| The Japanese guidelines for gastric cancer screening. | |
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MedLine Citation:
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PMID: 18344316 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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:
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Chisato Hamashima; Daisuke Shibuya; Hideo Yamazaki; Kazuhiko Inoue; Akira Fukao; Hiroshi Saito; Tomotaka Sobue |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review Date: 2008-03-14 |
Journal Detail:
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Title: Japanese journal of clinical oncology Volume: 38 ISSN: 1465-3621 ISO Abbreviation: Jpn. J. Clin. Oncol. Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-14 Completed Date: 2008-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0313225 Medline TA: Jpn J Clin Oncol Country: Japan |
Other Details:
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Languages: eng Pagination: 259-67 Citation Subset: IM |
Affiliation:
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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 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Antibodies, Bacterial
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blood False Negative Reactions False Positive Reactions Gastroscopy Helicobacter pylori / immunology Humans Japan Mass Screening / methods* Pepsinogen A / blood Photofluorography Practice Guidelines as Topic* Stomach Neoplasms / diagnosis*, enzymology, epidemiology, prevention & control |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Bacterial; 9001-10-9/Pepsinogen A |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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