| Theme | Evidence-based Guidelines Version 2 for Gastric Cancer Screening ; The Beginning of a New Era of Endoscopic Cancer Screening | |
|---|---|---|
| Title | Current Status and Issues in Gastric Cancer Screening Using Photofluorography : Evidence to Recommend the Screening Test for Population—Based Gastric Cancer Screening | |
| Publish Date | 2016/02 | |
| Author | Daisuke Shibuya | Cancer Detection Center, Miyagi Cancer Society |
| [ Summary ] | There is reasonable evidence of reduction in gastric cancer mortality by gastric cancer screening using photofluorography, according to 3 cohort and 4 case‒control studies. Gastric cancer screening using photofluorography is recommended for population‒based and opportunistic screening in Japan, considering the balance of benefits and harms. However, desirably, individuals aged more than 50 years should be requested to attend the screening program and given appropriate explanation regarding the harms caused by the screening program. Gastric cancer screening using photofluorography is associated with many unsolved problems, such as aging of the examinees, low consultation rates, low sensitivity compared to that of endoscopy, and lack of radiologists. Therefore, it is necessary to develop educational programs to train radiologists and to further improve the accuracy of gastric cancer screening using photofluorography. |
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