Clinical practice guidelines for biliary atresia in Japan: A secondary publication of the abbreviated version translated into English
Clinical practice guidelines for biliary atresia in Japan: A secondary publication of the abbreviated version translated into English
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DOI：
10.1002/jhbp.816
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发表时间：
2020-10-04
影响因子：
3
通讯作者：
Yoshida, Masahiro
中科院分区：
文献类型：
--
作者：
Ando, Hisami;Inomata, Yukihiro;Yoshida, Masahiro
本研究的目的是根据2014年医学信息网络分发服务（MINDS）临床实践指南制定手册编制胆道闭锁临床实践指南。指南起草小组确定了日常临床实践中必不可少的25个临床问题（CQ）。这些CQ分为以下四个主要类别：诊断，治疗，并发症和预后。系统性综述团队进行了系统性文献检索，并从PubMed和日本医学会截至2014年7月发表的文章中提取了医学证据。为了达成共识，根据德尔菲技术，采用指导原则起草小组的多数表决（>70%）。适当提供了21个CQ的建议。然而，对于4个CQ（CQ 2，粪便颜色; CQ 9，类固醇给药;以及CQ 24和CQ 25，肝移植），由于缺乏证据，无法确定建议。胆道闭锁的第一个临床实践指南是使用MINDS推荐的程序成功创建的。预计这些指南将在全球范围内使用，胆道闭锁治疗的标准化将改善治疗结果。
The purpose of this study was to prepare clinical practice guidelines for biliary atresia according to the Medical Information Network Distribution Service (MINDS) Handbook for Clinical Practice Guideline Development 2014. The guideline drafting group determined 25 clinical questions (CQs) essential for daily clinical practice. These CQs were grouped into the following four major categories: diagnosis, treatment, complications, and prognosis. A systematic literature search was performed by the systematic review team, and medical evidence was extracted from articles published until July 2014 on PubMed and the Japan Medical s Society. To reach a consensus, majority voting (>70%) of the panel of the guideline drafting group was adopted according to the Delphi technique. Recommendations for 21 CQs were appropriately provided. However, for four CQs (CQ2, stool color; CQ9, steroid administration; and CQ24 and CQ25, liver transplantation), recommendations could not be determined due to a scarcity of evidence. The first clinical practice guidelines for biliary atresia were successfully created using procedures recommended by the MINDS. It is expected that these guidelines will be used worldwide, and that the standardization of biliary atresia treatment will improve treatment outcomes.