Application of a new gastric cancer screening scoring system to high-risk population of gastric cancer in Fujian island area
10.3760/cma.j.cn321463-20230328-00509
- VernacularTitle:新型胃癌筛查评分系统在福建海岛胃癌风险人群的应用
- Author:
Jiaqing HU
1
;
Junwei XIE
;
Xiaoyin HUANG
;
Wanyin DENG
;
Jinhui ZHENG
;
Weimin YE
;
Wei LIANG
Author Information
1. 福建医科大学省立临床医学院（福建省立医院）消化内镜中心，福州 350001
- Keywords:
Precancerous conditions;
Early diagnosis;
Stomach neoplasms;
Helicobacter pylori;
New scoring system
- From:
Chinese Journal of Digestive Endoscopy
2023;40(11):881-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of the new gastric cancer screening scoring system for risk populations in the island of Fujian province.Methods:From April to June 2019, gastric cancer screening was performed on the population of Nanri Island, Putian City, Fujian Province, and epidemiological data of all subjects were prospectively collected. Participants underwent gastroscopy based on gastric cancer risk stratification of the new scoring system. Suspected positive cases further received magnifying endoscopy and biopsy. Additional endoscopic procedures and other surgical treatments were conducted. The detection rates of gastric cancer and precancerous lesions in each group of gastric cancer risk stratification were compared, and the Chi-square test was used for statistical analysis.Results:A total of 1 423 subjects were included, and 19 cases (1.34%) of gastric cancer were detected. The detection rates of gastric cancer were 0.88% (9/1 025) in the low-risk group, 1.76% (6/341) in the medium-risk group, and 7.02% (4/57) in the high-risk group. Paired comparison between the low-risk group and the high-risk group showed significant difference ( χ2=12.364, P=0.003). There was no significant difference between the low-risk group and medium-risk group, or between the medium-risk group and high-risk group ( P>0.05). Among all participants, 87 (6.11%) cases of gastric precancerous lesions were identified. The detection rates of precancerous lesions in the low-risk, medium-risk, and high-risk groups were 6.24% (64/1 025), 5.87% (20/341), and 5.26% (3/57) respectively, with no significant difference among the three groups ( P>0.05) .Conclusion:During gastric cancer screening, the novel gastric cancer screening scoring system helps to stratify gastric cancer risk for population in the islands of Fujian province, serving as a foundation for subsequent detailed endoscopy.
