Evidence map›Paper›PMID 40072512›Full record

ReviewThe American journal of gastroenterology2025

Gastric Cancer Screening in the United States: A Review of Current Evidence, Challenges, and Future Perspectives.

Dan Li, Douglas R Morgan, Juan E Corral, Elizabeth A Montgomery, Arnoldo Riquelme, Shailja C Shah

Abstract readReview
In one paragraph

Review in The American journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Adenomatous Polyposis Coli Gene Polyposis-Related Syndromes.The American journal of gastroenterology · 2026
    Review
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dan LiDepartment of Gastroenterology, Kaiser Permanente Medical Center, Santa Clara, California, USA.ORCID 0000-0002-2691-5175
Douglas R MorganDivision of Gastroenterology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-1136-0963
Juan E CorralDivision of Gastroenterology, Prisma Health, Greenville, South Carolina, USA.ORCID 0000-0002-8821-4534
Elizabeth A MontgomeryDepartment of Pathology, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0000-0001-9788-8218
Arnoldo RiquelmeDepartment of Gastroenterology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Center for Control and Prevention of Cancer (CECAN), Santiago, Chile.
Shailja C ShahDivision of Gastroenterology, University of California, San Diego, La Jolla, California, USA.ORCID 0000-0002-2049-9959

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
Project 3 - Molecular Signatures of Gastric Carcinogenesis in the Host Response to H. pyloriP01CA028842 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILSON, KEITH T. · 1985 to 2019
$15.8M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
Targeted chemoprevention of gastric carcinogenesis in high risk populationsR01CA190612 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, DOUGLAS, WILSON, KEITH T. · 2014 to 2018
$3.0M
Gastric Cancer Epidemiology Initiative in Central AmericaK07CA125588 · NCI · VANDERBILT UNIVERSITY · PI MORGAN, DOUGLAS · 2007 to 2011
$680k
CSRD VA IK2 CX002027NCI NIH HHS K07 CA125588NCI NIH HHS P01 CA028842NCI NIH HHS P30 CA068485NCI NIH HHS R01 CA190612NIDDK NIH HHS P30 DK120515
6 · The paper itself

Abstract

Gastric cancer remains a leading cause of cancer-related mortality worldwide. In the United States, gastric cancer incidence and mortality are substantially higher among non-White racial and ethnic groups and new immigrants from high-incidence countries. This is in large part related to the higher prevalence of Helicobacter pylori -associated gastric premalignant changes in these populations. Apart from primary prevention, early detection of gastric cancer is the principal strategy to reduce gastric cancer mortality and improve survival. Extensive evidence in Asian countries has demonstrated the benefits of endoscopic screening in detecting early-stage gastric cancer and reducing gastric cancer-related mortality. By contrast, direct, high-quality US-based data, such as from large clinical trials or observational studies, on important outcomes of gastric cancer screening are still lacking. In this review, we evaluate and summarize the latest global evidence on the epidemiology and predisposing factors of gastric cancer as well as the efficacy, benefits vs. risks, and cost-effectiveness of gastric cancer screening. We further discuss the critical knowledge gaps and challenges in promoting gastric cancer screening in the United States. Dedicated research is urgently needed to enrich the US-based data on gastric cancer primary and secondary prevention to inform clinical practice and reduce gastric cancer-related morbidity and mortality in a cost and resource efficient manner.

Indexed as

Early Detection of CancerMass ScreeningStomach NeoplasmsCost-Benefit AnalysisHelicobacter InfectionsHelicobacter pyloriHumansIncidenceRisk FactorsUnited States

Identifiers

PMID40072512
PMCPMC13629824

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.