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Quality Indicators for the Detection of Helicobacter Pylori-Negative Early Gastric Cancer: A Retrospective Observational Study

While Helicobacter pylori (HP)-negative gastric cancer is frequently reported, little is known about the predictors for detecting HP-negative early gastric cancer (EGC). We aimed to evaluate the predictors for the detection of HP-negative EGC. We retrospectively reviewed 13,477 consecutive asymptoma...

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Bibliographic Details
Published in:Clinical endoscopy 2020, 53(6), , pp.698-704
Main Authors: Ishibashi, Fumiaki, Kobayashi, Konomi, Fukushima, Keita, Tanaka, Ryu, Kawakami, Tomohiro, Kato, Junko, Sugihara, Kazuaki
Format: Article
Language:English
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Summary:While Helicobacter pylori (HP)-negative gastric cancer is frequently reported, little is known about the predictors for detecting HP-negative early gastric cancer (EGC). We aimed to evaluate the predictors for the detection of HP-negative EGC. We retrospectively reviewed 13,477 consecutive asymptomatic cases where upper endoscopy was performed by nine physicians from April 2017 to March 2019 and analyzed the detection rate of high-risk lesions (HRLs), including EGC, tubular adenoma, and lymphoma, according to the status of HP infection. The observation time was corrected for multiple regression analyses. For all physicians, the average observation time for screening HP-eradicated and -naïve patients was shorter than that for screening HP-positive patients (p
ISSN:2234-2400
2234-2443
DOI:10.5946/ce.2019.203