CACA guidelines for holistic integrative management of gastric cancer

Abstract

AbstractAccording to statistics, the rates of incidence and death of gastric cancer in China have risen to the fourth worldwide, resulting in huge social burden. Regrettably, international guidelines, such as NCCN or ESMO, could not provide enough consideration to Chinese clinical practice, making it difficult to achieve individual therapy in China. In 2020, China Anti-Cancer Association (CACA) invited domestic multi-disciplinary experts and made the guideline of gastric cancer, involving surgeon, oncologist, pathologist, radiologist, herbalist, physiatrist and psychologist. This gastric cancer guideline recommends comprehensive treatment scheme with high-evidence and well-feasibility, which is mainly based on evidence-based medicine, Chinese experience and expert consensus. We provided MDT to HIM system of “prevention, screening, diagnosis, treatment, rehabilitation” for gastric cancer, which embodied the integration of research evidence, clinical experience and patient needs. The CACA guideline is more suitable for China’s clinical practice, reflecting scientificity, accessibility and Chinese characteristics, highlights the concept of integrated medicine, and has guiding value of clinical practice.