J Dig Cancer Res.
2020 Dec;8(2):102-108.
Effect of Gastric Cancer Screening on Patients with Gastric Cancer: A Nationwide Population-based Study
- Affiliations
-
- 1Departments of Internal Medicine, National Health Insurance Service Ilsan Hospital Goyang, Korea
- 2Departments of Surgery, National Health Insurance Service Ilsan Hospital Goyang, Korea
- 3Departments of Pathology, National Health Insurance Service Ilsan Hospital Goyang, Korea
- 4Big Data Department, National Health Insurance Service, Wonju, Korea
- 5Department of Pathology, Yongin Severance Hospital, Yongin, Korea
Abstract
- Background
This study was performed to evaluate the effect of gastric cancer screening through analysis of screening-related data.
Methods
We investigated claims data of gastric cancer from 2009 to 2015. We evaluated whether the screening was performed to prior to registration as patients with gastric cancer. The effect of gastric cancer screening was also analyzed by gender.
Results
We collected total 196,293 patients with gastric cancer. 74% of them had previous experience of gastric cancer screening. In patients with screening, early gastric cancer was 33.4% and advanced gastric cancer was 17.3%. 22,548 (15.5%) patients were diagnosed with gastric cancer within 2 years after screening. In the case of patients without screening, early gastric cancer was 15.1% and advanced gastric cancer was 25.3%. In case of men, 76% of them confirmed gastric cancer through screening, and 70.2% of women confirmed the gastric cancer. In both men and women, the rate of early gastric cancer was higher among those with screening than those without screening.
Conclusion
In this study, we were able to indirectly confirm the stage shift of gastric cancer screening. However, within 2 years after screening, not a few patients with gastric cancer were diagnosed. Therefore, more studies are warranted to in the future.
