoshi Sano, Koichi Kinameri, Kazutaka Fujita, Yutaka Takeuchi

Atsushi Tashiro, Yutaka Takeuchi, Niigata Public Health and Sanitation Center, Niigata 951-8550, Japan

Atsushi Tashiro, Masatoshi Sano, Koichi Kinameri, Kazutaka Fujita, Yutaka Takeuchi, Committee of Gastric Cancer Screening, Niigata City Medical Association, Niigata 951-8131, Japan

Author contributions: All authors contributed equally to the work.

Correspondence to: Atsushi Tashiro, MD, Niigata Public Health and Sanitation Center, 1-602-1 Gakkocho-dori Niigata 951-8550, Japan. tashi@mail.lamen.or.jp

Telephone: +81-25-2281000 Fax: +81-25-2289688

Received: April 10, 2006
Revised: May 1, 2006
Accepted: May 25, 2006
Published online: August 14, 2006

Abstract

AIM: To discuss the efficacy of endoscopic mass screening for gastric cancer.

METHODS: The data used in this study were the results of mass screening programs for gastric cancer in Niigata City from 2002 to 2004. The number of participants was 35 089 in 2002, 34 557 in 2003 and 36 600 in 2004. The finding ratio referred to the final diagnosis of gastric cancer after a double check of endoscopic files and histological findings. The costs of identifying one case of gastric cancer were calculated based on the total expense for each screening program and additional close examinations.

RESULTS: From the analysis of individual screening program with endoscopy, individual screening program with X-ray (ISX) and mass screening program with photofluorography (MSP) in reference to the finding ratio of gastric cancer, endoscopic examination was the best for detecting early gastric cancer, the finding ratio was 0.87% in 2004, approximately 2.7 and 4.6 times higher than those of the ISX and MSP groups. In addition, this novel method was the cheapest means regarding the cost of identifying one case of gastric cancer, which was estimated to be 1 608 000 Japanese yen in 2004.

CONCLUSION: Endoscopic mass screening is a promising method and can be effectively applied if a sufficient number of skilled endoscopists become available to staff the system and if city offices support it.

Keywords: Mass screening; Gastric cancer; Endoscopy; Cost effectiveness