Improving Efficacy of Endoscopic Diagnosis of Early Gastric Cancer: Gaps to Overcome from the Real-World Practice in Vietnam

Table 4

Factors associated with higher proportion of detected early gastric cancer.

	EGC/GC (%) ()		Odd ratios (95% confidence interval)
Hospital type
Municipal	2.4 (16/665)	0.017	1
Central	4.5 (99/2192)		1.918 (1.123–3.277)
Hospital volume (EGD procedures/year)
10.000–< 30.000	2.4 (16/665)	—	1
30.000–60.000	6.4 (73/1138)	<0.001	2.780 (1.604–4.818)
>60.000–100.000	2.5 (26/1054)	0.936	1.025 (0.546–1.927)
Preparation with simethicone before EGD
None/selective	2.4 (16/667)	0.016	1
Routine	4.5 (99/2190)		1.926 (1.128–3.290)
Image-enhanced endoscopy
Selective	2.4 (42/1719)	<0.001	1
Routine	6.4 (73/1138)		2.737 (1.858–4.031)
Surveillance for high-risk subjects
No	3.5 (34/971)	0.308	1
Yes	4.3 (81/1886)		1.237 (0.822–1.860)

EGC: early gastric cancer; GC: gastric cancer; EGD: esophagogastroduodenoscopy.