The Japanese Guidelines for Gastric Cancer Screening

Hamashima, Chisato; Shibuya, Daisuke; Yamazaki, Hideo; Inoue, Kentaro; Fukao, Akira; Saitō, Hiroshi; Sobue, Tomotaka

doi:10.1093/jjco/hyn017

Cited by 353 publications

(317 citation statements)

References 30 publications

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“…Furthermore, municipalities were also excluded if they did not perform the following examinations: gastric X-ray for gastric cancer, chest X-ray for lung cancer, fecal occult blood tests for colorectal cancer, Pap smear for cervical cancer, and mammography for breast cancer. These examinations are recommended for population-based screening as there is sufficient evidence to suggest that these tests reduce the cancer mortality rate in Japan (Hamashima et al, 2008;Hamashima et al, 2010;National cancer center, 2013). Of all municipalities, 1,718 (98.4%), 1,610 (92.2%), 1,726 (98.9%), 1,717 (98.3%), and 1,693 (97.0%) municipalities were included in the analyses for gastric, lung, colorectal, cervical, and breast cancer screening, respectively.…”

Section: 2607 Strategies For Improving the Cancer Screening Rates Inmentioning

confidence: 99%

What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

Sano¹,

Goto²,

Hamashima³

2014

Asian Pacific Journal of Cancer Prevention

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Background: Cancer screening rates in Japan are much lower than those in Western countries. This study evaluated the relationship between cancer screening rates and strategies used to improve screening rates, and determined which strategy is the most effective. Materials and Methods: All municipalities are responsible for conducting gastric, lung, colorectal, cervical, and breast cancer screenings in Japan. Of the 1,746 municipalities in total, 92-99% were included in the analyses for each cancer screening. Using national data in 2009, the correlations between cancer screening rates and strategies for improving screening rates of all municipalities, both large (populations of over 30,000) and small (populations of under 30,000), were determined. The strategies used were as follows: sending personal invitation letters, personal visits by community health workers, use of a clinical setting for screening, and free screening. Results: Of all four strategies used to improve cancer screening rates, sending personal invitation letters had the highest correlations with all screening rates, with the exception of breast cancer screening. The partial correlation coefficients linking this strategy with the screening rates in all municipalities were 0.28, 0.32, 0.30, and 0.26 for gastric, lung, colorectal, and cervical cancer screening, respectively. In large municipalities, the correlations between the number of examinees in a clinical setting and the screening rates were also relatively high, particularly for cervical cancer screening (r=0.41). Conclusions: Sending personal invitation letters appears to be particularly effective in improving cancer screening rates in all municipalities. All municipalities should implement a system that sends personal invitation letters for cancer screening. In large municipalities, increasing the availability of screening in a clinical setting is also effective in improving cancer screening rates.

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Section: 2607 Strategies For Improving the Cancer Screening Rates Inmentioning

confidence: 99%

What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

Sano¹,

Goto²,

Hamashima³

2014

Asian Pacific Journal of Cancer Prevention

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“…(5,7) In recent years, endoscopy has replaced photofluorography as the initial mass screening method in several cities in Japan. (8,9) This technique is increasingly useful for GC screening because of its high detection rate. In a study conducted in Niigata, Japan, the detection of GC by endoscopy was 2.7-4.6 times higher than that by direct or indirect UGIS.…”

mentioning

confidence: 99%

“…Despite this promising result, direct evidence for the effectiveness of endoscopic screening for asymptomatic individuals is still limited. (8) In Korea, a nationwide GC screening program was started in 1999 as part of the National Cancer Screening Program (NCSP). (14) In 1999, the NCSP offered free-of-charge GC screening to medical aid recipients.…”

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Who participates in the gastric cancer screening and on‐time rescreening in the National Cancer Screening Program? A population‐based study in Korea

et al. 2011

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Gastric cancer (GC) screening is a major challenge in countries where the disease is highly prevalent. This study was conducted to identify the factors associated with participation in GC screening and on-time rescreening among the average-risk population in Korea. The study population was derived from the National Cancer Screening Program database. The population for this study was 22 913 618 individuals aged ‡40 years who had been invited to participate in a GC screening program from 2005 to 2006. We determined whether these individuals had attended the GC screening program and which method -an upper gastrointestinal series (UGIS) or endoscopy-they underwent. We followed the participants to determine whether they had a second GC screening after 2 years. The overall participation rate in the GC screening was 20.5%. More people underwent UGIS than endoscopy. Individuals who had been screened by endoscopy rather than UGIS were more likely to be younger, male, or those who were National Health Insurance (NHI) beneficiaries with a higher premium rate. Of those who underwent baseline screening, 59.4% participated in a rescreening program 2 years later. NHI beneficiaries with a higher premium rate were significantly more likely to be rescreened than medical aid recipients. The results from this study showed that the UGIS were more commonly used in organized GC screenings in Korea, and those who underwent UGIS were more likely to return for subsequent screening compared to those who underwent an endoscopy. (Cancer Sci 2011; 102: 2241-2247 G astric cancer (GC) is the fourth most common cancer behind lung cancer, breast cancer, and colorectal cancer, and in 2008 was the second most common cause of cancer deaths worldwide. (1) In Korea, GC is the most frequent type of cancer. (2,3) In countries where GC is highly prevalent, GC screening is offered to the average-risk population to reduce the disease burden. (4) Gastric cancer screening has shown improvements in survival rates as a result of early detection and consequently higher cure rates. (5) Therefore, many Asian countries with a high burden of GC have considered implementing GC screening for the general population. (6) Since 1960, Japan has implemented photofluorography (via an indirect upper gastrointestinal series [UGIS]) screening programs to detect GC in its early stages and prevent GC deaths. (6) The cohort studies conducted in Japan showed a significant GC mortality reduction with photofluorography screening. (5,7) In recent years, endoscopy has replaced photofluorography as the initial mass screening method in several cities in Japan. (8,9) This technique is increasingly useful for GC screening because of its high detection rate. In a study conducted in Niigata, Japan, the detection of GC by endoscopy was 2.7-4.6 times higher than that by direct or indirect UGIS. (10)(11)(12) Recently, Hosokawa et al. (13) reported an approximately 65% reduction in the GC death rate for participants screened with endoscopy. Despite this promising result, direct evidence for t...

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“…La más estudiada de ellas es el estudio radiológico contrastado con bario con una evaluación posterior por endoscopia digestiva alta (EDA) en casos con lesiones sospechosas en el estudio radiológico 8 . La EDA, focalizada en grupos de mayor riesgo de CG sin estudio radiológico previo, ha sido propuesta como una alternativa en países con alta mortalidad por CG y mayor disponibilidad de este método diagnóstico [8][9][10] . No obstante, el costo de la EDA, su carácter invasivo, aceptabilidad y calidad dependiente del operador, fundamentan la búsqueda de pruebas alternativas no invasivas que permitan incrementar la eficiencia del tamizaje 11,12 .…”

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Cobertura de la estrategia preventiva de cáncer gástrico en Chile: resultados de la Encuesta Nacional de Salud 2009-2010

et al. 2015

Rev. méd. Chile

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The Japanese Guidelines for Gastric Cancer Screening

Abstract: The guideline for gastric cancer screening guideline was developed based on the previously established method. Gastric cancer screening using photofluorography is recommended for population-based and opportunistic screening in Japan.

Cited by 353 publications

References 30 publications

What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

Who participates in the gastric cancer screening and on‐time rescreening in the National Cancer Screening Program? A population‐based study in Korea

Cobertura de la estrategia preventiva de cáncer gástrico en Chile: resultados de la Encuesta Nacional de Salud 2009-2010

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