Current Status of Diagnosis and Treatment of Colorectal Cancer in Asian Countries: A Questionnaire Survey
Issued Date
2023-01-01
Resource Type
ISSN
00122823
eISSN
14219867
Scopus ID
2-s2.0-85168686534
Pubmed ID
37497916
Journal Title
Digestion
Rights Holder(s)
SCOPUS
Bibliographic Citation
Digestion (2023)
Suggested Citation
Tanaka H., Oka S., Shiotani A., Sugimoto M., Suzuki H., Naito Y., Handa O., Hisamatsu T., Fukudo S., Fujishiro M., Motoya S., Yahagi N., Yamaguchi S., Chan F.K.L., Lee S.Y., Li B., Ang T.L., Abdullah M., Tablante M.C., Prachayakul V., Tanaka S. Current Status of Diagnosis and Treatment of Colorectal Cancer in Asian Countries: A Questionnaire Survey. Digestion (2023). doi:10.1159/000531706 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/89164
Title
Current Status of Diagnosis and Treatment of Colorectal Cancer in Asian Countries: A Questionnaire Survey
Author's Affiliation
Sapporo Kosei General Hospital
Siriraj Hospital
Graduate School of Medicine
Graduate School of Medicine
Tokyo Medical University Hospital
Duke-NUS Medical School
Chinese University of Hong Kong, Faculty of Medicine
University of Santo Tomas Hospital
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
Shanghai General Hospital
Kyoto Prefectural University of Medicine
Tokai University School of Medicine
Hiroshima University Hospital
Keio University School of Medicine
Kyorin University School of Medicine
Konkuk University Graduate School of Medicine
Kawasaki Medical School
Dokkyo Medical University
Siriraj Hospital
Graduate School of Medicine
Graduate School of Medicine
Tokyo Medical University Hospital
Duke-NUS Medical School
Chinese University of Hong Kong, Faculty of Medicine
University of Santo Tomas Hospital
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
Shanghai General Hospital
Kyoto Prefectural University of Medicine
Tokai University School of Medicine
Hiroshima University Hospital
Keio University School of Medicine
Kyorin University School of Medicine
Konkuk University Graduate School of Medicine
Kawasaki Medical School
Dokkyo Medical University
Other Contributor(s)
Abstract
Introduction: Diagnostic and therapeutic methods for colorectal cancer (CRC) have advanced; however, they may be inaccessible worldwide, and their widespread use is challenging. This questionnaire survey investigates the current status of diagnosis and treatment of early-stage CRC in Asian countries. Methods: Responses to the questionnaire were obtained from 213 doctors at different institutions in 8 countries and regions. The questionnaire consisted of 39 questions on the following four topics: noninvasive diagnosis other than endoscopy (6 questions), diagnosis by magnification and image-enhanced endoscopy (IEE) including artificial intelligence (AI) (10 questions), endoscopic submucosal dissection (ESD), proper use among other therapeutic methods (11 questions), and pathologic diagnosis and surveillance (12 questions). Results: Although 101 of 213 respondents were affiliated with academic hospitals, there were disparities among countries and regions in the dissemination of advanced technologies, such as IEE, AI, and ESD. The NICE classification is widely used for the diagnosis of colorectal tumors using IEE, while the JNET classification with magnification was used in countries such as Japan (65/70, 92.9%) and China (16/22, 72.7%). Of the 211 respondents, 208 (98.6%) assumed that en bloc resection should be achieved for carcinomas, and 180 of 212 (84.9%) believed that ESD was the most suitable in cases with a diameter larger than 2 cm. However, colorectal ESD is not widespread in countries such as Thailand, the Philippines, and Indonesia. Conclusion: The promotion of advanced technologies and education should be continual to enable more people to benefit from them.