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KMID : 1141820230230010003
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Journal of Gastric Cancer
2023 Volume.23 No. 1 p.3 ~ p.106
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Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach
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Kim Tae-Han
Kim In-Ho
Kang Seung-Joo
Choi Mi-Young
Kim Baek-Hui
Eom Bang-Wool
Kim Bum-Jun
Min Byung-Hoon
Choi Chang-In
Shin Cheol-Min
Tae Chung-Hyun
Gong Chung-Sik
Kim Dong-Jin
Gong Eun-Jeong
Song Geum-Jong
Im Hyeon-Su
Ahn Hye-Seong
Lim Hyun
Kim Hyung-Don
Kim Jae-Joon
Yu Jeong-Il
Lee Jeong-Won
Park Ji-Yeon
Song Kyoung-Doo
Jung Min-Kyu
Jung Mi-Ran
Son Sang-Yong
Park Shin-Hoo
Kim Soo-Jin
Lee Sung-Hak
Kim Tae-Yong
Bae Woo-Kyun
Koom Woong-Sub
Jee Ye-Seob
Kwak Yoon-Jin
Park Young-Suk
Han Hye-Sook
Nam Su-Youn
Kong Seong-Ho
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Abstract
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Gastric cancer is one of the most common cancers in Korea and the world. Since 2004, this is the 4th gastric cancer guideline published in Korea which is the revised version of previous evidence-based approach in 2018. Current guideline is a collaborative work of the interdisciplinary working group including experts in the field of gastric surgery, gastroenterology, endoscopy, medical oncology, abdominal radiology, pathology, nuclear medicine, radiation oncology and guideline development methodology. Total of 33 key questions were updated or proposed after a collaborative review by the working group and 40 statements were developed according to the systematic review using the MEDLINE, Embase, Cochrane Library and KoreaMed database. The level of evidence and the grading of recommendations were categorized according to the Grading of Recommendations, Assessment, Development and Evaluation proposition. Evidence level, benefit, harm, and clinical applicability was considered as the significant factors for recommendation. The working group reviewed recommendations and discussed for consensus. In the earlier part, general consideration discusses screening, diagnosis and staging of endoscopy, pathology, radiology, and nuclear medicine. Flowchart is depicted with statements which is supported by meta-analysis and references. Since clinical trial and systematic review was not suitable for postoperative oncologic and nutritional follow-up, working group agreed to conduct a nationwide survey investigating the clinical practice of all tertiary or general hospitals in Korea. The purpose of this survey was to provide baseline information on follow up. Herein we present a multidisciplinary-evidence based gastric cancer guideline.
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KEYWORD
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Stomach neoplasms, Chemotherapy, Endoscopy, Surgery, Guidelines
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