A Questionnaire-Based Survey on Screening for Gastric and Colorectal Cancer by Physicians in East Asian Countries in 2010
- Authors
- Naito, Yuji; Uchiyama, Kazuhiko; Kinoshita, Yoshikazu; Fukudo, Shin; Joh, Takashi; Suzuki, Hidekazu; Takahashi, Shin'ichi; Ueno, Fumiaki; Fujiwara, Yasuhiro; Arakawa, Tetsuo; Matsumoto, Takayuki; Hahm, Ki-Baik; Kachintorn, Udom; Syam, Ari Fahrial; Rani, Abdul Aziz; Sollano, Jose D.; Zhu, Qi
- Issue Date
- 2012
- Publisher
- KARGER
- Keywords
- Colorectal cancer; Gastric cancer; Screening; East Asian countries; Questionnaire based survey
- Citation
- DIGESTION, v.86, no.2, pp.94 - 106
- Journal Title
- DIGESTION
- Volume
- 86
- Number
- 2
- Start Page
- 94
- End Page
- 106
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/17569
- DOI
- 10.1159/000339342
- ISSN
- 0012-2823
- Abstract
- Background: The incidence of gastric cancer (GC) is high, and colorectal cancer (CRC) has significantly increased in Asian countries. Aim: To examine the current screening for GC and CRC within East Asia by means of a questionnaire survey. Methods: Representative members of the Committee of the International Gastrointestinal Consensus Symposium provided a questionnaire to physicians in six East Asian countries. Results: A total of 449 physicians participated in this survey. In all countries, more than 70% of physicians started GC screening between 40 and 59 years. The most popular method to screen for GC was endoscopy (92.7%), but combination methods such as Helicobacter pylori (HP) antibody, barium X-ray, and tumor marker with endoscopy differed by country. For HP-positive individuals, most physicians screened every year by endoscopy, and for individuals post-HP eradication, about half of physicians (56.3%) thought there was a need to follow-up with GC screening. Among all physicians, the most common age to start CRC screening was in the 40s (39.8%) and 50s (40.9%). Based on the American Cancer Society Recommendations, a fecal occult blood test every year was the most popular method for CRC screening overall. However, among each country, this test was most popular in only Japan (76.9%) and Indonesia. In other countries, sigmoidoscopy every 5 years and total colonoscopy every 10 years were the most popular methods. Conclusion: There are similarities and differences in the screening of GC and CRC among East Asian countries. Copyright (c) 2012 S. Karger AG, Basel
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