Synopsis on Clinical Practice Guideline of Gastric Cancer in Korea: An Evidence-Based Approach

Jun Haeng Lee; Jae G. Kim; Hye-Kyung Jung; Jung Hoon Kim; Woo Kyoung Jeong; Tae Joo Jeon; Joon Mee Kim; Young Il Kim; Keun Won Ryu; Seong-Ho Kong; Hyoung Il Kim; Hwoon-Yong Jung; Yong Sik Kim; Dae Young Zang; Jae Yong Cho; Joon Oh Park; Do Hoon Lim; Eun Sun Jung; Hyeong Sik Ahn; Hyun Jung Kim

doi:10.4166/kjg.2014.63.2.66

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Lee, Kim, Jung, Kim, Jeong, Jeon, Kim, Kim, Ryu, Kong, Kim, Jung, Kim, Zang, Cho, Park, Lim, Jung, Ahn, and Kim: Synopsis on Clinical Practice Guideline of Gastric Cancer in Korea: An Evidence-Based Approach

Review Article

Korean J Gastroenterol 2014;63(2):66-81.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.63.2.66

Synopsis on Clinical Practice Guideline of Gastric Cancer in Korea: An Evidence-Based Approach

Jun Haeng Lee, Jae G. Kim¹, Hye-Kyung Jung², Jung Hoon Kim³, Woo Kyoung Jeong⁴, Tae Joo Jeon⁵, Joon Mee Kim⁶, Young Il Kim⁷, Keun Won Ryu⁸, Seong-Ho Kong⁹, Hyoung Il Kim¹⁰, Hwoon-Yong Jung¹¹, Yong Sik Kim¹², Dae Young Zang¹³, Jae Yong Cho¹⁴, Joon Oh Park¹⁵, Do Hoon Lim¹⁶, Eun Sun Jung¹⁷, Hyeong Sik Ahn¹⁸, Hyun Jung Kim¹⁸

Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

¹Department of Medicine, Chung-Ang University College of Medicine, Seoul, Korea

²Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea

³Department of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, Seoul, Korea

⁴Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

⁵Department of Nuclear Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

⁶Department of Pathology, Inha University School of Medicine, Incheon, Korea

⁷Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea

⁸Center for Gastric Cancer, National Cancer Center, Goyang, Korea

⁹Department of Surgery, Seoul National University Hospital, Seoul, Korea

¹⁰Department of Surgery, Yonsei University College of Medicine, Seoul, Korea

¹¹Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea

¹²Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea

¹³Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang, Korea

¹⁴Department of Medical Oncology, Yonsei University College of Medicine, Seoul, Korea

¹⁵Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

¹⁶Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

¹⁷Department of Pathology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea

¹⁸Department of Preventive Medicine, Korea University Medical College, Seoul, Korea

Correspondence to: Jae G. Kim, Department of Gastroenterology, Chung-Ang University College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul 156-861, Korea. Tel: +82-2-6299-3147, Fax: +82-2-825-7571, E-mail: jgkimd@cau.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although, gastric cancer is quite common in Korea, the treatment outcome is relatively favorable compared to that of Western countries. However, there is no Korean multidisciplinary guideline for gastric cancer and thus, a guideline adequate for domestic circumstances is required. Experts from related societies developed 22 recommendation statements for the diagnosis (n=9) and treatment (n=13) based on relevant key questions. Evidence levels based on systematic review of literatures were classified as five levels from A to E, and recommendation grades were classified as either strong or weak. The topics of this guideline cover diagnostic modalities (endoscopy, endoscopic ultrasound, radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, radiotherapy) and pathologic evaluation. External review of the guideline was conducted at the finalization phase.

Keywords: Stomach neoplasms, Guidelines

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Table 1.

Level of Evidence and Grade of Recommendation

Level of evidence

A. High quality evidence

B. Moderate quality evidence

C. Low quality evidence

D. Very low quality evidence

E. No evidence or difficult to analysis

Grade of recommendation

1. Strong recommendation

2. Weak recommendation

TOOLS

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