TY - JOUR
T1 - Clinical practice guidelines for biliary atresia in Japan
T2 - A secondary publication of the abbreviated version translated into English
AU - The Japanese Biliary Atresia Society
AU - Ando, Hisami
AU - Inomata, Yukihiro
AU - Iwanaka, Tadashi
AU - Kuroda, Tatsuo
AU - Nio, Masaki
AU - Matsui, Akira
AU - Yoshida, Masahiro
AU - Akiyama, Takashi
AU - Abukawa, Daiki
AU - Inui, Ayano
AU - Ushijima, Kosuke
AU - Obatake, Masayuki
AU - Kasahara, Mureo
AU - Kanamori, Yutaka
AU - Kitagawa, Hiroaki
AU - Kudo, Toyoichiro
AU - Kubota, Masayuki
AU - Kuroiwa, Minoru
AU - Kono, Miyuki
AU - Koshinaga, Tsugumichi
AU - Komura, Makoto
AU - Shinkai, Masato
AU - Suzuki, Tatsuya
AU - Taguchi, Tomoaki
AU - Tajiri, Tatsuro
AU - Nakano, Miwako
AU - Nosaka, Shunsuke
AU - Hashimoto, Takashi
AU - Hamada, Yoshinori
AU - Maeda, Kosaku
AU - Masumoto, Kouji
AU - Matsufuji, Hiroshi
AU - Mizuta, Koichi
AU - Muraji, Toshihiro
AU - Yagi, Minoru
AU - Yamataka, Atsuyuki
AU - Yoshida, Hideo
AU - Ishige, Takashi
AU - Ito, Reiko
AU - Okada, Tadao
AU - Kubota, Mitsuru
AU - Kumagai, Hideki
AU - Komori, Koji
AU - Kondou, Hiroki
AU - Saito, Takeshi
AU - Sakamoto, Seisuke
AU - Sasaki, Takashi
AU - Sasaki, Hideyuki
AU - Sanada, Yukihiro
AU - Sugiura, Tokio
N1 - Publisher Copyright:
© 2020 Japanese Society of Hepato-Biliary-Pancreatic Surgery
PY - 2021/1
Y1 - 2021/1
N2 - 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 Abstracts 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.
AB - 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 Abstracts 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.
KW - Japan
KW - Kasai procedure
KW - biliary atresia
KW - clinical practice guidelines
KW - liver transplantation
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U2 - 10.1002/jhbp.816
DO - 10.1002/jhbp.816
M3 - Article
C2 - 32780928
AN - SCOPUS:85092207146
SN - 1868-6974
VL - 28
SP - 55
EP - 61
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
IS - 1
ER -