Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition.


Journal

Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Titre abrégé: J Hepatobiliary Pancreat Sci
Pays: Japan
ID NLM: 101528587

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 13 10 2020
accepted: 18 11 2020
pubmed: 2 12 2020
medline: 16 10 2021
entrez: 1 12 2020
Statut: ppublish

Résumé

The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers (cholangiocarcinoma, gallbladder cancer, and ampullary cancer) in 2007, then published the 2nd version in 2014. In this 3rd version, clinical questions (CQs) were proposed on six topics. The recommendation, grade for recommendation, and statement for each CQ were discussed and finalized by an evidence-based approach. Recommendations were graded as Grade 1 (strong) or Grade 2 (weak) according to the concepts of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. The 31 CQs covered the six topics: (a) prophylactic treatment, (b) diagnosis, (c) biliary drainage, (d) surgical treatment, (e) chemotherapy, and (f) radiation therapy. In the 31 CQs, 14 recommendations were rated strong and 14 recommendations weak. The remaining three CQs had no recommendation. Each CQ includes a statement of how the recommendations were graded. This latest guideline provides recommendations for important clinical aspects based on evidence. Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

Sections du résumé

BACKGROUND BACKGROUND
The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers (cholangiocarcinoma, gallbladder cancer, and ampullary cancer) in 2007, then published the 2nd version in 2014.
METHODS METHODS
In this 3rd version, clinical questions (CQs) were proposed on six topics. The recommendation, grade for recommendation, and statement for each CQ were discussed and finalized by an evidence-based approach. Recommendations were graded as Grade 1 (strong) or Grade 2 (weak) according to the concepts of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system.
RESULTS RESULTS
The 31 CQs covered the six topics: (a) prophylactic treatment, (b) diagnosis, (c) biliary drainage, (d) surgical treatment, (e) chemotherapy, and (f) radiation therapy. In the 31 CQs, 14 recommendations were rated strong and 14 recommendations weak. The remaining three CQs had no recommendation. Each CQ includes a statement of how the recommendations were graded.
CONCLUSIONS CONCLUSIONS
This latest guideline provides recommendations for important clinical aspects based on evidence. Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

Identifiants

pubmed: 33259690
doi: 10.1002/jhbp.870
doi:

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

26-54

Informations de copyright

© 2020 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

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Auteurs

Masato Nagino (M)

Aichi Cancer Center, Nagoya, Japan.

Satoshi Hirano (S)

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Hideyuki Yoshitomi (H)

Department of Surgery, Saitama Medical Center, Dokkyo Medical University, Koshigaya, Japan.

Taku Aoki (T)

Second Department of Surgery, Dokkyo Medical University, Mibu, Japan.

Katsuhiko Uesaka (K)

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Nagaizumi, Japan.

Michiaki Unno (M)

Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

Tomoki Ebata (T)

Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Masaru Konishi (M)

Department of Hepatobiliary Pancreatic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.

Keiji Sano (K)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Kazuaki Shimada (K)

Hepatobiliary and Pancreatic Surgery Division, National Cancer Center Hospital, Tokyo, Japan.

Hiroaki Shimizu (H)

Department of Surgery, Teikyo University Chiba Medical Center, Ichihara, Japan.

Ryota Higuchi (R)

Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.

Toshifumi Wakai (T)

Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Hiroyuki Isayama (H)

Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.

Takuji Okusaka (T)

Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan.

Toshio Tsuyuguchi (T)

Department of Gastroenterology, Chiba Prefectural Sawara Hospital, Sawara, Japan.

Yoshiki Hirooka (Y)

Department of Gastroenterology and Gastroenterological Oncology, Fujita Health University, Toyoake, Japan.

Junji Furuse (J)

Department of Medical Oncology, Faculty of Medicine, Kyorin University, Mitaka, Japan.

Hiroyuki Maguchi (H)

Education and Research Center, Teine-Keijinkai Hospital, Sapporo, Japan.

Kojiro Suzuki (K)

Department of Radiology, Aichi Medical University, Nagakute, Japan.

Hideya Yamazaki (H)

Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Hiroshi Kijima (H)

Department of Pathology and Bioscience, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Akio Yanagisawa (A)

Department of Pathology, Japanese Red Cross Kyoto Diichi Hospital, Kyoto, Japan.

Masahiro Yoshida (M)

Department of Hepato-Biliary-Pancreatic & Gastrointestinal Surgery, International University of Health and Welfare, Ichikawa, Japan.

Yukihiro Yokoyama (Y)

Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Takashi Mizuno (T)

Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Itaru Endo (I)

Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

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