| Theme | Significance, Problems, and Future Prospect of the Gastric Cancer Treatment Guideline | |
|---|---|---|
| Title | The Process for Issuing First Version of Gastric Cancer Treatment Guidelines and Associated Problems | |
| Publish Date | 2003/02 | |
| Author | Tsuneo Sasaki | Department of Chemotherapy, Tokyo Metropolitan Komagome Hospital |
| [ Summary ] | The Japanese gastric cancer association issued the first version of its gastric cancer treatment guidelines (GL) in March of 2001 and those for patients in December 2001. The aim for these GLs was to provide a standard for doctors. They are expected to reduce differences in treatment selection by different institutions. The four principles of GLs are; (1) provide standardized indications of optinum treatment modality, not dealing with the technical aspects of treatment, (2) describe treatment based on EBM as soon as possible, when evidence becomes available, (3) the primary endpoint is survival time and the secondary point are relief of symptoms, tumor regression and QOL, (4) some promising, but not yet confirmed treatment modalities are recommended for investigation through clinical trials. GLs should be revised in connection with developments in gastric cancer treatment. |
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