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How do international gastric cancer prevention guidelines influence clinical practice globally?

dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.contributor.authorGasenko, Evita
dc.contributor.authorLeja, Marcis
dc.contributor.authorPolaka, Inese
dc.contributor.authorHegmane, Alinta
dc.contributor.authorBordin, Dmitry
dc.contributor.authorLink, Alexander
dc.contributor.authorKulju, Minna
dc.contributor.authorMochalski, Pawel
dc.contributor.authorShani, Gidi
dc.contributor.authorMalfertheiner, Peter
dc.contributor.authorHerrero, Rolando
dc.contributor.authorHaick, Hossam
dc.date.accessioned2020-11-17T21:42:33Z
dc.date.available2020-11-17T21:42:33Z
dc.date.created2020
dc.identifierhttps://login.ezproxy.javeriana.edu.co/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=32740165&lang=es&site=eds-livespa
dc.identifier.issn0959-8278 / 1473-5709 (Electrónico)spa
dc.identifier.urihttp://hdl.handle.net/10554/51707
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.titleHow do international gastric cancer prevention guidelines influence clinical practice globally?spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.description.quartilewosQ3spa
dc.description.quartilescopusQ1spa
dc.identifier.doihttp://dx.doi.org/10.1097/CEJ.0000000000000580spa
dc.subject.keywordEndoscopyspa
dc.subject.keywordGastric cancerspa
dc.subject.keywordGuidelinesspa
dc.subject.keywordHelicobacter pylorispa
dc.subject.keywordPepsinogensspa
dc.subject.keywordScreen and treat strategyspa
dc.subject.keywordScreeningspa
dc.subject.keywordSurveyspa
dc.subject.keywordVolatile organic compoundsspa
dc.description.abstractenglishClinical guidelines recommend particular approaches, including ‘screen-and-treat’ strategy for Helicobacter pylori, to prevent gastric cancer. However, little of this is implemented in clinical practice. The aim of the study was to identify barriers to implementation of international guidelines. A web-based questionnaire distributed globally to specialists in the field. Altogether 886 responses from 75 countries were received. Of the responders, 570 (64%) were men of mean age 47 years. There were 606 gastroenterologists and 65 epidemiologists among the responders. Altogether, 79.8% of the responders disagreed that the burden of gastric cancer is a diminishing problem. ‘Screen-and-treat’ strategy for H. pylori in the responder’s country was considered appropriate by 44.4%, inappropriate by 24.3%, with 31.3% being uncertain. Population-based screening for gastric cancer was considered appropriate in the respective home-country by 62.2%, in other areas – but not the home country – by 27.6%, and inappropriate by 10.2%. As a screening tool, upper endoscopy was acceptable by 35.6%, upper X-ray series by 55.3%, pepsinogens by 26.2% and breath-tests by 23.4%; accuracy, cost-effectiveness and feasibility among the tests varied widely. The attitude towards H. pylori vaccination was that 4.6% of the responders were eager to start vaccination immediately, 55.9% were supporting vaccination but considered that more data are required 12% were negative, and 27.6% did not have an opinion. In general, the attitude of the specialists was in line with guidelines, but was not always translated into clinical practice, particularly in the case of ‘screen-and-treat’ strategy.spa
dc.type.localArtículo de revistaspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Preventiva y Social. Grupo de investigación de Medicina Preventiva y Social
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.description.googlescholarhttps://scholar.google.com/citations?user=xFiKCkMAAAAJ&hl=esspa
dc.description.cvlachttp://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000264474spa
dc.relation.citationstartpage400spa
dc.relation.citationendpage407spa
dc.relation.ispartofjournalEuropean Journal of Cancer Preventionspa
dc.contributor.javerianateacherMurillo Moreno, Raúl Hernando
dc.description.indexingRevista Nacional - Indexadaspa
dc.relation.citationvolume29spa
dc.relation.citationissue5spa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa


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