{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:31:50Z","timestamp":1782923510901,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T00:00:00Z","timestamp":1493164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Korean Medical Program, Holy Name Medical Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Gastric cancer (GC) is the leading cause of cancer death among Korean Americans. Prevention and early detection is improved by screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between September 2013 and March 2015, ethnic Koreans age 40 or older without history or symptoms of GC and without upper endoscopy (UE) during previous 3 years were enrolled. Participants were offered screening with GC risk assessment followed by UE with biopsies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Risk assessment was provided to 146 participants (age 55.6\u2009\u00b1\u20098.3 years; 52.1% female; 92.5% uninsured), of whom 99 (67.8%) returned for UE. Undergoing UE was independently associated with family history of GC (OR 12.33, 95% CI:1.52\u2010100.17), being a former smoker (6.68,1.42\u201031.32), and Hp\u2010negative status (0.25,0.11\u20100.57). Among UE recipients, half (49.5%) had intestinal metaplasia (IM) only (<jats:italic>n<\/jats:italic>\u2009=\u200924), Hp only (<jats:italic>n<\/jats:italic>\u2009=\u200912), or both (<jats:italic>n<\/jats:italic>\u2009=\u200913). No case of GC was found. Adjusted for age, IM was independently associated with male sex (2.89,1.12\u20107.42), current Hp (2.90,0.99\u20108.51), unmarried status (single or divorced) (4.23,1.23\u201014.56).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>High prevalence of risk factors associated with gastric carcinogenesis including Hp infection and IM exists in Korean Americans who underwent upper endoscopic screening. Acceptance of GC screening is informed by personal risk factors. These findings support the need to improve access to screening UE among KAs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.24622","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T20:23:21Z","timestamp":1493238201000},"page":"172-176","source":"Crossref","is-referenced-by-count":4,"title":["Screening endoscopy finds high prevalence of <i>Helicobacter pylori<\/i> and intestinal metaplasia in Korean American with limited access to health care"],"prefix":"10.1002","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6676-0593","authenticated-orcid":false,"given":"Yanghee","family":"Woo","sequence":"first","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery City of Hope National Medical Center Duarte California"},{"name":"Department of Surgery Columbia University Medical Cancer Duarte California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn E.","family":"Behrendt","sequence":"additional","affiliation":[{"name":"Department of Biostatistics City of Hope National Medical Center Duarte California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrick","family":"Trapp","sequence":"additional","affiliation":[{"name":"Department of Surgery Columbia University Medical Cancer Duarte California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Geun","family":"Hyun","sequence":"additional","affiliation":[{"name":"P &amp; I Gastroenterology Palisades Park New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamas","family":"Gonda","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine Columbia University Medical Center New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuman","family":"Fong","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery City of Hope National Medical Center Duarte California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine Columbia University Medical Center New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2014.01.029"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-007-9088-3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/107327480701400111"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semcancer.2013.07.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25030"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2014-308588"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001523"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.57.4.190"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2014.47.6.478"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-016-0506-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2015.144"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i38.13842"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.12.029"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-011-1177-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2006.106666"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i8.2460"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2014.47.6.490"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.03.025"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143257"},{"key":"e_1_2_6_21_1","first-page":"e33","article-title":"Gastric cancer screening uptake trends in Korea: results for the National Cancer Screening Program from 2002 to 2011: a prospective cross\u2010sectional study","volume":"94","author":"Lee S","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i5.736"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-013-0341-5"},{"key":"e_1_2_6_24_1","unstructured":"Surveillance EaERSP NCI.: SEER fact sheets: stomach cancer. 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