Endoscopy screening in high-risk populations as a strategy to improve early detection of gastric cancer in the United States

Abstract

Korean Americans experience significant disparities in the incidence of gastric cancer, with five times higher incidence than non-Hispanic whites (NHWs). Although Korean Americans are diagnosed at an earlier stage than other racial/ ethnic groups in the United States, they are diagnosed at a later stage compared with those in South Korea, where >70% of screening-eligible adults are adherent to the bi-annual gastric cancer screening guidelines. We conducted a pilot survey to characterize patterns of endoscopy use among Korean American and NHW gastric cancer patients.