Where are we with gastric cancer screening in Europe in 2024?

IF 23 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pub Date : 2024-09-04 DOI:10.1136/gutjnl-2024-332705

Mārcis Leja

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Abstract

The absolute number of annual cases of gastric cancer in Europe is rising. The Council of the European Union has recommended implementation of gastric cancer screening for countries or regions with a high gastric cancer incidence and death rates. However, as of 2024 no organised gastric cancer screening programme has been launched in Europe. There are several ways to decrease gastric cancer burden, but the screen and treat strategy for Helicobacter pylori (H. pylori ) seems to be the most appropriate for Europe. It has to be noted that increased use of antibiotics would be associated with this strategy. Only organised population-based cancer screening is recommended in the European Union, therefore gastric cancer screening also is expected to fulfil the criteria of an organised screening programme. In this respect, several aspects of screening organisation need to be considered before full implementation of gastric cancer prevention in Europe; the age range of the target group, test types, H. pylori eradication regimens and surveillance strategies are among them. Currently, ongoing projects (GISTAR, EUROHELICAN, TOGAS and EUCanScreen) are expected to provide the missing evidence. Feedback from the decision-makers and the potential target groups, including vulnerable populations, will be important to planning the programme. This paper provides an overview of the recent decisions of the European authorities, the progress towards gastric cancer implementation in Europe and expected challenges. Finally, a potential algorithm for gastric cancer screening in Europe is proposed.

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2024 年欧洲胃癌筛查进展如何？

欧洲每年胃癌病例的绝对数量正在上升。欧盟理事会建议在胃癌发病率和死亡率较高的国家或地区开展胃癌筛查。然而，截至 2024 年，欧洲尚未启动有组织的胃癌筛查计划。降低胃癌负担有多种方法，但幽门螺杆菌（H. pylori）的筛查和治疗策略似乎最适合欧洲。必须指出的是，这一策略会增加抗生素的使用。欧盟只推荐有组织的人群癌症筛查，因此胃癌筛查也应符合有组织筛查计划的标准。因此，在欧洲全面实施胃癌预防之前，需要考虑筛查组织的几个方面：目标群体的年龄范围、检测类型、幽门螺杆菌根除方案和监测策略等。目前，正在进行的项目（GISTAR、EUROHELICAN、TOGAS 和 EUCanScreen）有望提供缺失的证据。决策者和潜在目标群体（包括易感人群）的反馈意见对于计划的规划非常重要。本文概述了欧洲当局最近做出的决定、欧洲胃癌筛查的进展情况以及预期面临的挑战。最后，提出了欧洲胃癌筛查的潜在算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gut 医学-胃肠肝病学

CiteScore

45.70

自引率

2.40%

发文量

284

审稿时长

1.5 months

期刊介绍： Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.

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