| Unique ID issued by UMIN | UMIN000060599 |
|---|---|
| Receipt number | R000069316 |
| Scientific Title | Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening |
| Date of disclosure of the study information | 2026/04/01 |
| Last modified on | 2026/02/06 12:28:32 |
Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening
Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening
Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening
Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening
| Japan |
Gastric cancer
| Gastroenterology |
Malignancy
NO
In Japan, endoscopic screening has been implemented as a population-based gastric cancer screening program since 2016, following the revision of the Ministry of Health, Labour and Welfare guidelines. The program targets adults aged 50 years or older, with biennial screening recommended. However, limited availability of medical institutions capable of providing endoscopic screening has prevented some municipalities from offering screening to all eligible residents. Moreover, the prevalence of Helicobacter pylori infection, a major risk factor for gastric cancer, has been declining, particularly among younger generations, potentially reducing the effectiveness and cost-effectiveness of the current screening strategy. Therefore, optimizing both screening strategies and delivery systems may require increasing the starting age or extending the screening interval to reduce the required number of endoscopic examinations. This study aims to assess screening participants' understanding, satisfaction, and acceptance of potential changes to the current gastric cancer endoscopic screening strategy through a questionnaire survey conducted in Japanese municipalities.
Efficacy
Percentage of individuals agreeing with the proposal to raise the age eligibility and extend the screening interval for endoscopic gastric cancer screening.
1. Percentage of individuals who know that Helicobacter pylori is a cause of stomach cancer.
2. Percentage of individuals who know that the infection rate of Helicobacter pylori is declining.
3. Percentage of individuals who know that the purpose of stomach cancer screening is not only early detection but also reducing stomach cancer mortality.
4. Percentage of individuals who know the target age group and screening interval for stomach cancer endoscopy.
5. Percentage of individuals agreeing to raise the age for gastric cancer endoscopic screening to 60.
6. Percentage of individuals agreeing to extend the interval for gastric cancer endoscopic screening to 5 or 10 years.
Observational
| 50 | years-old | <= |
| Not applicable |
Male and Female
Residents applying for gastric cancer endoscopic screening in Fuchu City, Tokyo and Ichikawa City, Chiba Prefecture, in fiscal year 2026
1. Individuals who do not consent to the questionnaire survey
2. Individuals who have undergone total gastrectomy
3. Individuals who undergo regular upper gastrointestinal endoscopy for any reason
4. Individuals with bleeding tendencies or suspected bleeding tendencies
5. Individuals with severe diseases of the pharynx, nasal cavity, etc., preventing endoscope insertion
6. Individuals with respiratory failure
7. Individuals whose general condition is deemed too poor to tolerate endoscopy
8. Individuals currently hospitalized, regardless of the type of disease
1000
| 1st name | Sho |
| Middle name | |
| Last name | Suzuki |
International University of Health and Welfare Ichikawa Hospital
Department of Gastroenterology
272-0827
6-1-14, Konodai, Ichikawa-shi, Chiba, Japan
047-375-1111
ishibashi-gast@iuhw.ac.jp
| 1st name | Fumiaki |
| Middle name | |
| Last name | Ishibashi |
International University of Health and Welfare Ichikawa Hospital
Department of Gastroenterology
272-0827
6-1-14, Konodai, Ichikawa-shi, Chiba, Japan
047-375-1111
ishibashi-gast@iuhw.ac.jp
International University of Health and Welfare Ichikawa Hospital
None
Self funding
International University of Health and Welfare Institutional Reviw Board
4-3, Kozunomori, Narita-shi, Chiba
0476-20-7708
rinri_md@iuhw.ac.jp
NO
| 2026 | Year | 04 | Month | 01 | Day |
Unpublished
Preinitiation
| 2025 | Year | 11 | Month | 18 | Day |
| 2025 | Year | 11 | Month | 25 | Day |
| 2026 | Year | 04 | Month | 01 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
<Inclusion and Mailing of the Questionnaire Invitation with Screening Materials>
In Fuchu City, when the Health Promotion Division prepares screening-related materials (e.g., screening forms) for applicants, a questionnaire invitation letter will be enclosed and mailed.
In Ichikawa City, when the Health Support Division prepares the screening voucher and information postcard for applicants, a QR code linking to the questionnaire, along with an invitation message, will be printed on the reverse side of the postcard and mailed.
<Access to the Google Form via QR Code by Applicants (Study Consent and Questionnaire Response)>
Applicants who receive the mailed materials will access a Google Form via the QR code provided in the questionnaire invitation, where they will provide online informed consent and complete the questionnaire. The questionnaire will assess the following items:
1. Age and sex
2. Basic knowledge of gastric cancer: awareness that Helicobacter pylori infection is the primary cause of gastric cancer and that the prevalence of H. pylori infection has markedly declined among individuals aged <60 years
3. Understanding of the purpose of screening
4. Understanding of the screening program: awareness of the current eligibility criteria for gastric cancer endoscopic screening (aged >49 years, biennial interval)
5. Acceptance of changes in screening strategy: willingness to accept raising the starting age to 60 years and/or extending the screening interval to 5 or 10 years
<Compilation of Questionnaire Data at the Data Center>
The data center (Medical Research Support Co., Ltd.) will compile responses collected through the Google Form and compare results by municipality, age group, and sex of the participants.
| 2026 | Year | 02 | Month | 06 | Day |
| 2026 | Year | 02 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069316