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Clinical Practice Guidelines for Gastric Cancer in Korea: An Evidence-Based Approach

  • Lee, Jun Haeng (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jae G. (Department of Medicine, Chung-Ang University College of Medicine) ;
  • Jung, Hye-Kyung (Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine) ;
  • Kim, Jung Hoon (Department of Radiology and Institute of Radiation Medicine, Seoul National University, College of Medicine) ;
  • Jeong, Woo Kyoung (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeon, Tae Joo (Department of Nuclear Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Joon Mee (Department of Pathology, Inha University School of Medicine) ;
  • Kim, Young Il (Department of Surgery, Ewha Womans University School of Medicine) ;
  • Ryu, Keun Won (Center for Gastric Cancer, National Cancer Center) ;
  • Kong, Seong-Ho (Department of Surgery, Seoul National University Hospital) ;
  • Kim, Hyoung-Il (Department of Surgery, Yonsei University College of Medicine) ;
  • Jung, Hwoon-Yong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Yong Sik (Department of Internal Medicine, Korea University College of Medicine) ;
  • Zang, Dae Young (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Cho, Jae Yong (Department of Medical Oncology, Yonsei University College of Medicine) ;
  • Park, Joon Oh (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, Do Hoon (Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jung, Eun Sun (Department of Pathology, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Ahn, Hyeong Sik (Department of Preventive Medicine, Korea University College of Medicine) ;
  • Kim, Hyun Jung (Department of Preventive Medicine, Korea University College of Medicine)
  • Received : 2014.06.26
  • Accepted : 2014.06.26
  • Published : 2014.06.30

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

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