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Hepatocellular carcinoma (HCC) is a major cause of death in many countries, including South Korea. To provide useful and sensible advice for clinical management of patients with HCC, the Korean Liver Cancer Association and National Cancer Center Korea Practice Guideline Revision Committee have recently revised the practice guidelines for HCC management. However, there are some differences between practice guidelines and real-life clinical practice. In this review, we describe some key recommendations of the 2022 version of practice guidelines and the real-life clinical situation in South Korea, together with discussion about efforts needed to reduce the difference between guidelines and real-life clinical practice.
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Clinical practice guidelines are important for guiding the management of specific diseases by medical practitioners, trainees, and nurses. In some cases, the guidelines are utilized as a reference for health policymakers in controlling diseases with a large public impact. With this in mind, practice guidelines for the management of chronic hepatitis B (CHB) have been developed in the United States, Europe, and Asian-Pacific regions to suggest the best-fit recommendations for each social and medical circumstance. Recently, the Korean Association for the Study of the Liver published a revised version of its clinical practice guidelines for the management of CHB. The guidelines included updated information based on newly available antiviral agents, the most recent opinion on the initiation and cessation of treatment, and updates for the management of drug resistance, partial virological response, and side effects. Additionally, CHB management in specific situations was comprehensively revised. This review compares the similarities and differences among the various practice guidelines to identify unmet needs and improve future recommendations.
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Absence of Benefit of Transcatheter Arterial Chemoembolization (TACE) in Patients with Resectable Solitary Hepatocellular Carcinoma Tae‐Yong Ha, Shin Hwang, Young‐Joo Lee, Ki‐Hun Kim, Gi‐Young Ko, Dong II Gwon, Chul‐Soo Ahn, Deok‐Bog Moon, Gi‐Won Song, Dong‐Hwan Jung, Han Chu Lee, Young‐Suk Lim, Kang Mo Kim, Ju Hyun Shim, Jeong‐Heon Choi, Sung‐Gyu Lee World Journal of Surgery.2016; 40(5): 1200. CrossRef
Proton Pump Inhibitor Therapy Is Associated With Reduction of Early Bleeding Risk After Prophylactic Endoscopic Variceal Band Ligation Seong Hee Kang, Hyung Joon Yim, Seung Young Kim, Sang Jun Suh, Jong Jin Hyun, Sung Woo Jung, Young Kul Jung, Ja Seol Koo, Sang Woo Lee Medicine.2016; 95(8): e2903. CrossRef
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Primary Prophylaxis for Variceal Bleeding and the Improved Survival of Patients with Newly Diagnosed Hepatocellular Carcinoma Jung Hee Kim, Dong Hyun Sinn, Kyunga Kim, Wonseok Kang, Geum-Youn Gwak, Yong-Han Paik, Moon Seok Choi, Joon Hyeok Lee, Kwang Cheol Koh, Seung Woon Paik Digestive Diseases and Sciences.2016; 61(11): 3354. CrossRef
Association Between Level of Fibrosis, Rather Than Antiviral Regimen, and Outcomes of Patients With Chronic Hepatitis B Hye Soo Kim, Beom Kyung Kim, Seung Up Kim, Jun Yong Park, Do Young Kim, Ki Jun Song, Jung Won Park, Yeong Jin Kim, Oidov Baatarkhuu, Kwang-Hyub Han, Sang Hoon Ahn Clinical Gastroenterology and Hepatology.2016; 14(11): 1647. CrossRef
Relationship between 25-Hydroxyvitamin D Levels and Liver Fibrosis as Assessed by Transient Elastography in Patients with Chronic Liver Disease Bong Jin Ko, Young Seok Kim, Sang Gyune Kim, Jung Hwan Park, Sae Hwan Lee, Soung Won Jeong, Jae Young Jang, Hong Soo Kim, Boo Sung Kim, Sun Mi Kim, Young Don Kim, Gab Jin Cheon, Bo Ra Lee Gut and Liver.2016; 10(5): 818. CrossRef
Transplantation with autologous bone marrow‐derived mesenchymal stem cells for alcoholic cirrhosis: Phase 2 trial Ki Tae Suk, Jung‐Hwan Yoon, Moon Young Kim, Chang Wook Kim, Ja Kyung Kim, Hana Park, Seong Gyu Hwang, Dong Joon Kim, Byung Seok Lee, Sae Hwan Lee, Hong Soo Kim, Jae Young Jang, Chang‐Hyeong Lee, Byung Seok Kim, Yoon Ok Jang, Mee Yon Cho, Eun Sun Jung, Yon Hepatology.2016; 64(6): 2185. CrossRef
Usefulness of Ultrasonographic Scoring System in Diagnosis of Alcoholic Cirrhosis Kyoung Min Moon, Soon Koo Baik Clinical Ultrasound.2016; 1(2): 92. CrossRef
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Long-Term Suppression of Viral Replication in Chronic Hepatitis B: Outcomes and Future Directions Jae-Jun Shim Gut and Liver.2015;[Epub] CrossRef
Prognostic effect of preoperative sequential transcatheter arterial chemoembolization and portal vein embolization for right hepatectomy in patients with solitary hepatocellular carcinoma Jeong-Heon Choi, Shin Hwang, Young-Joo Lee, Ki-Hun Kim, Gi-Young Ko, Dong Il Gwon, Chul-Soo Ahn, Deok-Bog Moon, Tae-Yong Ha, Gi-Won Song, Dong-Hwan Jung, Sung-Gyu Lee Korean Journal of Hepato-Biliary-Pancreatic Surgery.2015; 19(2): 59. CrossRef
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Disease Progression in Chronic Hepatitis B Patients under Long-Term Antiviral Therapy Jin Chang Moon, Seong Hun Kim, In Hee Kim, Chang Hun Lee, Sang Wook Kim, Seung Ok Lee, Soo Teik Lee, Dae-Ghon Kim Gut and Liver.2015;[Epub] CrossRef
Lower Incidence of Hepatocellular Carcinoma and Cirrhosis in Hepatitis C Patients with Sustained Virological Response by Pegylated Interferon and Ribavirin Chansoo Moon, Kyu Sik Jung, Do Young Kim, Oidov Baatarkhuu, Jun Yong Park, Beom Kyung Kim, Seung Up Kim, Sang Hoon Ahn, Kwang-Hyub Han Digestive Diseases and Sciences.2015; 60(2): 573. CrossRef
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Evaluation of portal hypertension by real‐time shear wave elastography in cirrhotic patients Tae Yeob Kim, Woo Kyoung Jeong, Joo Hyun Sohn, Jinoo Kim, Min Yeong Kim, Yongsoo Kim Liver International.2015; 35(11): 2416. CrossRef
Liver Stiffness Measurement, Better than APRI, Fibroindex, Fib-4, and NBI Gastroscopy, Predicts Portal Hypertension in Patients with Cirrhosis Wei Zhang, Liqiong Wang, Lei Wang, Gang Li, Aoshuang Huang, Ping Yin, Zhenhua Yang, Changquan Ling, Lingtai Wang Cell Biochemistry and Biophysics.2015; 71(2): 865. CrossRef
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Prevention of Variceal Rebleeding According to the Dose of Propranolol Jae Young Jang, Woong Cheul Lee Korean Journal of Medicine.2014; 86(1): 30. CrossRef
Sarcopenia as a Useful Predictor for Long-Term Mortality in Cirrhotic Patients with Ascites Tae Yeob Kim, Min Yeong Kim, Joo Hyun Sohn, Sun Min Kim, Jeong Ah Ryu, Sanghyeok Lim, Youngsoo Kim Journal of Korean Medical Science.2014; 29(9): 1253. CrossRef
Clinically Severe Portal Hypertension: Role of Multi-detector Row CT Features in Diagnosis Ji Young Lee, Tae Yeob Kim, Woo Kyoung Jeong, Yongsoo Kim, Jinoo Kim, Kyoung Won Kim, Young Hwan Kim, Joo Hyun Sohn Digestive Diseases and Sciences.2014; 59(9): 2333. CrossRef
Cyanoacrylate Injection Compared with Band Ligation for Acute Gastric Variceal Hemorrhage: A Meta-Analysis of Randomized Controlled Trials and Observational Studies Xiaohua Ye, Jiaping Huai, Yanping Chen Gastroenterology Research and Practice.2014; 2014: 1. CrossRef
Clinical Features of Non-alcoholic Fatty Liver Disease in Cryptogenic Hepatocellular Carcinoma Min Young Rim, Oh Sang Kwon, Minsu Ha, Ju Seung Kim, Kwang Il Ko, Dong Kyu Kim, Pil Kyu Jang, Jung Yoon Han, Pyung Hwa Park, Young Kul Jung, Duck Joo Choi, Yun Soo Kim, Ju Hyun Kim The Korean Journal of Gastroenterology.2014; 63(5): 292. CrossRef
Histological improvement following administration of autologous bone marrow‐derived mesenchymal stem cells for alcoholic cirrhosis: a pilot study Yoon Ok Jang, Young Ju Kim, Soon Koo Baik, Moon Young Kim, Young Woo Eom, Mee Yon Cho, Hong Jun Park, So Yeon Park, Bo Ra Kim, Jae Woo Kim, Hyun Soo Kim, Sang Ok Kwon, Eun Hee Choi, Yong Man Kim Liver International.2014; 34(1): 33. CrossRef
Relationship between Tetrahydrobiopterin and Portal Hypertension in Patients with Chronic Liver Disease Won Ki Hong, Kwang Yong Shim, Soon Koo Baik, Moon Young Kim, Mee Yon Cho, Yoon Ok Jang, Young Shik Park, Jin Han, Gaeun Kim, Youn Zoo Cho, Hye Won Hwang, Jin Hyung Lee, Myeong Hun Chae, Sang Ok Kwon Journal of Korean Medical Science.2014; 29(3): 392. CrossRef
Use of the Delta Neutrophil Index as a Prognostic Factor of Mortality in Patients with Spontaneous Bacterial Peritonitis: Implications of a Simple and Useful Marker Tae Seop Lim, Beom Kyung Kim, Jong Wook Lee, Young Ki Lee, Sooyun Chang, Seung Up Kim, Do Young Kim, Sang Hoon Ahn, Kwang-Hyub Han, Chae Yoon Chon, Jun Yong Park, Charles C. Caldwell PLoS ONE.2014; 9(1): e86884. CrossRef
Alcoholic liver disease: Treatment Ki Tae Suk World Journal of Gastroenterology.2014; 20(36): 12934. CrossRef
Association of polymorphism in MicroRNA 219‐1 with clearance of hepatitis B virus infection Jae Youn Cheong, Hyoung Doo Shin, Yoon Jun Kim, Sung Won Cho Journal of Medical Virology.2013; 85(5): 808. CrossRef
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Prevention and Management of Variceal Hemorrhage Dong Hyun Kim, Jun Yong Park International Journal of Hepatology.2013; 2013: 1. CrossRef
Comparison of Endoscopic Variceal Ligation and Endoscopic Variceal Obliteration in Patients with GOV1 Bleeding Hyoung Ju Hong, Chung Hwan Jun, Du Hyeon Lee, Eun Ae Cho, Seon Young Park, Sung Bum Cho, Chang Hwan Park, Young Eun Joo, HyunSoo Kim, Sung Kyu Choi, Jong Sun Rew Chonnam Medical Journal.2013; 49(1): 14. CrossRef
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A Case of Spontaneous Bacterial Peritonitis Caused byListeria monocytogenes Byung Sihk Kim, Tae Yeob Kim, Ji Yeoun Kim, Kyo Sang Yoo, Yong Chul Jeon, Dong Soo Han, Joo Hyun Sohn, Jieun Kim The Korean Journal of Gastroenterology.2013; 62(3): 179. CrossRef
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