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Screening in Cancer―Mass Screening for Stomach Cancer in Japan/Outline of Stomach Cancer Screening in Japan H. Ichikawa , T. Hirayama pp.1384-1398
Published Date 1979/10/25
DOI https://doi.org/10.11477/mf.1403107790
  • Abstract
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 In the final session, a number of recommendations concerning cancer screening were developed. It should be appreciated that not all of these recommendations need necessarily be met before a screening programme is introduced, but that all should be carefully considered. It is hoped that these recommendations will help to forestall the premature introduction of new screening programmes and to avoid the ill-advised adoption of screening programmes from other countries. Georgraphic differences in the pattern of morbidity and mortality, and differences in health care practice and facilities, require that each country considering the introduction of a cancer screening programme should do so in the light of its own health priorities and resources and recognize that screening programmes that are successful in one country may be neither successful nor appropriate in another.

 In general, if screening is to make an important contribution to the health of the community, the disease for which screening is to be introduced should be common and an important cause of mortality. Although a reduction in populational mortality from the disease for which screening is performed is the objective of a screening programme, it is important to recognize that the life expectancy of the screened population may be little changed even if the programme is successful. In most technically advanced countries, if all cancer were eradicated, the effect of other competing causes of death is such that life expectancy would be increased only by about 2.5 years. Nevertheless, screening for cancer of the breast and cervix may prove to be worthwhile in these countries because of the predilection of these diseases for younger women and the great social and economic importance of reducing death at younger ages.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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