Work

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016)

Year: 2018
Type: article
Abstract: BACKGROUND AND PURPOSE: [2017; Volume 28, (supplement 1)] http://onlinelibrary.wiley.com/doi/10.1002/jja2.2017.28.issue-S1/issuetoc.This abridged English edition of the J-SSCG 2016 was produced with permission from the Japanese Association of Acute Medicine and the Japanese Society for Intensive Care Medicine. METHODS: Members of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ) and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two-thirds (> 66.6%) majority vote of each of the 19 committee members. RESULTS: A total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J-SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation, and its supporting evidence were also added to each recommendation statement. We conducted meta-analyses for 29 CQs. Thirty-seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for five CQs. CONCLUSIONS: Based on the evidence gathered, we were able to formulate Japanese-specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non-specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.
Institutions: Fujita Health University, The University of Osaka, Kobe University Hospital, Keio University, Kameda Medical Center, Juntendo University, Tokyo Medical University, Tokai University Hachioji Hospital, Kagoshima University, Kobe University, Tohoku University, Tohoku University Hospital, Sapporo Medical University, Nagoya University, Nagoya City University, Chiba University, National Center For Child Health and Development, Jichi Medical University, Tokyo Women's Medical University, Tokyo Women's Medical University Yachiyo Medical Center, Hiroshima University, Kōchi University, Beth Israel Deaconess Medical Center, Harvard University, Kanagawa Prefectural Government, University of Toronto, Hospital for Sick Children, Nihon University, The University of Tokyo, Hamamatsu University, Hamamatsu University School of Medicine, St Mary's Hospital, Tohoku Medical and Pharmaceutical University Hospital, Tohoku Medical and Pharmaceutical University, Oita University, Mito Kyodo General Hospital, Kyoto Prefectural University of Medicine, Yokohama Municipal Minato Red Cross Hospital, Hokkaido University Hospital, Kagawa University Hospital, Kobe City Medical Center General Hospital, Kobe City Hospital Organization, Japanese Red Cross Kumamoto Hospital, Osaka Police Hospital, Nippon Steel Yawata Memorial Hospital, Kitasato University, Shizuoka Children's Hospital, Obihiro Kosei General Hospital, Chiba Hokusou Hospital, Nippon Medical School, Tokushima University Hospital, University of North Carolina at Chapel Hill, Gunma University, Gunma University Hospital, Juntendo University Nerima Hospital, Hiroshima General Hospital, Nakagami Hospital, Ehime University, Hokkaido University, Hyogo Medical University, Osaka Women's and Children's Hospital, Kanazawa University, Yamaguchi University Hospital, Osaka Prefectural Medical Center, Kyoto University, Osaka University Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,577
OpenAlex ID: W2787224227
FWCI: 13.81
Cites: 522
Cited by: 108
Related to: 10