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Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China: a multicentre population-based cohort study

Gut, 2021-02, Vol.70 (2), p.251-260 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021 ;ISSN: 0017-5749 ;EISSN: 1468-3288 ;DOI: 10.1136/gutjnl-2019-320200 ;PMID: 32241902

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Title:
Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China: a multicentre population-based cohort study
Author: Chen, Ru ; Liu, Yong ; Song, Guohui ; Li, Bianyun ; Zhao, Deli ; Hua, Zhaolai ; Wang, Xinzheng ; Li, Jun ; Hao, Changqing ; Zhang, Liwei ; Liu, Shuzheng ; Wang, Jialin ; Zhou, Jinyi ; Zhang, Yongzhen ; Li, Bo ; Li, Yanyan ; Feng, Xiang ; Li, Lin ; Dong, Zhiwei ; Wei, Wenqiang ; Wang, Guiqi
Subjects: Biopsy ; Cancer ; Cancer therapies ; Cohort analysis ; Developing countries ; Endoscopy ; Esophageal cancer ; Gastrointestinal cancer ; Industrialized nations ; LDCs ; Medical prognosis ; Medical screening ; Mortality ; Physicians ; Police stations ; Population studies ; Population-based studies ; Questionnaires ; Registration ; Stomach cancer
Is Part Of: Gut, 2021-02, Vol.70 (2), p.251-260
Description: ObjectivesTo estimate the effectiveness of endoscopic screening programme in reducing incidence and mortality of upper gastrointestinal cancer in high risks areas of China.DesignThis multicentre population-based cohort study was conducted in six areas in China from 2005 to 2015. All permanent residents aged 40 to 69 years were identified as target subjects. We refer to those who were invited for screening collectively as the invited group. Of these, we classify those who were invited and undertook endoscopic screening as the screened group and those who were invited but did not accept screening as the non-screened group. Target subjects who were not invited to the screening were assigned to the control group. The effectiveness of the endoscopic screening and screening programme were evaluated by comparing reductions in incidence and mortality from upper gastrointestinal cancer in the screened and invited group with control group.ResultsOur cohort analysis included 637 500 people: 299 483 in the control group and 338 017 in the invited to screening group, 113 340 (33.53%) of whom were screened eventually. Compared with subjects in the control group, upper gastrointestinal cancer incidence and mortality decreased by 23% (relative risk (RR)=0.77, 95% CI 0.74 to 0.81) and 57% (RR=0.43, 95% CI 0.40 to 0.47) in the screened group, respectively, and by 14% (RR=0.86, 95% CI 0.84 to 0.89) and 31% (RR=0.69, 95% CI 0.66 to 0.72) in the invited group, respectively.ConclusionAmong individuals aged 40 to 69 years in high risk areas of upper gastrointestinal cancer, one-time endoscopic screening programme was associated with a significant decrease in upper gastrointestinal cancer incidence and mortality.
Publisher: England: BMJ Publishing Group LTD
Language: English
Identifier: ISSN: 0017-5749
EISSN: 1468-3288
DOI: 10.1136/gutjnl-2019-320200
PMID: 32241902
Source: BMJ Open Access Journals
ProQuest Central

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Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China: a multicentre population-based cohort study

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