Japanese Orthopaedic Association 2019 Guidelines for osteonecrosis of the femoral head

Japanese Orthopaedic Association 2019 Guidelines for osteonecrosis of the femoral head
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DOI:
10.1016/j.jos.2020.06.013
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发表时间:
2021-02-18
影响因子:
1.7
通讯作者:
Sugano, Nobuhiko
Sugano, Nobuhiko
中科院分区:
医学4区
文献类型:
--
作者:
Ando, Wataru;Sakai, Takashi;Sugano, Nobuhiko

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目的:《股骨头坏死 (ONFH) 临床实践指南》2019 年版由日本厚生劳动省主持的日本 ONFH 调查委员会 (JIC) ONFH 指南工作组编写,并得到日本骨科协会认可,于 2019 年 10 月以日语出版。该指南的目的是为股骨头坏死患者的决策提供支持工具。 方法:本指南的制定程序以2014年《医疗信息网络发行服务临床实践指南制定手册》为基础,该手册提出了在日本制定临床指南的适当方法。结果:本临床实践指南由7章组成:流行病学;流行病学;临床实践指南。病理;诊断;保守治疗;手术治疗:骨移植/细胞治疗;手术治疗:截骨术;和手术治疗:髋关节置换术。确定了 12 个背景问题和 13 个临床问题,分别定义了该疾病的基本特征,并在日常实践中决定治疗时需要解决。结论:ONFH 2019 版临床实践指南对于临床实践中的医生、研究者和医务人员以及患者在定义如何治疗 ONFH 的决策过程中将很有用。 (C) 2020 日本骨科协会。由 Elsevier B.V. 出版
Purpose: The Clinical Practice Guidelines for Osteonecrosis of the Femoral Head (ONFH) 2019 Edition, written by the working group for ONFH guidelines of the Japanese Investigation Committee (JIC) for ONFH under the auspices of the Japanese Ministry of Health, Labour, and Welfare and endorsed by the Japanese Orthopaedic Association, were published in Japanese in October 2019. The objective of this guideline is to provide a support tool for decision-making between doctors and patients.Methods: Procedures for developing this guideline were based on the Medical Information Network Distribution Service Handbook for Clinical Practice Guideline Development 2014, which proposed an appropriate method for preparing clinical guidelines in Japan.Results: This clinical practice guideline consists of 7 chapters: epidemiology; pathology; diagnosis; conservative therapy; surgical treatment: bone transplantation/cell therapy; surgical treatment: osteotomy; and surgical treatment: hip replacement. Twelve background questions and 13 clinical questions were determined to define the basic features of the disease and to be addressed when deciding treatment in daily practice, respectively.Conclusions: The clinical practice guidelines for the ONFH 2019 edition will be useful for physicians, investigators, and medical staff in clinical practice, as well as for patients, during the decision-making process when defining how to treat ONFH. (C) 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V.