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KMID : 1038120230560040460
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Clinical Endoscopy
2023 Volume.56 No. 4 p.460 ~ p.469
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Exploring quality indicators for the detection of Helicobacter pylori-naive gastric cancer: a cross-sectional nationwide survey
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Fumiaki Ishibashi
Toshiaki Hirasawa
Hiroya Ueyama
Yohei Minato
Sho Suzuki
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Abstract
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Background/Aims : Diagnosis of Helicobacter pylori-naive gastric cancer (HPNGC) is becoming increasingly important. This study aimed to explore the quality indicators for HPNGC detection.
Methods : We conducted a cross-sectional, nationwide, web-based survey of gastrointestinal endoscopists in Japan. In addition to questions about the number of HPNGC cases detected in a year and basic information, the questionnaire also consisted of 28 questions: (1) 18 about HPNGC awareness, (2) six about diagnostic proactiveness, and (3) four about interest in HPNGC.
Results : Valid responses were obtained from 712 endoscopists. The Japan Gastroenterological Endoscopy Society-certified endoscopists had a significantly higher HPNGC detection rate than the nonspecialists (0.42% vs. 0.32%, respectively; p=0.008). The results of the multiple regression analysis showed that Japan Gastroenterological Endoscopy Society certification and high awareness and interest scores were independent predictors of the HPNGC detection rate (p=0.012, p<0.001, p=0.024, respectively). Principal component analysis showed that the endoscopists who attended conferences for collecting information on HPNGC had a higher level of awareness.
Conclusions : To improve the detection of HPNGC, it is necessary to increase the awareness of the disease. It is hoped that relevant societies will play an important role in endoscopists’ education.
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KEYWORD
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Endoscopy, Helicobacter pylori, Stomach neoplasms
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