Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis
Amendment of the Japanese Consensus Guidelines for Autoimmune Pancreatitis, 2013 I. Concept and diagnosis of autoimmune pancreatitis
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DOI：
10.1007/s00535-014-0942-2
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发表时间：
2014-04-01
影响因子：
6.3
通讯作者：
Shimosegawa, Tooru
中科院分区：
文献类型：
--
作者：
Okazaki, Kazuichi;Kawa, Shigeyuki;Shimosegawa, Tooru
针对2011年提出的自身免疫性胰腺炎(AIP)国际共识诊断标准(ICDC)和日本诊断标准，2009年日本AIP管理共识指南需要修订。成立了三个委员会[提出临床问题和日本专家陈述的专业委员会、采用改进的Delphi方法进行评级陈述的专家小组委员会和由主持人进行评估的委员会]。AIP的15名专家从1963至2012年间发表的1,843篇文章(从Pub Med和一个二级数据库获得)中提取了具体的临床声明，并开发了CQS和声明。专家小组使用改进的德尔菲法对临床报告进行单独评级，其中在9分制中得到7分以上的临床报告被视为有效。专业委员会为AIP的当前概念和诊断创建了13个CQS和声明，6个用于胰腺外病变，6个用于鉴别诊断，11个用于治疗。经过主持人的评估，2013年日本对AIP的共识指南提出了修订建议。
In response to the proposal of the international consensus diagnostic criteria (ICDC) for autoimmune pancreatitis (AIP) and the Japanese diagnostic criteria in 2011, the 2009 Japanese consensus guidelines for managing AIP required revision.Three committees [the professional committee for making clinical questions (CQs) and statements by Japanese specialists, the expert panelist committee for rating statements by the modified Delphi method, and the evaluating committee by moderators] were organized. Fifteen specialists for AIP extracted the specific clinical statements from 1,843 articles published between 1963 and 2012 (obtained from Pub Med and a secondary database, and developed the CQs and statements. The expert panel individually rated the clinical statements using a modified Delphi approach, in which a clinical statement receiving a median score greater than seven on a nine-point scale from the panel was regarded as valid.The professional committee created 13 CQs and statements for the current concept and diagnosis of AIP, 6 for extra-pancreatic lesions, 6 for differential diagnosis, and 11 for treatment.After evaluation by the moderators, amendments to the Japanese consensus guidelines for AIP have been proposed for 2013.