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The Japanese guidelines for gastric cancer screening.

Abstract

BACKGROUND

Gastric cancer is the leading cause of death from cancer in Japan. In 2004, there were 50 562 deaths from gastric cancer; they accounted for 15.8% of the total number of cancer deaths. Since 1983, under the Health Service Law for the Aged, gastric cancer screening has been conducted nationwide for all residents aged 40 years and over.

METHODS

On the basis of the standardized method developed for the Japanese Guidelines for Cancer Screening, the efficacies of various methods for gastric cancer screening were evaluated and the guideline was developed.

RESULTS

Four methods for gastric cancer screening were evaluated: photofluorography, endoscopy, serum pepsinogen testing and Helicobacter pylori antibody testing. On the basis of the analytic framework involving key questions, 1715 articles, published from January 1985 to February 2005, were selected using MEDLINE, the Japanese Medical Research Database and other methods. After the systematic literature review, 10 articles were identified as direct evidence and 49 articles as indirect evidence. The studies that evaluated mortality reduction from gastric cancer included five case-control and two cohort studies for radiographic screening. On the basis of the balance of benefits and harms, the recommendations for population-based and opportunistic screening were formulated. Gastric cancer screening using photofluorography was recommended for both screening programs. The other methods were not recommended for population-based screening due to insufficient evidence.

CONCLUSIONS

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.

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  • Authors+Show Affiliations

    ,

    Cancer Screening Technology Division, Research Center for Cancer Prevention and Screening, National Cancer Center, 5-1-1 Tsukiji Chuo-ku, Tokyo 104-0045, Japan. chamashi@ncc.go.jp

    , , , , ,

    Source

    MeSH

    Antibodies, Bacterial
    False Negative Reactions
    False Positive Reactions
    Gastroscopy
    Helicobacter pylori
    Humans
    Japan
    Mass Screening
    Pepsinogen A
    Photofluorography
    Practice Guidelines as Topic
    Stomach Neoplasms

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    18344316

    Citation

    Hamashima, Chisato, et al. "The Japanese Guidelines for Gastric Cancer Screening." Japanese Journal of Clinical Oncology, vol. 38, no. 4, 2008, pp. 259-67.
    Hamashima C, Shibuya D, Yamazaki H, et al. The Japanese guidelines for gastric cancer screening. Jpn J Clin Oncol. 2008;38(4):259-67.
    Hamashima, C., Shibuya, D., Yamazaki, H., Inoue, K., Fukao, A., Saito, H., & Sobue, T. (2008). The Japanese guidelines for gastric cancer screening. Japanese Journal of Clinical Oncology, 38(4), pp. 259-67. doi:10.1093/jjco/hyn017.
    Hamashima C, et al. The Japanese Guidelines for Gastric Cancer Screening. Jpn J Clin Oncol. 2008;38(4):259-67. PubMed PMID: 18344316.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The Japanese guidelines for gastric cancer screening. AU - Hamashima,Chisato, AU - Shibuya,Daisuke, AU - Yamazaki,Hideo, AU - Inoue,Kazuhiko, AU - Fukao,Akira, AU - Saito,Hiroshi, AU - Sobue,Tomotaka, Y1 - 2008/03/14/ PY - 2008/3/18/pubmed PY - 2008/5/13/medline PY - 2008/3/18/entrez SP - 259 EP - 67 JF - Japanese journal of clinical oncology JO - Jpn. J. Clin. Oncol. VL - 38 IS - 4 N2 - BACKGROUND: Gastric cancer is the leading cause of death from cancer in Japan. In 2004, there were 50 562 deaths from gastric cancer; they accounted for 15.8% of the total number of cancer deaths. Since 1983, under the Health Service Law for the Aged, gastric cancer screening has been conducted nationwide for all residents aged 40 years and over. METHODS: On the basis of the standardized method developed for the Japanese Guidelines for Cancer Screening, the efficacies of various methods for gastric cancer screening were evaluated and the guideline was developed. RESULTS: Four methods for gastric cancer screening were evaluated: photofluorography, endoscopy, serum pepsinogen testing and Helicobacter pylori antibody testing. On the basis of the analytic framework involving key questions, 1715 articles, published from January 1985 to February 2005, were selected using MEDLINE, the Japanese Medical Research Database and other methods. After the systematic literature review, 10 articles were identified as direct evidence and 49 articles as indirect evidence. The studies that evaluated mortality reduction from gastric cancer included five case-control and two cohort studies for radiographic screening. On the basis of the balance of benefits and harms, the recommendations for population-based and opportunistic screening were formulated. Gastric cancer screening using photofluorography was recommended for both screening programs. The other methods were not recommended for population-based screening due to insufficient evidence. CONCLUSIONS: 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. SN - 1465-3621 UR - https://www.unboundmedicine.com/medline/citation/18344316/full_citation L2 - https://academic.oup.com/jjco/article-lookup/doi/10.1093/jjco/hyn017 DB - PRIME DP - Unbound Medicine ER -