Endoscopy for Gastric Cancer Screening Is Cost Effective for Asian Americans in the United States.

ABSTRACT:

Background & aims

Endoscopic screening for gastric cancer is routine in some countries with high incidence and is associated with reduced gastric cancer-related mortality. Immigrants from countries of high incidence to low incidence of gastric cancer retain their elevated risk, but no screening recommendations have been made for these groups in the United States. We aimed to determine the cost effectiveness of different endoscopic screening strategies for noncardia gastric cancer, compared with no screening, among Chinese, Filipino, Southeast Asian, Vietnamese, Korean, and Japanese Americans.

Methods

We generated a decision-analytic Markov model to simulate a cohort of asymptomatic 50-year-old Asian Americans. The cost effectiveness of 2 distinct strategies for endoscopic ga

SUBMITTER: Shah SC 

PROVIDER: S-EPMC8240027 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature