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World J Gastrointest Oncol. Apr 15, 2026; 18(4): 115146
Published online Apr 15, 2026. doi: 10.4251/wjgo.v18.i4.115146
Published online Apr 15, 2026. doi: 10.4251/wjgo.v18.i4.115146
Value of gastric cancer clinical decision support system in a single-center clinical application
Tian-Li Chen, Xi-Qiu Yu, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, Shenzhen Luohu Hospital Group, Shenzhen 518001, Guangdong Province, China
Tian-Li Chen, College of Medicine, Shantou University, Shantou 515000, Guangdong Province, China
Author contributions: Chen TL participated in the design of the research program, was responsible for data collection and collation, the implementation of primary statistical analyses, the creation of charts, the writing of the first draft of the original paper, and the subsequent revisions and responses to review comments; Yu XQ participated in the design and planning of the research, provided key methodological guidance, ensured that the research conformed to ethical norms, obtained research resources and financial support, supervised the whole process of data analysis and result interpretation, critically reviewed the first draft of the paper, revised and finalized the important content, and was responsible for all academic communication matters; all of the authors read and approved the final version of the manuscript to be published.
Supported by Shenzhen Science and Technology Innovation Bureau, No. GJHZ20220913144211022.
Institutional review board statement: The study has been approved by the Ethics Committee of Shenzhen Luohu People’s Hospital (No. 2025-LHQRMYY-KYLL-052).
Informed consent statement: The study has been exempted from informed consent.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Data sharing statement: No additional data are available.
Corresponding author: Xi-Qiu Yu, MD, Chief Physician, Department of Gastroenterology, Shenzhen Luohu People’s Hospital, Shenzhen Luohu Hospital Group, No. 47 Youyi Road, Luohu District, Shenzhen 518001, Guangdong Province, China. yuer200470@126.com
Received: October 13, 2025
Revised: January 6, 2026
Accepted: February 5, 2026
Published online: April 15, 2026
Processing time: 181 Days and 13.9 Hours
Revised: January 6, 2026
Accepted: February 5, 2026
Published online: April 15, 2026
Processing time: 181 Days and 13.9 Hours
Core Tip
Core Tip: The clinical decision support system (CDSS) is a cognitive computing platform designed to simulate clinician decision-making processes. Based on widely used international guidelines for the treatment of gastric cancer, a CDSS specifically for gastric cancer was developed. A single-center retrospective study was conducted at Shenzhen Luohu People’s Hospital. The results indicate that the CDSS demonstrates high concordance with multidisciplinary team recommendations in patients undergoing early-stage and standardized treatments. However, challenges remain in managing complex and personalized cases of gastric cancer, which will be a key focus for future system optimization.