欧洲医学肿瘤学会(ESMO)诊断的临床实践指南,胃癌(GC)患者的治疗和随访,2022年底出版,2023年7月出版的最新ESMO胃癌生活指南,根据以前建立的标准方法,于2023年8月进行了调整,制定泛亚适应(PAGA)ESMO共识指南,以治疗亚洲GC患者。本手稿中提出的适应指南代表了代表中国肿瘤学会(CSCO)的亚洲专家小组在治疗GC患者方面达成的共识意见,印度尼西亚(ISHMO),印度(ISMPO),日本(JSMO),韩国(KSMO),马来西亚(MOS),菲律宾(PSMO)新加坡(SSO),台湾(TOS)和泰国(TSCO),由ESMO和日本医学肿瘤学会(JSMO)协调。投票基于科学证据,独立于当前的治疗实践,10个肿瘤学会代表的亚洲地区的药物获取限制和报销决定。后者在手稿中单独讨论。目的是为亚洲不同地区的GC患者管理的优化和协调提供指导,借鉴西方和亚洲试验提供的证据,在尊重筛查实践差异的同时,分子谱分析和年龄和阶段。提请注意药物批准和报销策略的差异,在亚洲不同地区之间。
The European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with gastric cancer (GC), published in late 2022 and the updated ESMO Gastric Cancer Living
Guideline published in July 2023, were adapted in August 2023, according to previously established standard methodology, to produce the Pan-Asian adapted (PAGA) ESMO consensus
guidelines for the management of Asian patients with GC. The adapted
guidelines presented in this manuscript represent the
consensus opinions reached by a panel of Asian experts in the treatment of patients with GC representing the oncological societies of China (CSCO), Indonesia (ISHMO), India (ISMPO), Japan (JSMO), Korea (KSMO), Malaysia (MOS), the Philippines (PSMO), Singapore (SSO), Taiwan (TOS) and Thailand (TSCO), coordinated by ESMO and the Japanese Society of Medical Oncology (JSMO). The voting was based on scientific evidence and was independent of the current treatment practices, drug access restrictions and reimbursement decisions in the different Asian regions represented by the 10 oncological societies. The latter are discussed separately in the manuscript. The aim is to provide guidance for the optimisation and harmonisation of the management of patients with GC across the different regions of
Asia, drawing on the evidence provided by both Western and Asian trials, whilst respecting the differences in screening practices, molecular profiling and age and stage at presentation. Attention is drawn to the disparity in the drug approvals and reimbursement strategies, between the different regions of
Asia.