| 特集名 | 膵炎診療をめぐる最近の動向 -- ガイドライン，診断基準を含めて | |
|---|---|---|
| 題名 | 「急性膵炎診療ガイドライン」改訂第2版 -- 改訂の要点とその解説・問題点 | |
| 発刊年月 | 2008年 09月 | |
| 著者 | 平田 公一 | 札幌医科大学第一外科 |
| 著者 | 真弓 俊彦 | 名古屋大学救急集中治療部 |
| 著者 | 吉田 雅博 | 帝京大学医学部外科 |
| 著者 | 関本 美穂 | 京都大学大学院医学研究科医療経済分野 |
| 著者 | 木村 康利 | 札幌医科大学第一外科 |
| 著者 | 高田 忠敬 | 帝京大学医学部外科 |
| 【 要旨 】 | 「エビデンスに基づいた急性膵炎の診療ガイドライン」は2007年に第2版が刊行された．計画どおり4年後の改訂として進んだことは，日本腹部救急医学会，日本膵臓学会，日本医学放射線学会，厚生労働省科学研究班の関係者の尽力ゆえと敬意を表したい．第2版刊行にあたっては，2000年1月以降再検討開始時期までに出版され，一定のエビデンスレベルにあると分類された5,916件の文献をまず検討対象とした．新規に提案した項目あるいは推奨に変化を生じたエビデンス項目数は，20項目以上に及んだ．また，十分な根拠がない場合の推奨グレード分類については，CをC1とC2に細分類表記したことが特徴としてあげられる． | |
| Theme | A Trend in the Practice of Pancreatitis | |
|---|---|---|
| Title | Introduction and Summary of the 2nd Edition JPN Guideline for Acute Pancreatitis | |
| Author | Koichi Hirata | Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University |
| Author | Toshihiko Mayumi | Department of Emergency and Intensive Care Medicine, Nagoya University |
| Author | Masahiro Yoshida | Departmen of Surgery, Teikyo University |
| Author | Miho Sekimoto | Departmen of Healthcare Economics and Quality Management, Kyoto University Graduate School of Medicine |
| Author | Yasutoshi Kimura | Surgical Oncology and Gastroenterological Surgery, Sapporo Medical University |
| Author | Tadahiro Takada | Departmen of Surgery, Teikyo University |
| [ Summary ] | The 2nd Edition of the JPN Evidence-Based Clinical Guidelines for the Management of Acute Pancreatitis was published in collaboration with the members by the Japanese Society of Abdominal Emergency Medicine, the Japan Pancreas Society and the Research Group for Acute Pancreatitis, sponsored by the Japanese Ministry of Health, Labour and Welfare. Evidence quality was evaluated by the evidence-based classification method used at the Cochrane Library. The levels of recommendation were determined on the basis of evaluation of evidence through consensus of the members in the guideline established by the Japanese Association of Clinical Oncology. The investigation for the 2nd edition began in May 2006. The 5,916 items were retrieved by means of Medline listings from 2000. 1 through 2006.4 were added to the items of the first edition for analysis and discussion. A number of new recommendations were made on over than twenty items, of which the objective contents are introduced by summarized tables and fully explained in this report. Further accurate evidence is expected in the near future. |
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