2016年11月
Quality assurance manual of endoscopic screening for gastric cancer in Japanese communities
JAPANESE JOURNAL OF CLINICAL ONCOLOGY
- ,
- 巻
- 46
- 号
- 11
- 開始ページ
- 1053
- 終了ページ
- 1061
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1093/jjco/hyw106
- 出版者・発行元
- OXFORD UNIV PRESS
Following the Japanese government's public policy to introduce endoscopic screening for gastric cancer in 2015, we developed a quality assurance manual and recommend management strategies for endoscopic screening in communities.The Japanese government introduced endoscopic screening for gastric cancer in 2015 as a public policy based on the Japanese guidelines on gastric cancer screening. To provide appropriate endoscopic screening for gastric cancer in Japanese communities, we developed a quality assurance manual of endoscopic screening and recommend 10 strategies with their brief descriptions as follows: (i) Formulation of a committee responsible for implementing and managing endoscopic screening, and for deciding the suitable implementation methods in consideration of the local context; (ii) Development of an interpretation system that leads to a final judgement to standardize endoscopic examination and improve its accuracy; (iii) Preparation of management and reporting systems for adverse effects by the committee for safety management; (iv) Obtaining informed consent before operation following adequate explanations regarding the benefits and harms of endoscopic screening; (v) Avoidance of frequent screenings to reduce false-positive results and overdiagnosis. As a reference, the target age group is a parts per thousand yen50 years, and the screening interval is 2 years; (vi) Keeping the biopsy rate within 10% as post-biopsy bleeding may occur. Before endoscopic screening, any history of antithrombotic drug usage should be checked; (vii) onadministration of sedation in endoscopic screening for safety management; (viii) Adherence to proper endoscopic cleaning and disinfection to reduce infection; (ix) Use of a checklist to achieve optimal program preparation when municipal governments introduce endoscopic screening; (x) Identification of the aims and roles by referring to a checklist if primary care physicians decide to participate in endoscopic screening.
- リンク情報
- ID情報
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- DOI : 10.1093/jjco/hyw106
- ISSN : 0368-2811
- eISSN : 1465-3621
- PubMed ID : 27589938
- Web of Science ID : WOS:000388599900013