Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
권호 표지

Clinical Practice Guideline of Gastric Cancer in Korea

위암 표준진료권고안

  • Jae Gyu Kim (Department of Internal Medicine, Chung-Ang University College of Medicine)
  • 김재규 (중앙대학교 의과대학 내과학교실)
  • Received : 2016.06.15
  • Accepted : 2016.06.21
  • Published : 2016.06.30
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Abstract

There were no Korean evidence-based 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 and the recommendation grades were classified as either strong or weak. 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. Major limitation of the present guideline is that there is no enough evidences in Korea. Therefore, clinical studies about gastric cancer for evidence generation should be conducted.

Keywords

Acknowledgement

진료, 연구, 그리고 교육의 본연의 일을 하기에도 힘든 이 시기에 본 진료권고안의 개발에 최선의 노력을 해주신 개발위원회 위원께 다시 한 번 감사드리며, 협조해 주신 대한의학회 유관학회 선생님께도 다시 한 번 감사의 말씀을 드린다. 그리고 "위암 표준진료권고안"을 완성할 수 있도록 진료지침 개발방법론의 교육과 지원 등 위원회를 도와주신 안형식 교수님과 김현정 교수님께 깊은 감사를 드린다.

References

  1. 위암표준진료권고안 개발위원회. 위암표준진료권고안. 1st ed. 서울:도서출판 동아사, 2012
  2. 이준행, 김재규, 정혜경 등. 근거 기반 위암 진료 권고안. Korean J Gastroenterol 2014;63:66-81.
  3. Cancer statistics. [Internet]. Goyang (Korea): National Cancer information Center [cited 2014 Feb 5]. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000.
  4. Cause of death statistics. [Internet]. Daejeon (Korea): Korean Statistical Information Service [cited 2014 Feb 5]. Available from: http://kosis.kr/index/index.jsp.
  5. Turk DJ, Kozarek RA, Botoman VA, Patterson DJ, Ball TJ. Disposable endoscopic biopsy forceps: comparison with standard forceps of sample size and adequacy of specimen. J Clin Gastroenterol 1991;13:76-78.
  6. Dandalides SM, Carey WD, Petras R, Achkar E. Endoscopic small bowel mucosal biopsy: a controlled trial evaluating forceps size and biopsy location in the diagnosis of normal and abnormal mucosal architecture. Gastrointest Endosc 1989;35:197-200.
  7. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 2003;3:25.
  8. Yang R, Vuitch F, Wright K, McCarthy J. Adequacy of disposable biopsy forceps for gastrointestinal endoscopy: a direct comparison with reusable forceps. Gastrointest Endosc 1990;36:379-381.
  9. Guyatt GH, Oxman AD, Kunz R, et al; GRADE Working Group. Incorporating considerations of resources use into grading recommendations. BMJ 2008;336:1170-1173.
  10. International Agency for Research on Cancer. WHO classification of tumors of the digestive system. 4th ed. Lyon: World Health Organization, 2010.
  11. Lauren P. The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. An attempt at a histo-clinical classification. Acta Pathol Microbiol Scand 1965;64:31-49.
  12. Edge SB; American Joint Committee on Cancer. AJCC cancer staging manual. 7th ed. New York: Springer, 2010.