Endoscopy screening in high-risk populations as a strategy to improve early detection of gastric cancer in the United States

Korean Americans experience significant disparities in the incidence of gastric cancer, with five times higher incidence than non-Hispanic whites (NHWs). Although Korean Americans are diagnosed at an earlier stage than other racial/ ethnic groups in the United States, they are diagnosed at a later stage compared with those in South Korea, where >70% of screening-eligible adults are adherent to the bi-annual gastric cancer screening guidelines. We conducted a pilot survey to characterize patterns of endoscopy use among Korean American and NHW gastric cancer patients.