Clinical Gastroenterology Vol.32 No.12(6)

Theme Current Status and Future Perspectives of Endoscopic Screening
Title Establishment of an Accuracy Control Regimen for Population—based Endoscopic Screening of Gastric Cancer and Its Challenges
Publish Date 2017/11
Author Katsuaki Kato Cancer Detection Center, Miyagi Cancer Society
[ Summary ] Following the scientific certification of a decrease in death rate from gastric cancer due to endoscopic screening, this procedure, in addition to the barium examination, has been implemented since 2016. Endoscopic screening for gastric cancer is predominantly carried out as an extension of daily medical care at medical clinics. This issue may frequently contribute to lowering the accuracy control level of the individual screening program. In the manual of the population‒based endoscopic screening for gastric cancer published by the Japanese Society of Gastrointestinal Cancer Screening, the inhabitants of the region where endoscopic screening for gastric cancer is going to be conducted as a population‒based program are required to establish a regional committee that administrates the implementation of the endoscopic screening. The committee should achieve accuracy control, including double‒checking endoscopic images, enforcing countermeasures against accidental occurrence, and data management. In addition, the monitoring of the accuracy of screening program using process indices is also necessary. The construction of a strict accuracy control regimen is essential to maintaining high quality of endoscopic screening for gastric cancer.
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