Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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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)
  • Received : 2021.07.08
  • Accepted : 2021.09.19
  • Published : 2021.09.30
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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.

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References

  1. 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. https://doi.org/10.4143/crt.2021.291
  2. Korean Gastric Cancer Association. Nationwide gastric cancer report in Korea. J Korean Gastric Cancer Assoc 2002;2:105-114. https://doi.org/10.5230/jkgca.2002.2.2.105
  3. 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. https://doi.org/10.5230/jkgca.2007.7.1.47
  4. 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. https://doi.org/10.5230/jgc.2011.11.2.69
  5. 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. https://doi.org/10.5230/jgc.2016.16.3.131
  6. Bosman FT, Hruban RH, Theise ND, eds. WHO Classification of Tumours of the Digestive System. Geneva: WHO, 2010.
  7. Brierley JD, Gospodarowicz MK, Wittekind C, eds. TNM-Classification of Malignant Tumours. 8th ed. Hoboken (NJ): Wiley-Blackwell, 2017.
  8. 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. https://doi.org/10.1097/01.sla.0000133083.54934.ae
  9. 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.
  10. 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.
  11. 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. https://doi.org/10.1016/S0140-6736(16)32381-9
  12. 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. https://doi.org/10.1093/annonc/mdt108
  13. Olefson S, Moss SF. Obesity and related risk factors in gastric cardia adenocarcinoma. Gastric Cancer 2015;18:23-32. https://doi.org/10.1007/s10120-014-0425-4
  14. 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. https://doi.org/10.4143/crt.2020.263
  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. https://doi.org/10.1097/MD.0000000000018381
  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. https://doi.org/10.1007/s00268-019-04943-x
  17. 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. https://doi.org/10.1097/SLA.0000000000001346
  18. 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. https://doi.org/10.1097/SLA.0000000000003217
  19. 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. https://doi.org/10.1007/s10120-018-0864-4