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Prevalence of colonoscopy in Japan using a large-scale health claims data compared to esophagogastroduodenoscopy.
- Source :
-
Journal of gastroenterology [J Gastroenterol] 2024 Jun; Vol. 59 (6), pp. 457-467. Date of Electronic Publication: 2024 Mar 11. - Publication Year :
- 2024
-
Abstract
- Objective: Prevalence of colonoscopy (CS) is an important countermeasure against colorectal cancer (CRC). In this study, we used large-scale data for a comparison of CS with esophagogastroduodenoscopy (EGD) in Japan.<br />Methods: This was a retrospective descriptive study. Commercially anonymized patient data were collected from various health insurance societies (JMDC, Inc. Tokyo, Japan) generated from the insurance registry, receipts (inpatient, outpatient, and prescription), and health checkup data. The data also included healthy subjects who had never been examined in a hospital. The data of 2,760,048 persons who were 50-75 years old during January 2012-December 2019 were extracted from the original data source. The annual rate, the prevalence rate (frequency of those undergoing at least one endoscopy during the period), and the percentage of repeaters (undergoing endoscopy at least twice during the period) of CS were calculated and compared to those of EGD.<br />Results: The annual rates in 2012/2015/2019 were 3.4%/4.5%/5.3% for CS, respectively, and increased gradually from 2012 to 2019. Those rates were 7.0%/7.9%/7.4% for EGD, respectively, and did not increase. The prevalence rates of CS and EGD were 25.3% and 36.2%, respectively, among the 137,246 participants over 8 years. The prevalence rates of individuals in their 50 s/60 s/70 s were 23.0%/25.9%/31.4% for CS and 33.0%/37.6%/40.7% for EGD, respectively. The proportions of males/females were 27.9%/20.7% for CS, and 36.4%/35.8% for EGD, respectively. The repeat rates of CS and EGD were 40.3% and 44.8%, respectively, over 8 years.<br />Conclusions: Using large-scale data, we determined the status of CS and EGD in Japan.<br /> (© 2024. Japanese Society of Gastroenterology.)
- Subjects :
- Humans
Middle Aged
Japan epidemiology
Male
Female
Retrospective Studies
Aged
Prevalence
Colonoscopy statistics & numerical data
Colonoscopy methods
Endoscopy, Digestive System methods
Endoscopy, Digestive System statistics & numerical data
Colorectal Neoplasms epidemiology
Colorectal Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1435-5922
- Volume :
- 59
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 38466371
- Full Text :
- https://doi.org/10.1007/s00535-024-02087-x