Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis

Objective. To evaluate the Chinese new gastric cancer screening score (i.e., Li’s score) and Kyoto Classification of Gastritis for screening gastric cancer. Methods. A total of 702 patients were scored using the two scoring methods. Gastric atrophy, intestinal metaplasia, and gastric cancer (includi...

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Main Authors: Xiao-ming Liu, Xiao-yu Ma, Fen Liu, Zhi-ling Liu, Xiang-yu Tang, Ming-zhu Ji, Jin-xin Zheng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/7639968
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author Xiao-ming Liu
Xiao-yu Ma
Fen Liu
Zhi-ling Liu
Xiang-yu Tang
Ming-zhu Ji
Jin-xin Zheng
author_facet Xiao-ming Liu
Xiao-yu Ma
Fen Liu
Zhi-ling Liu
Xiang-yu Tang
Ming-zhu Ji
Jin-xin Zheng
author_sort Xiao-ming Liu
collection DOAJ
description Objective. To evaluate the Chinese new gastric cancer screening score (i.e., Li’s score) and Kyoto Classification of Gastritis for screening gastric cancer. Methods. A total of 702 patients were scored using the two scoring methods. Gastric atrophy, intestinal metaplasia, and gastric cancer (including early gastric cancer) were compared between the two scoring methods. The area under the ROC curve, sensitivity, and specificity of the two scoring methods were evaluated. Results. Both of the two scoring methods found that gastric atrophy, intestinal metaplasia, and gastric cancer (including early gastric cancer) were all significantly higher in the medium-risk and high-risk group patients than those in the low-risk group patients. According to the Kyoto Classification of Gastritis, patients in the high-risk group had more gastric atrophy, intestinal metaplasia, and gastric cancer than those in the medium-risk group patients. Gastric atrophy, intestinal metaplasia, and gastric cancer in the low-risk and medium-risk group patients evaluated by the Li score were all significantly higher than those in patients with corresponding risk level evaluated by Kyoto Classification of Gastritis, respectively. The area under the ROC curve of the Li score was 0.702, and the sensitivity and specificity were 57.6% and 85.3%, respectively. The area under the ROC curve of the Kyoto Classification of Gastritis was 0.826, and the sensitivity and specificity were 75.4% and 83.6%, respectively. Conclusion. Both Li’s score and Kyoto Classification of Gastritis showed good screening value for gastric cancer, but Kyoto Classification of Gastritis was more sensitive than the Li score.
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spelling doaj-art-49e3927d0fb0480bbdc67c09a7233c272025-02-03T01:12:14ZengWileyGastroenterology Research and Practice1687-630X2022-01-01202210.1155/2022/7639968Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of GastritisXiao-ming Liu0Xiao-yu Ma1Fen Liu2Zhi-ling Liu3Xiang-yu Tang4Ming-zhu Ji5Jin-xin Zheng6Department of GastroenterologyDepartment of Infectious Diseases and the Key Lab of Endogenous InfectionDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of Infectious Diseases and the Key Lab of Endogenous InfectionObjective. To evaluate the Chinese new gastric cancer screening score (i.e., Li’s score) and Kyoto Classification of Gastritis for screening gastric cancer. Methods. A total of 702 patients were scored using the two scoring methods. Gastric atrophy, intestinal metaplasia, and gastric cancer (including early gastric cancer) were compared between the two scoring methods. The area under the ROC curve, sensitivity, and specificity of the two scoring methods were evaluated. Results. Both of the two scoring methods found that gastric atrophy, intestinal metaplasia, and gastric cancer (including early gastric cancer) were all significantly higher in the medium-risk and high-risk group patients than those in the low-risk group patients. According to the Kyoto Classification of Gastritis, patients in the high-risk group had more gastric atrophy, intestinal metaplasia, and gastric cancer than those in the medium-risk group patients. Gastric atrophy, intestinal metaplasia, and gastric cancer in the low-risk and medium-risk group patients evaluated by the Li score were all significantly higher than those in patients with corresponding risk level evaluated by Kyoto Classification of Gastritis, respectively. The area under the ROC curve of the Li score was 0.702, and the sensitivity and specificity were 57.6% and 85.3%, respectively. The area under the ROC curve of the Kyoto Classification of Gastritis was 0.826, and the sensitivity and specificity were 75.4% and 83.6%, respectively. Conclusion. Both Li’s score and Kyoto Classification of Gastritis showed good screening value for gastric cancer, but Kyoto Classification of Gastritis was more sensitive than the Li score.http://dx.doi.org/10.1155/2022/7639968
spellingShingle Xiao-ming Liu
Xiao-yu Ma
Fen Liu
Zhi-ling Liu
Xiang-yu Tang
Ming-zhu Ji
Jin-xin Zheng
Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
Gastroenterology Research and Practice
title Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
title_full Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
title_fullStr Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
title_full_unstemmed Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
title_short Gastric Cancer Screening Methods: A Comparative Study of the Chinese New Gastric Cancer Screening Score and Kyoto Classification of Gastritis
title_sort gastric cancer screening methods a comparative study of the chinese new gastric cancer screening score and kyoto classification of gastritis
url http://dx.doi.org/10.1155/2022/7639968
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