A Questionnaire-Based Survey on Screening for Gastric and Colorectal Cancer by Physicians in East Asian Countries in 2010

作者：Naito, Yuji^*; Uchiyama, Kazuhiko; Kinoshita, Yoshikazu; Fukudo, Shin; Joh, Takashi; Suzuki, Hidekazu; Takahashi, Shin'ichi; Ueno, Fumiaki; Fujiwara, Yasuhiro; Arakawa, Tetsuo; Matsumoto, Takayuki; Hahm, Ki Baik; Kachintorn, Udom; Syam, Ari Fahrial; Rani, Abdul Aziz; Sollano, Jose D; Zhu, Qi

来源：Digestion, 2012, 86(2): 94-106.

DOI：10.1159/000339342

• Colorectal cancer
• Gastric cancer
• Screening
• East Asian countries
• Questionnaire based survey

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.

• 出版日期2012
• 单位上海交通大学