Evaluation of mass screening program of gastric cancer: The effect of follow-up rates of screening abnormalities on the detection rate.
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概要
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We investigated the association between quality of the mass screening and the cancer detection rates for the 18 medical facilities providing gastric cancer screening in Fukuoka prefecture, Japan. Data from The Gastric Mass Survey Committee of Fukuoka Area were analyzed by the weighted linear regression. For each medical facility conducting mass screening, the individuals screened from 1987 to 2003 were divided into the regional group who received the mass screening for the general population over 40 years without employees and the occupational group who received the mass screening for the employees at the analyses. The analyses were also conducted as the combined group by adding the regional and occupational groups. If the number of recipients screened belonging to the group was too few, the group in the medical facility was excluded from the analyses. Total number of persons analyzed was 732, 589 for the regional group, 1,110, 865 for the occupational group, and 1,988, 444 for the combined group. The average number of persons per medical facility was 110, 469 for the combined group, 73, 259 for the regional group and 69, 429 for the occupational group. The multiple regression analysis indicated that the cancer detection rates statistically significantly associated with the follow-up rate of screening abnormalities after adjusting for the probable uptake rate of the screening abnormalities and the positive predictive value. It is estimated that the improvement of the follow-up rates of screening abnormalities greatly contributes to the cancer detection rates. This study suggests that the establishment of the socio-political systems to improve the follow-up rate of screening abnormalities is important and should be urgently promoted in Japan.
- 一般社団法人 日本消化器がん検診学会の論文
一般社団法人 日本消化器がん検診学会 | 論文
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