Background:Although gastric cancer screening is common among countries with a high prevalence of gastric cancer, there is little data to support the effectiveness of this screening. This study was designed to determine the differences in stage at diagnosis of gastric cancer according to the screening history and screening method (upper gastrointestinal series (UGIS) vs endoscopy).Methods:The study population was derived from the National Cancer Screening Programme (NCSP), a nationwide organised screening programme in Korea. The study cohort consisted of 19 168 gastric cancer patients who had been diagnosed in 2007 and who were invited to undergo gastric cancer screening via the NCSP between 2002 and 2007.Results:Compared with never-screened patients, the odds ratios for being diagnosed with localised gastric cancer in endoscopy-screened patients and UGIS-screened patients were 2.10 (95% CI=1.90-2.33) and 1.24 (95% CI=1.13-1.36), respectively.Conclusions:Screening by endoscopy was more strongly associated with a diagnosis of localised stage gastric cancer compared with screening by UGIS.
Bibliographical noteFunding Information:
This study was supported by a Grant-in-Aid for Cancer Research and Control from the National Cancer Center, Korea (Grant number: 1010200 and 1310231), and a grant from the National R&D Programme for Cancer Control, Ministry of Health and Welfare, Republic of Korea (Grant number: 0820420).
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All Science Journal Classification (ASJC) codes
- Cancer Research