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研討會內容

研討會名稱北海道醫療大學校長浅香正博學術演講
開始日期2019-11-12 13:10:00
結束日期2019-11-12 14:00:00
活動說明講者:北海道醫療大學校長 浅香正博
Speaker: Masahiro Asaka, President, Health Sciences University of Hokkaido

時間:11月12日 13:10-14:00
Time: 13:10-14:00, Nov.12

地點:後棟8樓 醫學院徐千田廳
Venue: Chien-Tien Hsu Memorial Hall (8F Back Building)

演講摘要:
Speech Summary:

Effect of Helicobacter pylori eradication therapy on gastric cancer in Japan
         
In Japan, there have been approximately 50 000 deaths from gastric cancer annually for over 40 years with little variation. It has been reported that most gastric cancers in Japan are caused by Helicobacter pylori infection. H. pylori eradication therapy was approved for patients with chronic gastritis by the Japanese national health insurance scheme in February 2013 for patients with an endoscopic diagnosis of chronic gastritis is positive for H. pylori. We examined the effect on gastric cancer death rate 4 years after expansion of health insurance coverage. We conducted an epidemiological study and analyzed trends in prescription for H. pylori eradication therapy. We used the electronic medical claims database from Hokkaido, Japan to evaluate the impact of expansion of national health insurance coverage for H. pylori eradication therapy on deaths from gastric cancer. Data on deaths from gastric cancer were obtained from the Japanese Ministry of Health, Labour and Welfare and the Cancer Statistics in Japan (2015). Analysis of electronic claims records was performed using the National Database, mainly focusing on Hokkaido. Prescriptions for H. pylori eradication therapy and the number of patients treated for gastric cancer were also extracted from the Hokkaido database. Approximately 1.5 million prescriptions for H. pylori eradication therapy were written annually. Gastric cancer deaths fell each year: 48 427 in 2013, 47 903 in 2014, 46 659 in 2015, and 45 509 in 2016, showing a significant decrease after expansion of insurance coverage for H. pylori eradication therapy (P<.00001).
Prescriptions for H. pylori eradication therapy increased markedly after approval of the gastritis indication by the national health insurance scheme and was associated with a significant decrease in gastric cancer deaths.
主要聯絡Mailandrea.liu@tmu.edu.tw
參考連結
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