J Gastric Cancer.  2016 Sep;16(3):182-190. 10.5230/jgc.2016.16.3.182.

The Korean Gastric Cancer Cohort Study: Study Protocol and Brief Results of a Large-Scale Prospective Cohort Study

Affiliations
  • 1Gastric Cancer Branch, Division of Translational & Clinical Research I, National Cancer Center, Goyang, Korea. gskim@ncc.re.kr
  • 2Biometric Research Branch, Division of Cancer Epidemiology and Prevention, Research Institute, National Cancer Center, Goyang, Korea. byunghonam@ncc.re.kr
  • 3Department of Internal Medicine, Daejeon Regional Cancer Center, Chungnam National University Hospital, Daejeon, Korea.
  • 4Department of Surgery, Jeonnam Regional Cancer Center, Chonnam National University Hospital, Hwasun, Korea.
  • 5Department of Surgery, Gyeongnam Regional Cancer Center, Gyeongsang National University Hospital, Jinju, Korea.
  • 6Department of Surgery, Seoul National University Hospital, Seoul, Korea.
  • 7Department of Surgery, Daegu-Gyeongbuk Regional Cancer Center, Kyungpook National University Medical Center, Chilgok, Korea.
  • 8Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 9Department of Internal Medicine, Busan Cancer Center, Pusan National University Hospital, Busan, Korea.
  • 10Department of Internal Medicine, Chungbuk Regional Cancer Center, Chungbuk National University Hospital, Cheongju, Korea.
  • 11Department of Internal Medicine, Jeju Regional Cancer Center, Jeju National University Hospital, Jeju, Korea.
  • 12Department of Surgery, Severance Hospital, Seoul, Korea.
  • 13Department of Surgery, Gangwon Regional Cancer Center, Kangwon National University Hospital, Chuncheon, Korea.
  • 14Department of Surgery, Jeonbuk Regional Cancer Center, Chonbuk National University Hospital, Jeonju, Korea.
  • 15Department of Surgery, Samsung Medical Center, Seoul, Korea.

Abstract

PURPOSE
This study aimed to establish a large-scale database of patients with gastric cancer to facilitate the development of a national-cancer management system and a comprehensive cancer control policy.
MATERIALS AND METHODS
An observational prospective cohort study on gastric cancer was initiated in 2010. A total of 14 cancer centers throughout the country and 152 researchers were involved in this study. Patient enrollment began in January 2011, and data regarding clinicopathological characteristics, life style-related factors, quality of life, as well as diet diaries were collected.
RESULTS
In total, 4,963 patients were enrolled until December 2014, and approximately 5% of all Korean patients with gastric cancer annually were included. The mean age was 58.2±11.5 years, and 68.2% were men. The number of patients in each stage was as follows: 3,394 patients (68.4%) were in stage IA/B; 514 patients (10.4%), in stage IIA/B; 469 patients (9.5%), in stage IIIA/B/C; and 127 patients (2.6%), in stage IV. Surgical treatment was performed in 3,958 patients (79.8%), endoscopic resection was performed in 700 patients (14.1%), and 167 patients (3.4%) received palliative chemotherapy. The response rate for the questionnaire on the quality of life was 95%; however, diet diaries were only collected for 27% of patients.
CONCLUSIONS
To provide comprehensive information on gastric cancer for patients, physicians, and government officials, a large-scale database of Korean patients with gastric cancer was established. Based on the findings of this cohort study, an effective cancer management system and national cancer control policy could be developed.

Keyword

Stomach neoplasms; Cohort studies; Korea; Quality of life

MeSH Terms

Cohort Studies*
Diet
Drug Therapy
Humans
Korea
Male
Occupational Groups
Prospective Studies*
Quality of Life
Stomach Neoplasms*

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