J Gastric Cancer.
2023 Jan;23(1):3-106. 10.5230/jgc.2023.23.e11.
Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach
- Kim TH
1 - Kim IH2
- Kang SJ3
- Choi M4
- Kim BH5
- Eom BW6
- Kim BJ7
- Min BH8
- Choi CI9
- Shin CM10
- Tae CH11
- Gong Cs12
- Kim DJ13
- Cho AEH14
- Gong EJ15
- Song GJ16
- Im HS17
- Ahn HS18
- Lim H19
- Kim HD20
- Kim JJ21
- Yu JI22
- Lee JW23
- Park JY24
- Kim JH25
- Song KD26
- Jung M27
- Jung MR28
- Son SY29
- Park SH30
- Kim SJ31
- Lee SH32
- Kim TY33
- Bae WK34
- Koom WS35
- Jee Y36
- Kim YM37
- Kwak Y38
- Park YS39
- Han HS40
- Nam SY41
- Kong SH42
- on behalf of The Development Working Group for the Korean Practice Guidelines for Gastric Cancer 2022 Task Force Team
- Affiliations
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- 1Department of Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea
- 2Division of Medical Oncology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Department of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center Seoul, Seoul, Korea
- 4National Evidence-based Healthcare Collaborating Agency (NECA), Seoul, Korea
- 5Department of Pathology, Korea University Guro Hospital, Seoul, Korea
- 6Center for Gastric Cancer, National Cancer Center, Goyang, Korea
- 7Division of Hematology-Oncology, Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang, Korea
- 8Department of Medicine, Samsung Medical Center, Seoul, Korea
- 9Department of Surgery, Pusan National University Hospital, Pusan, Korea
- 10Department of Internal Medicine, Seoul National University Bundang Hospital, Seungnam, Korea
- 11Department of Internal Medicine, Ewha Woman’s University College of Medicine, Seoul, Korea
- 12Division of Gastrointestinal Surgery, Department of Surgery, Asan Medical Center and University of Ulsan College of Medicine, Seoul, Korea
- 13Department of Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 14Department of Nuclear Medicine, Severance Hospital, Seoul, Korea
- 15Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
- 16Department of Surgery, Soonchunhyang University, Cheonan, Korea
- 17Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- 18Department of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea
- 19Department of Gastroenterology, Hallym University Sacred Heart Hospital, University of Hallym College of Medicine, Anyang, Korea
- 20Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 21Division of Hematology-Oncology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
- 22Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea
- 23Department of Nuclear Medicine, Catholic Kwandong University, College of Medicine, Incheon, Korea
- 24Department of Surgery, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
- 25Division of Oncology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
- 26Department of Radiology, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea
- 27Division of Medical Oncology, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
- 28Department of Surgery, Chonnam National University Medical School, Gwangju, Korea
- 29Department of Surgery, Ajou University School of Medicine, Suwon, Korea
- 30Department of Surgery, Korea University Anam Hospital, Seoul, Korea
- 31Department of Radiology, National Cancer Center, Goyang, Korea
- 32Department of Hospital Pathology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 33Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
- 34Division of Hematology-Oncology, Department of Internal Medicine, Chonnam National University Medical School and Hwasun Hospital, Hwasun, Korea
- 35Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea
- 36Department of Surgery, Dankook University Hospital, Cheonan, Korea
- 37Department of Surgery, Severance Hospital, Seoul, Korea
- 38Department of Pathology, Seoul National University Hospital, Seoul, Korea
- 39Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
- 40Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea
- 41Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
- 42Department of Surgery, Seoul National University Hospital and Seoul National University College of Medicine Cancer Research Institute, Seoul, Korea
- KMID: 2539470
- DOI: http://doi.org/10.5230/jgc.2023.23.e11
Abstract
- 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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