Browse > Article
http://dx.doi.org/10.5230/jgc.2021.21.e27

Korean Gastric Cancer Association-Led Nationwide Survey on Surgically Treated Gastric Cancers in 2019  

The Information Committee of the Korean Gastric Cancer Association, (The Information Committee of the Korean Gastric Cancer Association)
Publication Information
Journal of Gastric Cancer / v.21, no.3, 2021 , pp. 221-235 More about this Journal
Abstract
Purpose: The Korean Gastric Cancer Association (KGCA) has been conducting nationwide surveys on patients with surgically treated gastric cancer, every 5 years, since 1995. This study details the results of the survey conducted in 2019. Materials and Methods: This survey was conducted from March to December 2020 using a standardized case report form, which was sent to every member of the KGCA via e-mail. We collected data on 54 items, including patient demographics, tumor characteristics, surgical procedures, and surgical outcomes. We compared the results of the 2019 survey with previous surveys. Results: Data of 14,076 cases were collected from 68 institutions. The mean patient age was 62.9 years and the proportion of patients who were aged ≥71 years increased from 9.1% in 1995 to 28.8% in 2019. The proportion of upper-third tumors steadily increased from 11.2% in 1995 to 20.9% in 2019 and that of early gastric cancer increased from 57.7% in 2009 to 63.6% in 2019. Regarding operative procedures, a total laparoscopic approach was used in more than half of the cases (55.1%) in 2019. The most common anastomotic method was the Billroth II procedure (45.0%) after distal gastrectomy and double tract reconstruction (81.2%) after proximal gastrectomy in 2019. The postoperative mortality rate was 1.0%, and the overall postoperative complication rate was 14.5%. Conclusions: The results of the 2019 nationwide survey demonstrate the current status of gastric cancer treatment in Korea. This information will provide a basis for gastric cancer research in the future.
Keywords
Stomach neoplasm; Health care survey; Korea;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Hyung WJ, Yang HK, Han SU, Lee YJ, Park JM, Kim JJ, et al. A feasibility study of laparoscopic total gastrectomy for clinical stage I gastric cancer: a prospective multi-center phase II clinical trial, KLASS 03. Gastric Cancer 2019;22:214-222.   DOI
2 Kim W, Kim HH, Han SU, Kim MC, Hyung WJ, Ryu SW, et al. Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage I gastric cancer: short-term outcomes from a multicenter randomized controlled trial (KLASS-01). Ann Surg 2016;263:28-35.   DOI
3 Lee HJ, Hyung WJ, Yang HK, Han SU, Park YK, An JY, et al. Short-term outcomes of a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy with D2 lymphadenectomy to open distal gastrectomy for locally advanced gastric cancer (KLASS-02-RCT). Ann Surg 2019;270:983-991.   DOI
4 Brierley JD, Gospodarowicz MK, Wittekind C, eds. TNM-Classification of Malignant Tumours. 8th ed. Hoboken (NJ): Wiley-Blackwell, 2017.
5 Hong S, Won YJ, Lee JJ, Jung KW, Kong HJ, Im JS, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2018. Cancer Res Treat 2021;53:301-315.   DOI
6 Information Committee of Korean Gastric Cancer Association. Korean Gastric Cancer Association nationwide survey on gastric cancer in 2014. J Gastric Cancer 2016;16:131-140.   DOI
7 Korean Gastric Cancer Association. Nationwide gastric cancer report in Korea. J Korean Gastric Cancer Assoc 2002;2:105-114.   DOI
8 The Information Committee of the Korean Gastric Cancer Association. 2004 Nationwide gastric cancer report in Korea. J Korean Gastric Cancer Assoc 2007;7:47-54.   DOI
9 Jeong O, Park YK. Clinicopathological features and surgical treatment of gastric cancer in South Korea: the results of 2009 nationwide survey on surgically treated gastric cancer patients. J Gastric Cancer 2011;11:69-77.   DOI
10 Bosman FT, Hruban RH, Theise ND, eds. WHO Classification of Tumours of the Digestive System. Geneva: WHO, 2010.
11 Olefson S, Moss SF. Obesity and related risk factors in gastric cardia adenocarcinoma. Gastric Cancer 2015;18:23-32.   DOI
12 Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-213.   DOI
13 Health Insurance Review and Assessment Service. The results of the 5th adequacy evaluation of stomach cancer [Internet]. Wonju: Health Insurance Review and Assessment Service; 2021 [cited 2021 Jul 1]. Available from: https://www.hira.or.kr/re/diag/asmWrptPopup.do?evlCd=24&pgmid=HIRAA030004000000.
14 Kontis V, Bennett JE, Mathers CD, Li G, Foreman K, Ezzati M. Future life expectancy in 35 industrialised countries: projections with a Bayesian model ensemble. Lancet 2017;389:1323-1335.   DOI
15 Ma Y, Li F, Zhou X, Wang B, Lu S, Wang W, et al. Four reconstruction methods after laparoscopic distal gastrectomy: a systematic review and network meta-analysis. Medicine (Baltimore) 2019;98:e18381.   DOI
16 Kim MS, Kwon Y, Park EP, An L, Park H, Park S. Revisiting laparoscopic reconstruction for Billroth 1 versus Billroth 2 versus Roux-en-Y after distal gastrectomy: a systematic review and meta-analysis in the modern era. World J Surg 2019;43:1581-1593.   DOI
17 National Comprehensive Cancer Network. NCCN guidelines version 2 [Internet]. Plymouth Meeting (PA): National Comprehensive Cancer Network; 2021 [cited 2021 Jul 1]. Available from: https://www.nccn.org/professionals/physician_gls/pdf/gastric.pdf.
18 Hong S, Lee YY, Lee J, Kim Y, Choi KS, Jun JK, et al. Trends in cancer screening rates among Korean men and women: results of the Korean National Cancer Screening Survey, 2004-2018. Cancer Res Treat 2021;53:330-338.   DOI
19 Bertuccio P, Rosato V, Andreano A, Ferraroni M, Decarli A, Edefonti V, et al. Dietary patterns and gastric cancer risk: a systematic review and meta-analysis. Ann Oncol 2013;24:1450-1458.   DOI