医学
幽门螺杆菌
癌症
人口
公共卫生
癌症预防
环境卫生
医疗保健
重症监护医学
经济增长
病理
内科学
经济
作者
Zhiqiang Hu,Zongchao Liu,Wenqing Li,Wei‐Cheng You,Kai‐Feng Pan
出处
期刊:Chinese Journal of Cancer Research
[Chinese Journal of Cancer Research]
日期:2023-01-01
卷期号:35 (6): 595-605
被引量:1
标识
DOI:10.21147/j.issn.1000-9604.2023.06.04
摘要
Gastric cancer is a global public health burden, nearly one million new cases are diagnosed per year worldwide, of which 44% of cases occur in China. The prognosis of gastric cancer varies remarkably by the stage of cancer, and most of the patients in China are diagnosed at advanced stages, resulting in poor prognoses. Effective strategies to reduce the burden of gastric cancer include primary prevention through testing and treatment of Helicobacter pylori (H. pylori) and secondary prevention by screening and early detection. Although many countries have issued management guidelines and consensus reports concerning these strategies, the limited availability of healthcare resources often precludes their widespread implementation. Therefore, assessing the costs, benefits, and harms of population-based intervention measures through health economic evaluation is necessary for informed health policy decisions. Accordingly, we synthesize management approaches from different countries on H. pylori eradication and endoscopic screening, and also summarize recent advancements in health economic evaluations on population-based preventive strategies. The goal of the review is to provide empirical evidence supporting optimal resource allocation, maximizing benefits for the population, and ultimately reducing the burden of gastric cancer.
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