Lorenz Curves and Gini Coefficient Analyses Indicate Inefficiencies in Esophageal Adenocarcinoma Screening

Chin Hur; Tiannan Zhan; Aaron P Thrift; Thomas L Vaughan; Eric J Feuer

doi:10.1016/j.cgh.2018.05.002

Lorenz Curves and Gini Coefficient Analyses Indicate Inefficiencies in Esophageal Adenocarcinoma Screening

Clin Gastroenterol Hepatol. 2019 Feb;17(3):560-562.e2. doi: 10.1016/j.cgh.2018.05.002. Epub 2018 May 9.

Authors

Chin Hur¹, Tiannan Zhan², Aaron P Thrift³, Thomas L Vaughan⁴, Eric J Feuer⁵

Affiliations

¹ Gastroenterology Division, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: chur@mgh.harvard.edu.
² Gastroenterology Division, Massachusetts General Hospital, Boston, Massachusetts.
³ Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas.
⁴ Program in Epidemiology, Fred Hutchinson Cancer Research Center, Seattle, Washington.
⁵ Surveillance Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.

Abstract

Rates of esophageal adenocarcinoma (EAC) have increased rapidly in the United States and much of western Europe, and 5-year survival continues to be poor.¹ Prevention and early detection efforts for EAC have focused on identifying persons with EAC precursor state, Barrett's esophagus, but the survival benefit has been disappointingly low.

MeSH terms

Adenocarcinoma / diagnosis*
Adenocarcinoma / mortality
Diagnostic Tests, Routine / methods*
Early Detection of Cancer / methods*
Esophageal Neoplasms / diagnosis*
Esophageal Neoplasms / mortality
Europe
Female
Humans
Male
Middle Aged
Survival Analysis
United States

Supplementary concepts

Adenocarcinoma Of Esophagus

Abstract

MeSH terms

Supplementary concepts

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