There are no current guidelines in the United States for gastric cancer screening, even with a high population of immigrants from Asian-Pacific countries. Studies have suggested that these individuals retain their elevated risk of gastric cancer while residing in the United States, but there remains a lack of both insurance coverage and adequate screening measures. Here, the authors were able to generate a decision-analytic Markov model to simulate a cohort of 50-year-old Asian Americans with 3 strategies: (1) one-time upper endoscopy (EGD) at the screening colonoscopy; (2) EGD with screening colonoscopy and subsequent examinations every 2 years; and (3) no endoscopic screening. The study outcomes included incremental cost-effectiveness ratios (ICERs) with a willingness-to-pay threshold of $100,000 per quality-adjusted life-year (QALY).<\/p>\n\n\n\n
For asymptomatic 50-year-old Asian Americans, the one-time EGD strategy was the most cost-effective strategy (ICER of $75,959\/QALY) compared to the other two strategies. The lowest ICERs were among Chinese Americans ($68,256\/QALY), Japanese Americans (males, $69,011\/QALY; females, $73,748\/QALY), and Korean Americans (males, $70,739\/QALY; females, $70,236\/QALY). Furthermore, the biennial EGD strategy was found to be less effective and more expensive.<\/p>\n","protected":false},"excerpt":{"rendered":"
There are no current guidelines in the United States for gastric cancer screening, even with a high population of immigrants from Asian-Pacific countries. Studies have suggested that these individuals retain their elevated risk of gastric cancer while residing in the United States, but there remains a lack of both insurance coverage and adequate screening measures. … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1789],"tags":[2112,1601,2113],"class_list":["post-8850","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-stomach-and-small-bowel","tag-asian-americans","tag-egd-2","tag-icer"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}