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Screening and surveillance guidelines for gastric cancer exist in Asia but not in the U.S. To help determine which patients should undergo surveillance in the U.S., investigators retrospectively compared characteristics of 152 patients with biopsy-proven gastric cancer and 456 matched controls who had undergone endoscopy.
Results were as follows:
Compared with controls, gastric cancer patients comprised 10 times more East Asians (i.e., from Japan, Korea, or China), 1.7 times more “other Asians,” and twice as many Europeans (Russians or Ukrainians).
Intestinal metaplasia was present in 69% of patients with gastric cancer and 11% of controls (adjusted odds ratio, 9.3).
Compared with white patients, East Asians were 16 times more likely to have ga…