Clinical practice guidelines for biliary atresia in Japan: A secondary publication of the abbreviated version translated into English. (4th October 2020)

• Record Type: Journal Article
• Authors: Ando, Hisami; Inomata, Yukihiro; Iwanaka, Tadashi; Kuroda, Tatsuo; Nio, Masaki; Matsui, Akira; Yoshida, Masahiro
• Other Names: Akiyama Takashi investigator.; Abukawa Daiki investigator.; Inui Ayano investigator.; Ushijima Kosuke investigator.; Obatake Masayuki investigator.; Kasahara Mureo investigator.; Kanamori Yutaka investigator.; Kitagawa Hiroaki investigator.; Kudo Toyoichiro investigator.; Kubota Masayuki investigator.; Kuroiwa Minoru investigator.; Kono Miyuki investigator.; Koshinaga Tsugumichi investigator.; Komura Makoto investigator.; Shinkai Masato investigator.; Suzuki Tatsuya investigator.; Taguchi Tomoaki investigator.; Tajiri Tatsuro investigator.; Nakano Miwako investigator.; Nosaka Shunsuke investigator.; Hashimoto Takashi investigator.; Hamada Yoshinori investigator.; Maeda Kosaku investigator.; Masumoto Kouji investigator.; Matsufuji Hiroshi investigator.; Mizuta Koichi investigator.; Muraji Toshihiro investigator.; Yagi Minoru investigator.; Yamataka Atsuyuki investigator.; Yoshida Hideo investigator.; Ishige Takashi investigator.; Ito Reiko investigator.; Okada Tadao investigator.; Kubota Mitsuru investigator.; Kumagai Hideki investigator.; Komori Koji investigator.; Kondou Hiroki investigator.; Saito Takeshi investigator.; Sakamoto Seisuke investigator.; Sasaki Takashi investigator.; Sasaki Hideyuki investigator.; Sanada Yukihiro investigator.; Sugiura Tokio investigator.; Suzuki Mitsuyoshi investigator.; Tainaka Takahisa investigator.; Tanaka Hiromu investigator.; Tanikawa Ken investigator.; Fujishiro Jun investigator.; Bessho Kazuhiko investigator.; Matsuura Toshiharu investigator.; Mizuochi Tatsuki investigator.; Murakami Jun investigator.; Yanagi Tadahiro investigator.; Yokoi Akiko investigator.; Takeuchi Koichi investigator.; Nakayama Takeo investigator.; Fukuzawa Masahiro investigator.; Yamashiro Yuichiro investigator.;
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 28:Number 1(2021)
• Page Start: 55
• Page End: 61
• Publication Date: 2020-10-04
• Subjects: biliary atresia -- clinical practice guidelines -- Japan -- Kasai procedure -- liver transplantation; Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1002/jhbp.816
• Languages: English
• ISSNs: 1868-6974

Abstract

Abstract: 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. Abstract : Highlight The first clinical practice guidelines for biliary atresia in Japan were developed by the Japanese Biliary Atresia Society, consisting of 25 clinical questions in four categories: diagnosis, treatment, complications, and prognosis. Recommendations for 21 clinical questions are provided, while four clinical questions lack recommendations due to a scarcity of evidence.