Effects of Screening on Gastric Cancer Management: Comparative Analysis of the Results in 2006 and in 2011.
10.5230/jgc.2014.14.2.129
- Author:
Yun Gyoung KIM
1
;
Seong Ho KONG
;
Seung Young OH
;
Kyung Goo LEE
;
Yun Suhk SUH
;
Jun Young YANG
;
Jeongmin CHOI
;
Sang Gyun KIM
;
Joo Sung KIM
;
Woo Ho KIM
;
Hyuk Joon LEE
;
Han Kwang YANG
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. wisehearted@gmail.com
- Publication Type:Original Article
- Keywords:
Early detection of cancer;
Stomach neoplasms;
Therapeutics
- MeSH:
Diagnosis;
Early Detection of Cancer;
Endoscopy;
Humans;
Mass Screening*;
Stomach Neoplasms*
- From:Journal of Gastric Cancer
2014;14(2):129-134
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to analyze the effect of screening by using endoscopy on the diagnosis and treatment of gastric cancer. MATERIALS AND METHODS: The clinicopathologic characteristics of gastric cancer were compared in individuals who underwent an endoscopy because of symptoms (non-screening group) or for screening purposes (screening group). The distributions of gastric cancer stages and treatment modalities in 2006 and 2011 were compared. RESULTS: The proportion of patients in the screening group increased from 45.1% in 2006 to 65.4% in 2011 (P<0.001). The proportion of stage I cancers in the entire patient sample also increased (from 60.5% in 2006 to 70.6% in 2011; P=0.029). In 2011, the percentages of patients with cancer stages I, II, III, and IV were 79.9%, 8.2%, 10.9%, and 1.1%, respectively, in the screening group, and 47.9%, 10.8%, 29.8%, and 11.5%, respectively, in the non-screening group. The proportion of laparoscopic and robotic surgeries increased from 9.6% in 2006 to 48.3% in 2011 (P<0.001), and endoscopic submucosal dissection increased from 9.8% in 2006 to 19.1% 2011 (P<0.001). CONCLUSIONS: The proportion of patients diagnosed with gastric cancer by using the screening program increased between 2006 and 2011. This increase was associated with a high proportion of early-stage cancer diagnoses and increased use of minimally invasive treatments.
