Korean Gastric Cancer Association- Led Nationwide Survey on Surgically Treated Gastric Cancers in 2019
- Authors
- Ryu, Seung Wan; Eom, Bang Wool; Kim, Dong Jin; Huh, Yeon-Ju; Jeong, Sang-Ho; Suh, Yun-Suhk; Kim, Jong Won; Kwon, In Gyu; Kwon, Oh Kyoung; Lee, In-Seob
- Issue Date
- Sep-2021
- Publisher
- KOREAN GASTRIC CANCER ASSOC
- Keywords
- Stomach neoplasm; Health care survey; Korea
- Citation
- JOURNAL OF GASTRIC CANCER, v.21, no.3, pp 221 - 235
- Pages
- 15
- Journal Title
- JOURNAL OF GASTRIC CANCER
- Volume
- 21
- Number
- 3
- Start Page
- 221
- End Page
- 235
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/51334
- DOI
- 10.5230/jgc.2021.21.e27
- ISSN
- 2093-582X
2093-5641
- 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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