Chinese national clinical practice guidelines on the prevention, diagnosis, and treatment of early gastric cancer.

Abstract

BACKGROUND:

Gastric cancer is one of the most common malignant tumors in the digestive system in China. Few comprehensive practice guidelines for early gastric cancer in China are currently available. Therefore, we created the Chinese national clinical practice guideline for the prevention, diagnosis, and treatment of early gastric cancer.

METHODS:

This clinical practice guideline (CPG) was developed in accordance with the World Health Organization's recommended process and with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) in assessing evidence quality. We used the Evidence to Decision framework to formulate clinical recommendations to minimize bias and increase transparency in the CPG development process. We used the Reporting Items for practice Guidelines in HealThcare (RIGHT) statement and the Appraisal of Guidelines for Research and Evaluation II (AGREE II) as reporting and conduct guidelines to ensure completeness and transparency of the CPG.

RESULTS:

This CPG contains 40 recommendations regarding the prevention, screening, diagnosis, treatment, and follow-up of early gastric cancer based on available clinical studies and guidelines. We provide recommendations for the timing of Helicobacter pylori eradication, screening populations for early gastric cancer, indications for endoscopic resection and surgical gastrectomy, follow-up interval after treatment, and other recommendations.

CONCLUSIONS:

This CPG can lead to optimum care for patients and populations by providing up-to-date medical information. We intend this CPG for widespread adoption to increase the standard of prevention, screening, diagnosis, treatment, and follow-up of early gastric cancer; thereby, contributing to improving national health care and patient quality of life.

• Authors: Peng Li, Ziyu Li, Enqiang Linghu, Jiafu Ji, Society of Digestive Endoscopy of the Chinese Medical Association, Colorectal Surgery Group of the Chinese Medical Association, Chinese Association of Gastroenterologists & Hepatologists,National Clinical Research Center for Digestive Diseases, Chinese Medical Journal Clinical Practice Guideline Collaborative
• Journal: Chinese medical journal (Chin Med J (Engl)) Vol. 137 Issue 8 Pg. 887-908 (Apr 20 2024) ISSN: 2542-5641 [Electronic] China
• PMID: 38515297 (Publication Type: Journal Article)
• Copyright: Copyright © 2024 The Chinese Medical Association, produced by Wolters Kluwer, Inc. under the CC-BY-NC-ND license.

Topics

• Stomach Neoplasms (diagnosis, therapy, prevention & control)
• Humans
• China
• Early Detection of Cancer
• Practice Guidelines as Topic
• Helicobacter Infections (diagnosis, drug therapy)