Retrospective Cohort Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 28, 2020; 26(24): 3447-3457
Published online Jun 28, 2020. doi: 10.3748/wjg.v26.i24.3447
Comparison of operative link for gastritis assessment, operative link on gastric intestinal metaplasia assessment, and TAIM stagings among men with atrophic gastritis
Anna A Nieminen, Jukka Kontto, Pauli Puolakkainen, Jarmo Virtamo, Arto Kokkola
Anna A Nieminen, Pauli Puolakkainen, Arto Kokkola, Department of Surgery, Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki 00290, Finland
Jukka Kontto, Jarmo Virtamo, Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki 00271, Finland
Author contributions: All authors participated in performance of the research; Nieminen AA designed the study, searched the literature, interpreted the data, wrote the first draft of the manuscript, and contributed to the revision of the manuscript; Kontto J performed statistical analyses, created the figures, and contributed to the revision of the manuscript; Puolakkainen P designed the study, contributed to the critical review and revision of the manuscript; Virtamo J and Kokkola A designed the study, interpreted data, and contributed to the critical review and revision of the manuscript; all authors approved the final version of the article.
Institutional review board statement: The Helsinki gastritis study was accepted by the Ethical Issues’ Committee of the National Public Health Institute, Helsinki, Finland.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Anna A Nieminen, MD, Surgeon, Department of Surgery, Abdominal Center, Helsinki University Hospital and University of Helsinki, Haartmaninkatu 4, Helsinki 00290, Finland. anna.a.nieminen@hus.fi
Received: February 1, 2020
Peer-review started: February 1, 2020
First decision: March 6, 2020
Revised: March 29, 2020
Accepted: June 12, 2020
Article in press: June 12, 2020
Published online: June 28, 2020
Core Tip

Core tip: In low-risk countries, most gastric cancers are diagnosed at an advanced stage without possibility for curative treatment. There is a need for better selection of patients with precancerous findings for surveillance. Operative link for gastritis assessment (OLGA) and operative link on gastric intestinal metaplasia assessment (OLGIM) staging systems provide a useful tool to evaluate the gastric cancer risk. We have developed a novel staging, TAIM, which combines atrophy and intestinal metaplasia. Our results support the earlier findings that OLGIM detects high-risk patients better than OLGA, and with TAIM staging, even more patients could be detected and forwarded for beneficial endoscopic surveillance.