Hostname: page-component-7bb8b95d7b-nptnm Total loading time: 0 Render date: 2024-09-24T18:21:06.186Z Has data issue: false hasContentIssue false
  • English
  • Français

Declining Cost-Effectiveness of Screening for Disease: The Case of Gastric Cancer in Japan

Published online by Cambridge University Press:  10 March 2009

Akira Babazono  and
Alan L. Hillman
Akira Babazono
Affiliation:
University of Pennsylvania and Okayama University Medical School
Alan L. Hillman
Affiliation:
University of Pennsylvania
Get access Rights & Permissions [Opens in a new window]

Abstarct

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.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 2 , Spring 1995 , pp. 354 - 364
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Barry, M. J., Mulley, A. G., Fowler, F. J., & Wennberg, J. W.Watchful waiting versus immediate transurethral resection for symptomatic prostatism. Journal of the American Medical Association, 1988, 259, 3010–17.CrossRefGoogle Scholar
2.Beck, J. R., Kassirer, J. P., & Pauker, S. G.A convenient approximation of life expectancy. American Journal of Medicine, 1982, 73, 883–97.CrossRefGoogle ScholarPubMed
3.Beck, J. R., & Pauker, S. G.The Markov process in medical prognosis. Medical Decision Making, 1983, 3, 419–57.CrossRefGoogle ScholarPubMed
4. Department of Statistics and Information, Ministry of Health and Welfare. The report of individual medical practice of 1987. Tokyo: Japanese Government, 1989 (in Japanese).Google Scholar
5. Division of Medicine, Department of Insurance, Ministry of Health and Welfare. National reimbursement table. Tokyo: Research Institute of Social Insurance, 1990 (in Japanese).Google Scholar
6.Freedberg, K. A., Tosteson, A. N., Cohen, C. J., & Cotton, D. J.Primary prophylaxis for pneumocystis carini pneumonia in HIV-infected people with CD4 counts below 200/mm3: A cost-effectiveness analysis. Journal of AIDS, 1991, 4, 521–31.Google ScholarPubMed
7.Fukuma, S.Studies on the role of cancer registry in cancer prevention and medical care activities: 1985 Report. Tokyo: Japanese Government, 1986 (in Japanese).Google Scholar
8.Haenzel, W., & Kurihara, M.Mortality from cancer and other diseases among Japanese in the United States. Journal of the National Cancer Institute, 1968, 40, 43–68.Google Scholar
9.Hamajima, T., Masuda, Y., Maruyama, M., & Hisamichi, S.A study of gastric mass survey by age group. Journal of Gastroenterological Mass Survey, 1991, 89, 22–27 (in Japanese).Google Scholar
10.Hirayama, T.Epidemiology of stomach cancer in Japan. Japanese Journal of Clinical Oncology, 1984, 14, 159–68.Google ScholarPubMed
11.Hisamichi, S.Screening for gastric cancer. World Journal of Surgery, 1989, 13, 31–37.CrossRefGoogle ScholarPubMed
12.Hisamichi, S., Doi, I., Iwasaki, M., et al. Nationwide statistics of gastric mass survey in Japan (1989). Journal of Gastroenterological Mass Survey, 1991, 92, 150–68 (in Japanese).Google Scholar
13.Hisamichi, S., Nozaki, K., Shirane, A., et al. Cost-effectiveness analysis for gastric cancer screening. Igaku No Ayumi, 1976, 98, 81–85 (in Japanese).Google Scholar
14.Hisamichi, S., & Sugawara, N.Mass screening for gastric cancer by x-ray examination. Japanese Journal of Clinical Oncology, 1984, 14, 211–23.Google ScholarPubMed
15.Hisamichi, S., Sugawara, N., & Fukao, A.Effectiveness of gastric mass screening in Japan. Cancer Detection and Prevention, 1988, 11, 323–29.Google ScholarPubMed
16.Iinuma, T., & Tateno, Y.Future prospect for mass screening of stomach cancer: From a view point of risk/benefit and cost/effective analysis. Journal of Gastroenterological Mass Survey, 1991, 89, 14–21 (in Japanese).Google Scholar
17.Iinuma, T., & Tateno, Y.Reevaluation of benefit and risk of mass screening for stomach cancer—Comparison between x-ray diagnosis and endoscopy as the screening test. Japanese Journal of Medical Radiology, 1990, 50, 527–32 (in Japanese).Google ScholarPubMed
18.Ikukata, K., Ooshima, A., Morii, K., et al. Evaluation and the method on the precision of gastric cancer screening. Journal of Gastroenterological Mass Survey, 1984, 63, 65–72 (in Japanese).Google Scholar
19.Johansen, A. A. Early gastric cancer: Pathology of the gastro-intestinal tract. In Morson, B. C. (ed.), Current topics in pathology. New York: Springer-Verlag Publishers, 1976, 1–47.Google Scholar
20.Kobayashi, Y.Economical analysis of home care and hospital care for terminal ill patients. Japanese Journal of Public Health, 1988, 35, 11–18.Google Scholar
21.Miki, K.Desirable method for mass screening for gastric cancer. Medical Tribune, 1989, 5, 59 (in Japanese).Google Scholar
22.Ministry of Health and Welfare. Vital statistics in Japan. Tokyo: Japanese Government, 1992.Google Scholar
23.Namiki, M.Complication by gastroenterological endoscopy. Gastroenterological endoscopy, 1984, 26, 2439–44 (in Japanese).Google Scholar
24.Okano, Y., Morii, K., Imanishi, K., et al. Evaluation on problems of gastric cancer screening by endoscopy. Journal of Gastroenterological Mass Survey, 1984, 65, 77–84 (in Japanese).Google Scholar
25.Ooizumi, H.Prognosis of patients with gastric cancer detected by screening for gastric cancer. Journal of Gastroenterological Mass Survey, 1984, 64, 68–78 (in Japanese).Google Scholar
26.Oshima, A., Hirata, N., Ubukata, T., et al. Evaluation of a mass screening program for stomach cancer with a case control study design. International Journal of Cancer, 1986, 38, 829–33.CrossRefGoogle ScholarPubMed
27.Ransohoff, D. F., Grace, W. A., Wolfenson, L. B., et al. Prophylactic cholecystectomy or expectant management for silent gallstones, Annals of Internal Medicine, 1983, 99, 194–204.CrossRefGoogle ScholarPubMed
28.Sox, H. C., Blat, M. A., Higgins, M. C., & Marton, K. I.Medical decision making. Boston: Butterworths Publishers, 1988.Google Scholar
29.Stokey, E., & Zeckhauser, R.A primer for policy analysis. New York: Norton Publishers, 1978.Google Scholar
30.Takasu, S.,Tsuchiya, H., Kitamura, A., et al. Detection of early gastric cancer by panendoscopy. Japanese Journal of Clinical Oncology, 1984, 14, 243–52.Google ScholarPubMed
31.Tamura, K., Arisue, T., et al. The research on the estimation of the contribution of mass screening to decrease in mortality rate for gastric cancer. Sapporo, Japan: 1988 (in Japanese).Google Scholar
32.Tominaga, S.Decreasing trend of stomach cancer in Japan. Japanese Journal of Cancer Research, 1987, 78, 1–10.Google ScholarPubMed
33.Tsuji, I., Fukao, A., Sugawara, N., et al. Cost-effectiveness analysis of screening for gastric cancer in Japan. Tohoku Journal of Medicine, 1991, 164, 279–84.Google ScholarPubMed