美国胃癌的种族差异:流行病学、全球筛查指南和异质人群针对性筛查概述。

IF 6 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastric Cancer Pub Date : 2024-05-01 Epub Date: 2024-03-04 DOI:10.1007/s10120-024-01475-9
Jean Woo Mok, Yeong Ha Oh, Deepa Magge, Sekhar Padmanabhan
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引用次数: 0

摘要

胃癌是全球第五大最常见的癌症诊断和第四大癌症相关死亡原因。在美国,胃癌的发病率显示出明显的种族和民族差异,韩裔美国人的胃癌发病率是非西班牙裔白人的五倍多。由于胃癌在美国并不常见,因此目前没有筛查指南。在胃癌发病率较高的国家,已经实施了筛查指南以进行早期检测和干预,这与死亡率的降低有关。来自高发病率国家的移民一旦离开原籍国,患胃癌的比例就会降低,但患胃癌的风险仍然较高。这种风险似乎随着后代的增加而降低。随着内镜检查的普及,针对高危人群启动胃癌筛查指南有可能通过早期诊断和治疗胃癌来提高生存率。本文旨在介绍全球胃癌流行病学的背景,回顾罹患胃癌的风险因素,强调美国胃癌负担中的种族和民族差异,研究高发病率国家的现行指南,并就未来研究提出建议,探讨在高危人群中开展额外筛查的有效性,以降低胃癌死亡率和美国少数民族的不平等负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial disparities of gastric cancer in the USA: an overview of epidemiology, global screening guidelines, and targeted screening in a heterogeneous population.

Gastric cancer is the fifth most common cancer diagnosis and fourth leading cause of cancer-related death globally. The incidence of gastric cancer in the USA shows significant racial and ethnic disparities with gastric cancer incidence in Korean Americans being over five times higher than in non-Hispanic whites. Since gastric cancer is not common in the USA, there are no current screening guidelines. In countries with higher incidences of gastric cancer, screening guidelines have been implemented for early detection and intervention and this has been associated with a reduction in mortality. Immigrants from high incidence countries develop gastric cancer at lower rates once outside of their country of origin, but continue to be at higher risk for developing gastric cancer. This risk does seem to decrease with subsequent generations. With increasing availability of endoscopy, initiating gastric cancer screening guidelines for high-risk groups can have the potential to improve survival by diagnosing and treating gastric cancer at an earlier stage. This article aims to provide context to gastric cancer epidemiology globally, review risk factors for developing gastric cancer, highlight racial and ethnic disparities in gastric cancer burden in the USA, examine current guidelines that exist in high incidence countries, and suggest future studies examining the efficacy of additional screening in high-risk populations to reduce gastric cancer mortality and disparate burden on ethnic minorities in the USA.

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来源期刊
Gastric Cancer
Gastric Cancer 医学-胃肠肝病学
CiteScore
14.70
自引率
2.70%
发文量
80
审稿时长
6-12 weeks
期刊介绍: Gastric Cancer is an esteemed global forum that focuses on various aspects of gastric cancer research, treatment, and biology worldwide. The journal promotes a diverse range of content, including original articles, case reports, short communications, and technical notes. It also welcomes Letters to the Editor discussing published articles or sharing viewpoints on gastric cancer topics. Review articles are predominantly sought after by the Editor, ensuring comprehensive coverage of the field. With a dedicated and knowledgeable editorial team, the journal is committed to providing exceptional support and ensuring high levels of author satisfaction. In fact, over 90% of published authors have expressed their intent to publish again in our esteemed journal.
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