Current status of projects for developing cancer-related clinical practice guidelines in Japan and recommendations for the future

被引：1

作者：

Imamura, Masafumi ^{[1
]}

Hirata, Koichi ^{[1
,16
]}

Unno, Michiaki ^{[2
]}

Kamiya, Kinj ^{[3
]}

Gotoh, Mitsukazu ^{[4
]}

Konno, Hiroyuki ^{[5
]}

Shibata, Akiko ^{[6
]}

Sugihara, Kenichi ^{[7
]}

Takahashi, Arata ^{[8
]}

Nishiyama, Masahiko ^{[9
]}

Hakamada, Kenichi ^{[10
]}

Fukui, Tsuguya ^{[11
]}

Furukawa, Toshiharu ^{[12
]}

Mizushima, Tsunekazu ^{[13
]}

Mizuma, Masamichi ^{[2
]}

Miyata, Hiroaki ^{[14
]}

Mori, Masaki ^{[13
]}

Takemasa, Ichiro ^{[1
]}

Mizuguchi, Toru ^{[1
]}

Fujiwara, Toshiyoshi ^{[15
]}

机构：

[1] Sapporo Med Univ, Dept Surg Surg Oncol & Sci, Chuo Ku, South 1,West 16, Sapporo, Hokkaido 0608543, Japan

[2] Tohoku Univ, Grad Sch Med, Dept Surg, Sendai, Miyagi, Japan

[3] Hamamatsu Univ, Sch Med, Dept Surg 2, Hamamatsu, Shizuoka, Japan

[4] Osaka Gen Med Ctr, Osaka, Japan

[5] Hamamatsu Univ, Sch Med, Hamamatsu, Shizuoka, Japan

[6] Natl Canc Ctr, Ctr Canc Control & Informat Serv, Tokyo, Japan

[7] Tokyo Med & Dent Univ, Tokyo, Japan

[8] Keio Univ, Sch Med, Dept Hlth Policy & Management, Tokyo, Japan

[9] Gunma Univ, Grad Sch Med, Dept Mol Pharmacol & Oncol, Maebash, Japan

[10] Hirosaki Univ, Grad Sch Med, Dept Gastroenterol Surg, Hirosaki, Aomori, Japan

[11] St Lukes Int Univ, Tokyo, Japan

[12] Keio Univ, Law Sch, Tokyo, Japan

[13] Osaka Univ, Grad Sch Med, Dept Gastroenterol Surg, Osaka, Japan

[14] Univ Tokyo, Healthcare Qual Assessment, Tokyo, Japan

[15] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gastroenterol Surg, Okayama, Japan

[16] JR Sapporo Hosp, Chuo Ku, North 3,East 1, Sapporo, Hokkaido 0600033, Japan

来源：

INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY | 2019年 / 24卷 / 02期

关键词：

Cancers; Clinical practice guidelines; Plan-do-check-act cycle; Japan Society of Clinical Oncology;

D O I：

10.1007/s10147-018-1340-1

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundThe current status and adoption of cancer-related clinical practice guidelines in Japan has not been elucidated yet. The purpose of this study was to propose roles and suggestions to develop future cancer-related clinical guidelines.MethodsA questionnaire consisting of four domains with a total of 17 questions was developed. We distributed the questionnaire to 28 specific academic organizations in Japan which have developed any cancer-related clinical practice guidelines and which were funded by the Ministry of Health, Labor, and Welfare.ResultsMost organizations have investigated nationwide dissemination and adoption of clinical practice guidelines. The rate of adoption in clinical practice was estimated at approximately70%. However, organizations with smaller budgets reported surveying approximately 60% of the time, whereas the ones with larger budgets reported approximately 100% success in surveying about their guidelines. The presidents of the organizations agreed that a new organization operated directly by the national government was necessary.ConclusionIn Japan, to develop cancer-related clinical practice guidelines, a study of clinical validation is necessary. Sufficient funds must be available to support the project to maintain and revise the guidelines. Furthermore, legal and ethical issues should be solved before establishing any registry system.

引用

页码：189 / 195

页数：7

共 7 条

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