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J Gastric Cancer. 2014 Jun;14(2):87-104. doi: 10.5230/jgc.2014.14.2.87. Epub 2014 Jun 30.

Clinical practice guidelines for gastric cancer in Korea: an evidence-based approach.

Author information

  • 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
  • 4Department of Radiology and Institute of Radiation Medicine, Seoul National University, College of Medicine, Seoul, Korea.
  • 5Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Nuclear Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Pathology, Inha University School of Medicine, Incheon, Korea.
  • 8Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.
  • 9Center for Gastric Cancer, National Cancer Center, Goyang, Korea.
  • 10Department of Surgery, Seoul National University Hospital, Seoul, Korea.
  • 11Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 13Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 14Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang, Korea.
  • 15Department of Medical Oncology, Yonsei University College of Medicine, Seoul, Korea.
  • 16Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 17Department of Pathology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
  • 18Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.

Abstract

Although gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to those in western countries. However, there are currently no Korean multidisciplinary guidelines for gastric cancer. Experts from related societies developed guidelines de novo to meet Korean circumstances and requirements, including 23 recommendation statements for diagnosis (n=9) and treatment (n=14) based on relevant key questions. The quality of the evidence was rated according to the GRADE evidence evaluation framework: the evidence levels were based on a systematic review of the literature, and the recommendation grades were classified as either strong or weak. The applicability of the guidelines was considered to meet patients' view and preferences in the context of Korea. The topics of the guidelines cover diagnostic modalities (endoscopy, endoscopic ultrasound, and radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, and radiotherapy), and pathologic evaluation. An external review of the guidelines was conducted during the finalization phase.

KEYWORDS:

Guidelines; Multidisciplinary; Stomach neoplasms

PMID:
25061536
[PubMed]
PMCID:
PMC4105383
Free PMC Article

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