研讨会内容
研讨会名称 | 北海道医療大學校长浅香正博學术演讲 |
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开始日期 | 2019-11-12 13:10:00 |
结束日期 | 2019-11-12 14:00:00 |
活动说明 | 讲者:北海道医療大學校长 浅香正博 Speaker: Masahiro Asaka, President, Health Sciences University of Hokkaido 时间:11月12日 13:10-14:00 Time: 13:10-14:00, Nov.12 地点:後栋8楼 医學院徐千田厅 Venue: Chien-Tien Hsu Memorial Hall (8F Back Building) 演讲摘要: 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. |
主要联絡Mail | andrea.liu@tmu.edu.tw |
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附件档案 | Poster ![]() |