Management of gastric cancer in Asia: Resource-stratified guidelines
Journal
The Lancet Oncology
Journal Volume
14
Journal Issue
12
Pages
e535-e547
Date Issued
2013
Author(s)
Shen L.
Shan Y.-S.
Hu H.-M.
Price T.J.
Sirohi B.
Yang Y.-H.
Sano T.
Yang H.-K.
Zhang X.
Park S.R.
Fujii M.
Kang Y.-K.
Chen L.-T.
Abstract
Gastric cancer is the fourth most common cancer globally, and is the second most common cause of death from cancer worldwide. About three-quarters of newly diagnosed cases in 2008 were from Asian countries. With a high mortality-to-incidence ratio, management of gastric cancer is challenging. We discuss evidence for optimum management of gastric cancer in aspects of screening and early detection, diagnosis, and staging; endoscopic and surgical intervention; and the concepts of perioperative, postoperative, and palliative chemotherapy and use of molecularly targeted therapy. Recommendations are formulated on the basis of the framework provided by the Breast Health Global Initiative, using the categories of basic, limited, enhanced, and maximum level. We aim to provide a stepwise strategy for management of gastric cancer applicable to different levels of health-care resources in Asian countries. ? 2013 Elsevier Ltd.
SDGs
Other Subjects
capecitabine; cisplatin; docetaxel; epirubicin; fluoropyrimidine; fluorouracil; folinic acid; gimeracil plus oteracil potassium plus tegafur; irinotecan; lapatinib; oxaliplatin; paclitaxel; panitumumab; ramucirumab; trastuzumab; Asia; cancer incidence; cancer mortality; cancer palliative therapy; cancer radiotherapy; cancer screening; cancer staging; cause of death; China; computer assisted emission tomography; cost effectiveness analysis; digestive tract endoscopy; early diagnosis; endoscopic surgery; gastrectomy; government; health program; Helicobacter infection; human; India; inoperable cancer; Japan; laparoscopy; lymph node dissection; lymphadenopathy; Malaysia; molecularly targeted therapy; Mongolia; nuclear magnetic resonance imaging; Pakistan; perioperative period; postoperative care; practice guideline; prevalence; priority journal; review; Singapore; South Korea; stomach adenocarcinoma; stomach cancer; Taiwan; Thailand; Viet Nam; Antineoplastic Agents; Asia; Chemotherapy, Adjuvant; Delivery of Health Care; Early Detection of Cancer; Gastrectomy; Gastroscopy; Health Resources; Health Services Accessibility; Healthcare Disparities; Humans; Medical Oncology; Molecular Targeted Therapy; Predictive Value of Tests; Stomach Neoplasms; Treatment Outcome
Type
review