Babazono A, Hillman A L
University of Pennsylvania, USA.
Int J Technol Assess Health Care. 1995 Spring;11(2):354-64. doi: 10.1017/s0266462300006954.
We examined the cost-effectiveness of screening for gastric cancer in hypothetical cohorts of asymptomatic Japanese ages 40, 50, 60, and 70, followed for 10 years. Current screening recommendations in Japan are not optimal. Although indirect x-ray is the correct method, screening for gastric cancer may not be cost-effective for Japanese under the age of 50. Policymakers worldwide should monitor the changing incidence of disease as they consider and recommend screening policies.
我们在年龄分别为40岁、50岁、60岁和70岁的无症状日本假想队列中进行了为期10年的胃癌筛查成本效益研究。日本目前的筛查建议并非最佳。虽然间接X线检查是正确的方法,但对于50岁以下的日本人来说,胃癌筛查可能不具有成本效益。全球政策制定者在考虑和推荐筛查政策时,应监测疾病发病率的变化。