TY - JOUR
T1 - A questionnaire-based survey on screening for gastric and colorectal cancer by physicians in east Asian countries in 2010
AU - Naito, Yuji
AU - Uchiyama, Kazuhiko
AU - Kinoshita, Yoshikazu
AU - Fukudo, Shin
AU - Joh, Takashi
AU - Suzuki, Hidekazu
AU - Takahashi, Shin'ichi
AU - Ueno, Fumiaki
AU - Fujiwara, Yasuhiro
AU - Arakawa, Tetsuo
AU - Matsumoto, Takayuki
AU - Hahm, Ki Baik
AU - Kachintorn, Udom
AU - Syam, Ari Fahrial
AU - Rani, Abdul Aziz
AU - Sollano, Jose D.
AU - Zhu, Qi
PY - 2012/8
Y1 - 2012/8
N2 - Background: The incidence of gastric cancer (GC) is high, and colorectal cancer (CRC) has significantly increased in Asian countries. Aim: To examine the current screening for GC and CRC within East Asia by means of a questionnaire survey. Methods: Representative members of the Committee of the International Gastrointestinal Consensus Symposium provided a questionnaire to physicians in six East Asian countries. Results: A total of 449 physicians participated in this survey. In all countries, more than 70% of physicians started GC screening between 40 and 59 years. The most popular method to screen for GC was endoscopy (92.7%), but combination methods such as Helicobacter pylori (HP) antibody, barium X-ray, and tumor marker with endoscopy differed by country. For HP-positive individuals, most physicians screened every year by endoscopy, and for individuals post-HP eradication, about half of physicians (56.3%) thought there was a need to follow-up with GC screening. Among all physicians, the most common age to start CRC screening was in the 40s (39.8%) and 50s (40.9%). Based on the American Cancer Society Recommendations, a fecal occult blood test every year was the most popular method for CRC screening overall. However, among each country, this test was most popular in only Japan (76.9%) and Indonesia. In other countries, sigmoidoscopy every 5 years and total colonoscopy every 10 years were the most popular methods. Conclusion: There are similarities and differences in the screening of GC and CRC among East Asian countries.
AB - Background: The incidence of gastric cancer (GC) is high, and colorectal cancer (CRC) has significantly increased in Asian countries. Aim: To examine the current screening for GC and CRC within East Asia by means of a questionnaire survey. Methods: Representative members of the Committee of the International Gastrointestinal Consensus Symposium provided a questionnaire to physicians in six East Asian countries. Results: A total of 449 physicians participated in this survey. In all countries, more than 70% of physicians started GC screening between 40 and 59 years. The most popular method to screen for GC was endoscopy (92.7%), but combination methods such as Helicobacter pylori (HP) antibody, barium X-ray, and tumor marker with endoscopy differed by country. For HP-positive individuals, most physicians screened every year by endoscopy, and for individuals post-HP eradication, about half of physicians (56.3%) thought there was a need to follow-up with GC screening. Among all physicians, the most common age to start CRC screening was in the 40s (39.8%) and 50s (40.9%). Based on the American Cancer Society Recommendations, a fecal occult blood test every year was the most popular method for CRC screening overall. However, among each country, this test was most popular in only Japan (76.9%) and Indonesia. In other countries, sigmoidoscopy every 5 years and total colonoscopy every 10 years were the most popular methods. Conclusion: There are similarities and differences in the screening of GC and CRC among East Asian countries.
KW - Colorectal cancer
KW - East Asian countries
KW - Gastric cancer
KW - Questionnaire-based survey
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=84864234141&partnerID=8YFLogxK
U2 - 10.1159/000339342
DO - 10.1159/000339342
M3 - Review article
C2 - 22846219
AN - SCOPUS:84864234141
SN - 0012-2823
VL - 86
SP - 94
EP - 106
JO - Digestion
JF - Digestion
IS - 2
ER -