アジア・オセアニア研究教育機構(Q-AOS)ポスターセッション

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23.Miho Hayata（Telemedicine Development Center of Asia(TEMDEC), Kyushu University Hospital / Techinical Staff）
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Remote education of early gastric cancer in Central Asia and Russia

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Central Asia and Russia are high risk areas for gastric cacner (GC), where its mortality still remains high. For improvement of early GC diagnosis, we established regular teleconference on endoscopy between Central Asia and Japan together with Russia. Between November 2017 and July 2021, 12 conferences were held, connecting institutions in Central Asia, Russia and Japan. Since the first teleconference, connected institutes have increased from 5 to 15. The quality of images, sounds and program were highly assessed, respectively. Based on this study, there is no doubt that teleconference is meaningful and should be expanded more to Central Asia.

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Title
factors for difference among countries
Comment
Very good poster. Out of curiosity, what would be the main factors for differences of "Incidence & mortality rate of gastric cancer" in different countries? Equipment, expertise, social welfare systems, awareness raising, remoteness of hospitals, educational background....
Name
Assoc. Prof. Tanaka
Date
2021/10/18
Title
factors for difference among countries
Comment
Thank you for the question. As you may know, Helicobacter pylori (HP) infection is a strong inducer of gastric cancer. The region with high HP infection rate is a high-risk area for gastric cancer. For example, along the Silk Roads, HP infection rate and gastric cancer incidence rate is quite high. Regarding the mortality, there are 3 key factors: health check-up systems, access to the healthcare providers and medical resources. Although vast majority of patients with early gastric cancer is asymptomatic, most of the country don’t have a cheap health check-up system for asymptomatic citizens. In many developing countries, a few hours drive is needed to reach the neighboring clinics when the people have abdominal symptoms. And co-payment for endoscopic exam is quite high even in the developed countries if they don’t have good social health insurance. Furthermore, the number of endoscopists is very limited and their experiences and knowledge of endoscopy in not enough, because they had barely experienced early gastric cancer. The situation of the above 3 key factors is well organized in Japan.
Name
Miho Hayata
Date
2021/10/18
Title
Thank you
Comment
Thank you for your answers!
Name
Assoc. Prof. Tanaka
Date
2021/10/20