Decision model analyses of upper endoscopy for gastric cancer screening and preneoplasia surveillance: a systematic review.

ABSTRACT:

Aims

Gastric cancer (GC) is the third leading cause of cancer death worldwide, but the burden of disease is not distributed evenly. GC screening routinely occurs in some high-incidence regions/countries and is generally cost-effective, which is attributed largely to the associated GC mortality reduction. In regions of low-intermediate incidence, less is known about the outcomes of GC screening and gastric precancer surveillance, including cost-effectiveness, since there are no comparative clinical studies. Decision analytic studies are informative in such instances where logistical limitations preclude "gold standard" study designs. We therefore aimed to conduct a systematic review of decision model analyses focused on endoscopic GC screening or precancer surveillance.

Methods</

SUBMITTER: Canakis A 

PROVIDER: S-EPMC7366398 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature