Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment

Hyo Seon Ryu¹, Hyun Jung Kim^{2

3}, Woong Bae Ji⁴, Byung Chang Kim⁵, Ji Hun Kim⁶, Sung Kyung Moon⁷, Sung Il Kang⁸, Han Deok Kwak⁹, Eun Sun Kim¹⁰, Chang Hyun Kim¹¹, Tae Hyung Kim¹², Gyoung Tae Noh¹³, Byung-Soo Park¹⁴, Hyeung-Min Park¹¹, Jeong Mo Bae¹⁵, Jung Hoon Bae¹⁶, Ni Eun Seo¹⁷, Chang Hoon Song¹⁸, Mi Sun Ahn¹⁹, Jae Seon Eo²⁰, Young Chul Yoon²¹, Joon-Kee Yoon²², Kyung Ha Lee²³, Kyung Hee Lee²⁴, Kil-Yong Lee²⁵, Myung Su Lee²⁶, Sung Hak Lee²⁷, Jong Min Lee²⁸, Ji Eun Lee²⁹, Han Hee Lee³⁰, Myong Hoon Ihn³¹, Je-Ho Jang³², Sun Kyung Jeon²⁶, Kum Ju Chae³³, Jin-Ho Choi³⁴, Dae Hee Pyo³⁵, Gi Won Ha³⁶, Kyung Su Han⁵, Young Ki Hong³⁷, Chang Won Hong⁵, Jung-Myun Kwak¹

Affiliations

¹ Division of Colon and Rectal Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.
² Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
³ Institute for Evidence-based Medicine, Cochrane Collaboration, Seoul, Korea.
⁴ Division of Colon and Rectal Surgery, Department of Surgery, Korea University Ansan Hospital, Ansan, Korea.
⁵ Center for Colorectal Cancer, National Cancer Center, Goyang, Korea.
⁶ Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁷ Department of Radiology, Kyung Hee University Hospital, Seoul, Korea.
⁸ Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
⁹ Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
¹⁰ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
¹¹ Department of Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.
¹² Department of Radiation Oncology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
¹³ Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
¹⁴ Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
¹⁵ Department of Pathology, Seoul National University Hospital, Seoul, Korea.
¹⁶ Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
¹⁷ Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
¹⁸ Department of Radiation Oncology, Seoul National University Bundang Hospital, Seongnam, Korea.
¹⁹ Department of Hematology-Oncology, Ajou University School of Medicine, Suwon, Korea.
²⁰ Department of Nuclear Medicine and Molecular Imaging, Korea University College of Medicine, Seoul, Korea.
²¹ Department of General Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²² Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon, Korea.
²³ Department of Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
²⁴ Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.
²⁵ Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
²⁶ Department of Radiology, Seoul National University Hospital, Seoul, Korea.
²⁷ Department of Hospital Pathology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²⁸ Department of Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
²⁹ Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
³⁰ Division of Gastroenterology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³¹ Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
³² Department of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea.
³³ Department of Radiology, Jeonbuk National University Medical School, Jeonju, Korea.
³⁴ Center for Lung Cancer, Department of Thoracic Surgery, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
³⁵ Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
³⁶ Research Institute of Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.
³⁷ Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

PMID: 38712437
PMCID: PMC11082542
DOI: 10.3393/ac.2024.00059.0008

Guideline

Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment

Hyo Seon Ryu et al. Ann Coloproctol. 2024 Apr.

. 2024 Apr;40(2):89-113.

doi: 10.3393/ac.2024.00059.0008. Epub 2024 Apr 30.

Authors

Affiliations

¹ Division of Colon and Rectal Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.
² Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
³ Institute for Evidence-based Medicine, Cochrane Collaboration, Seoul, Korea.
⁴ Division of Colon and Rectal Surgery, Department of Surgery, Korea University Ansan Hospital, Ansan, Korea.
⁵ Center for Colorectal Cancer, National Cancer Center, Goyang, Korea.
⁶ Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
⁷ Department of Radiology, Kyung Hee University Hospital, Seoul, Korea.
⁸ Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
⁹ Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
¹⁰ Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
¹¹ Department of Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.
¹² Department of Radiation Oncology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.
¹³ Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
¹⁴ Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
¹⁵ Department of Pathology, Seoul National University Hospital, Seoul, Korea.
¹⁶ Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
¹⁷ Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
¹⁸ Department of Radiation Oncology, Seoul National University Bundang Hospital, Seongnam, Korea.
¹⁹ Department of Hematology-Oncology, Ajou University School of Medicine, Suwon, Korea.
²⁰ Department of Nuclear Medicine and Molecular Imaging, Korea University College of Medicine, Seoul, Korea.
²¹ Department of General Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²² Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon, Korea.
²³ Department of Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
²⁴ Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.
²⁵ Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
²⁶ Department of Radiology, Seoul National University Hospital, Seoul, Korea.
²⁷ Department of Hospital Pathology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
²⁸ Department of Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
²⁹ Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
³⁰ Division of Gastroenterology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³¹ Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
³² Department of Surgery, Daejeon Eulji Medical Center, Eulji University, Daejeon, Korea.
³³ Department of Radiology, Jeonbuk National University Medical School, Jeonju, Korea.
³⁴ Center for Lung Cancer, Department of Thoracic Surgery, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
³⁵ Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
³⁶ Research Institute of Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.
³⁷ Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

PMID: 38712437
PMCID: PMC11082542
DOI: 10.3393/ac.2024.00059.0008

Abstract

Colorectal cancer is the third most common cancer in Korea and the third leading cause of death from cancer. Treatment outcomes for colon cancer are steadily improving due to national health screening programs with advances in diagnostic methods, surgical techniques, and therapeutic agents.. The Korea Colon Cancer Multidisciplinary (KCCM) Committee intends to provide professionals who treat colon cancer with the most up-to-date, evidence-based practice guidelines to improve outcomes and help them make decisions that reflect their patients' values and preferences. These guidelines have been established by consensus reached by the KCCM Guideline Committee based on a systematic literature review and evidence synthesis and by considering the national health insurance system in real clinical practice settings. Each recommendation is presented with a recommendation strength and level of evidence based on the consensus of the committee.

Keywords: Colonic neoplasms; Diagnosis; Genetics; Humans; Therapy.

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Conflict of interest statement

Conflict of interest

Je-Ho Jang is an Editorial Board member of Annals of Coloproctology, but was not involved in in the peer reviewer selection, evaluation, or decision process of this article. To identify other potential conflicts of interest for all members who participated in the development of guidelines, we examined whether they were employed by a related company, received sponsorship or honoraria of more than KRW 10 million, conducted research funded by a specific institution or pharmaceutical company or received rights to economic benefits, or had intellectual property rights such as patents or royalties in the last 2 years. No potential conflict of interest relevant to this article was reported.

References

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Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment

Affiliations

Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment

Authors

Affiliations

Abstract

Conflict of interest statement

References

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LinkOut - more resources

Full Text Sources