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Effect of endoscopy screening on stage at gastric cancer diagnosis: results of the National Cancer Screening Programme in Korea

Authors
 K S Choi  ;  J K Jun  ;  M Suh  ;  B Park  ;  D K Noh  ;  S H Song  ;  K W Jung  ;  H-Y Lee  ;  I J Choi  ;  E-C Park 
Citation
 BRITISH JOURNAL OF CANCER, Vol.112(3) : 608-612, 2015 
Journal Title
 BRITISH JOURNAL OF CANCER 
ISSN
 0007-0920 
Issue Date
2015
MeSH
Adult ; Aged ; Aged, 80 and over ; Early Detection of Cancer/methods* ; Endoscopy, Gastrointestinal* ; Female ; Humans ; Male ; Mass Screening/methods ; Middle Aged ; Neoplasm Staging ; Program Evaluation ; Republic of Korea ; Stomach Neoplasms/pathology*
Abstract
BACKGROUND: Although gastric cancer screening is common among countries with a high prevalence of gastric cancer, there is little data to support the effectiveness of this screening. This study was designed to determine the differences in stage at diagnosis of gastric cancer according to the screening history and screening method (upper gastrointestinal series (UGIS) vs endoscopy). METHODS: The study population was derived from the National Cancer Screening Programme (NCSP), a nationwide organised screening programme in Korea. The study cohort consisted of 19 168 gastric cancer patients who had been diagnosed in 2007 and who were invited to undergo gastric cancer screening via the NCSP between 2002 and 2007. RESULTS: Compared with never-screened patients, the odds ratios for being diagnosed with localised gastric cancer in endoscopy-screened patients and UGIS-screened patients were 2.10 (95% CI=1.90-2.33) and 1.24 (95% CI=1.13-1.36), respectively. CONCLUSIONS: Screening by endoscopy was more strongly associated with a diagnosis of localised stage gastric cancer compared with screening by UGIS.
Files in This Item:
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DOI
10.1038/bjc.2014.608
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139373
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