Potential capacity of endoscopic screening for gastric cancer in Japan.
Potential capacity of endoscopic screening for gastric cancer in Japan.
复制标题
日本胃癌内窥镜筛查的潜在能力。
DOI：
10.1111/cas.13100
复制
发表时间：
2017-01
期刊：
影响因子：
5.7
通讯作者：
Goto R
中科院分区：
文献类型：
--
作者：
Hamashima C;Goto R
2016年，日本政府决定将胃癌内窥镜筛查作为国家计划引入。为了在全国范围内开展内窥镜检查，我们根据全国调查，推算了实施内窥镜检查后内窥镜检查的增加比例。内窥镜检查的总数有所增加，特别是在诊所。根据全国普查，胃癌筛查参与者总数为3 784 967人。如果30%的参与者从放射学筛查转为内窥镜筛查，则需要大约100万次额外的内窥镜检查。在日本，胃癌筛查的参与率以及提供上消化道内窥镜检查的医院和诊所数量在47个都道府县之间存在差异。如果参与率高，医院和诊所数量少，则增加的比例较大。基于同样的假设，50%的大城市可以提供内镜筛查，内镜检查总数增加5%。然而，16.7%的医疗区可进行内窥镜检查，内窥镜检查总数的增幅不超过5%。尽管日本政府决定在全国范围内引入胃癌内镜筛查，但由于农村地区医疗资源不足，难以立即实施。这意味着内窥镜筛查将首先引入大城市。要在全国范围内推广胃癌内镜筛查，首先要解决医疗资源的差距。
In 2016, the Japanese government decided to introduce endoscopic screening for gastric cancer as a national program. To provide endoscopic screening nationwide, we estimated the proportion of increase in the number of endoscopic examinations with the introduction of endoscopic screening, based on a national survey. The total number of endoscopic examinations has increased, particularly in clinics. Based on the national survey, the total number of participants in gastric cancer screening was 3 784 967. If 30% of the participants are switched from radiographic screening to endoscopic screening, approximately 1 million additional endoscopic examinations are needed. In Japan, the participation rates in gastric cancer screening and the number of hospitals and clinics offering upper gastrointestinal endoscopy vary among the 47 prefectures. If the participation rates are high and the numbers of hospitals and clinics are small, the proportion of increase becomes larger. Based on the same assumption, 50% of big cities can provide endoscopic screening with a 5% increase in the total number of endoscopic examinations. However, 16.7% of the medical districts are available for endoscopic screening within a 5% increase in the total number of endoscopic examinations. Despite the Japanese government's decision to introduce endoscopic screening for gastric cancer nationwide, its immediate introduction remains difficult because of insufficient medical resources in rural areas. This implies that endoscopic screening will be initially introduced to big cities. To promote endoscopic screening for gastric cancer nationwide, the disparity of medical resources must first be resolved.
影响因子：
3.7
作者：
Goto R;Arai K;Kitada H;Ogoshi K;Hamashima C
通讯作者：
Hamashima C