《爱思唯尔胃、胃食管结合部与食管癌临床诊疗路径2022中国版》更新与解读

Update and Interpretation of Elsevier Clinical Pathway for Gastric,Gastroesophageal Junction and Esophageal Cancer(Chinese Edition,2022)

恶性肿瘤的规范化治疗一直是各大医疗机构不断完善和改进的方向。近年来,胃癌、胃食管结合部癌和食管癌的基础研究、预防、筛查和诊疗水平均有了很大提升,患者5年生存率也有较大提高,但不同地区间的诊疗水平仍存在较大差异。我国的胃癌、胃食管结合部癌和食管癌在病因学、病理类型、发病部位等方面与欧美国家差异较大,因此,欧美国家的相关指南无法完全满足我国肿瘤规范化治疗的临床实践。2021年,爱思唯尔科研信息分析公司推出了胃、胃食管结合部和食管癌临床诊疗路径中国版,并于2022年完成第1次更新,旨在规范该类肿瘤的诊疗行为,促进肿瘤诊疗的规范化、同质化、标准化,最终提升患者的生存率和生活质量。2022中国版临床路径参考美国国立综合癌症网络临床实践指南、中国临床肿瘤学会诊疗指南等国内外权威指南,结合循证医学证据与临床经验,遵循科学性、普适性、规范性、可操作性的指导原则,在临床实践中已得到推广应用,并依据最新研究成果不断更新。

The standardized treatment of malignant tumors has always been the direction of continuous improvement of major medical institutions.In recent years,the basic research,prevention,screening,diagnosis and treatment of gastric,gastroesophageal junction and esophageal cancer have been greatly improved,resulting in a significant improvement in the 5 years'survival rate of patients,but there are still great differences in the diagnosis and treatment levels among different regions.In China,gastric cancer,gastroesophageal junction cancer and esophageal cancer differ greatly from European and American countries in etiology,pathological types,and high incidence sites,etc.Therefore,the relevant guidelines of European and American countries cannot fully meet Chinese clinical practice.In 2021,Elsevier Publishing Group launched the Chinese edition of Elsevier clinical pathway for gastric,gastroesophageal junction and esophageal cancer,and the first update was made in 2022,which aims to standardize the diagnosis and treatment behaviors,promote the homogenization and standardization of tumor diagnosis and treatment,and ultimately improve the survival rate and quality of life of patients.This pathway refers to the National Comprehensive Cancer Network clinical practice guidelines,the Chinese Society of Clinical Oncology guidelines,combines evidence⁃based medicine and clinical experience,and follows the scientific,universal,standardized and operable principles.It has been promoted and applied in clinical practice,and is constantly updated according to the latest research results.