Osamu Nishida1, Hiroshi Ogura2, Moritoki Egi3, Seitaro Fujishima4, Yoshiro Hayashi5, Toshiaki Iba6, Hitoshi Imaizumi7, Shigeaki Inoue8, Yasuyuki Kakihana9, Joji Kotani10, Shigeki Kushimoto11, Yoshiki Masuda12, Naoyuki Matsuda13, Asako Matsushima14, Taka-Aki Nakada15, Satoshi Nakagawa16, Shin Nunomiya17, Tomohito Sadahiro18, Nobuaki Shime19, Tomoaki Yatabe20, Yoshitaka Hara1, Kei Hayashida21, Yutaka Kondo22, Yuka Sumi23, Hideto Yasuda5, Kazuyoshi Aoyama24,25, Takeo Azuhata26, Kent Doi27, Matsuyuki Doi28, Naoyuki Fujimura29, Ryota Fuke30, Tatsuma Fukuda31, Koji Goto32, Ryuichi Hasegawa33, Satoru Hashimoto34, Junji Hatakeyama35, Mineji Hayakawa36, Toru Hifumi37, Naoki Higashibeppu38, Katsuki Hirai39, Tomoya Hirose40, Kentaro Ide16, Yasuo Kaizuka41, Tomomichi Kan'o42, Tatsuya Kawasaki43, Hiromitsu Kuroda44, Akihisa Matsuda45, Shotaro Matsumoto16, Masaharu Nagae3, Mutsuo Onodera46, Tetsu Ohnuma47, Kiyohiro Oshima48, Nobuyuki Saito49, So Sakamoto50, Masaaki Sakuraya51, Mikio Sasano52, Norio Sato53, Atsushi Sawamura54, Kentaro Shimizu2, Kunihiro Shirai55, Tetsuhiro Takei56, Muneyuki Takeuchi57, Kohei Takimoto58, Takumi Taniguchi59, Hiroomi Tatsumi12, Ryosuke Tsuruta60, Naoya Yama61, Kazuma Yamakawa62, Chizuru Yamashita1, Kazuto Yamashita63, Takeshi Yoshida64, Hiroshi Tanaka6, Shigeto Oda15. 1. 1Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192 Japan. 2. 2Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan. 3. 3Department of anesthesiology, Kobe University Hospital, Kobe, Japan. 4. 4Center for General Medicine Education, Keio University School of Medicine, Tokyo, Japan. 5. 5Department of Intensive Care Medicine, Kameda Medical Center, Kamogawa, Japan. 6. 6Department of Emergency and Disaster Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan. 7. 7Department of Anesthesiology and Critical Care Medicine, Tokyo Medical University School of Medicine, Tokyo, Japan. 8. 8Department of Emergency and Critical Care Medicine, Tokai University Hachioji Hospital, Tokyo, Japan. 9. 9Department of Emergency and Intensive Care Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. 10. 10Department of Disaster and Emergency Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. 11. 11Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. 12. 12Department of Intensive Care Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan. 13. 13Department of Emergency & Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. 14. 14Department of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. 15. 15Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. 16. 16Division of Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan. 17. 17Division of Intensive Care, Department of Anesthesiology and Intensive Care Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan. 18. 18Department of Emergency and Critical Care Medicine, Tokyo Women's Medical University Yachiyo Medical Center, Tokyo, Japan. 19. 19Department of Emergency and Critical Care Medicine, Institute of Biomedical & Health Sciences, Hiroshima University, Higashihiroshima, Japan. 20. Department of Anesthesiology and Intensive Care Medicine, Kochi Medical School, Kochi, Japan. 21. 21Department of Emergency and Critical Care Medicine, School of Medicine, Keio University, Tokyo, Japan. 22. 22Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA. 23. Healthcare New Frontier Promotion Headquarters Office, Kanagawa Prefectural Government, Yokohama, Japan. 24. 24Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Canada. 25. 25Department of Anesthesia, Faculty of Medicine, University of Toronto, Toronto, Canada. 26. 26Division of Emergency and Critical Care Medicine, Departmen of Acute Medicine, Nihon university school of Medicine, Tokyo, Japan. 27. 27Department of Acute Medicine, The University of Tokyo, Tokyo, Japan. 28. 28Department of Anesthesiology and Intensive Care, Hamamatsu University School of Medicine, Hamamatsu, Japan. 29. 29Department of Anesthesiology, St. Mary's Hospital, Westminster, UK. 30. 30Division of Infectious Diseases and Infection Control, Tohoku Medical and Pharmaceutical University Hospital, Sendai, Japan. 31. 31Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA. 32. 32Department of Anesthesiology and Intensive Care, Faculty of Medicine, Oita University, Oita, Japan. 33. 33Department of Emergency and Intensive Care Medicine, Mito Clinical Education and Training Center, Tsukuba University Hospital, Mito Kyodo General Hospital, Mito, Japan. 34. 34Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Tsukuba, Japan. 35. Department of Intensive Care Medicine, Yokohama City Minato Red Cross Hospital, Yokohama, Japan. 36. 36Emergency and Critical Care Center, Hokkaido University Hospital, Sapporo, Japan. 37. 37Emergency Medical Center, Kagawa University Hospital, Miki, Japan. 38. Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe City Hospital Organization, Kobe, Japan. 39. 39Department of Pediatrics, Kumamoto Red cross Hospital, Kumamoto, Japan. 40. 40Emergency and Critical Care Medical Center, Osaka Police Hospital, Osaka, Japan. 41. Department of Emergency & ICU, Steel Memorial Yawata Hospital, Kitakyushu, Japan. 42. 42Department of Emergency & Critical Care Medicine Kitasato University, Tokyo, Japan. 43. 43Department of Pediatric Critical Care, Shizuoka Children's Hospital, Shizuoka, Japan. 44. 44Department of Anesthesia, Obihiro Kosei Hospital, Obihiro, Japan. 45. 45Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan. 46. 46Department of Emergency and Critical Care Medicine, Tokushima University Hospital, Tokushima, Japan. 47. 47Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, USA. 48. 48Department of Emergency Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan. 49. 49Shock and Trauma Center, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan. 50. 50Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, Tokyo, Japan. 51. 51Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hatsukaichi, Japan. 52. Department of Intensive Care Medicine, Nakagami Hospital, Uruma, Japan. 53. 53Department of Aeromedical Services for Emergency and Trauma Care, Ehime University Graduate School of Medicine, Matsuyama, Japan. 54. 54Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan. 55. 55Department of Emergency and Critical Care Medicine, Hyogo College of Medicine, Nishinomiya, Japan. 56. Department of Emergency and Critical Care Medicine, Yokohama City Minato Red Cross Hospital, Yokohama, Japan. 57. Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Osaka, Japan. 58. 58Department of Intensive Care Medicine, Kameda Medical Center, Kamogawa, Japan. 59. 59Department of Anesthesiology and Intensive Care Medicine, Kanazawa University, Kanazawa, Japan. 60. 60Advanced Medical Emergency and Critical Care Center, Yamaguchi University Hospital, Ube, Japan. 61. 61Department of Diagnostic Radiology, Sapporo Medical University School of Medicine, Sapporo, Japan. 62. Division of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka, Japan. 63. 63Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Kyoto, Japan. 64. 64Intensive Care Unit, Osaka University Hospital, Osaka, Japan.
Abstract
BACKGROUND AND PURPOSE: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 and published in the Journal of JSICM, [2017; Volume 24 (supplement 2)] 10.3918/jsicm.24S0001 and Journal of Japanese Association for Acute Medicine [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.
BACKGROUND AND PURPOSE: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 and published in the Journal of JSICM, [2017; Volume 24 (supplement 2)] 10.3918/jsicm.24S0001 and Journal of Japanese Association for Acute Medicine [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.
Entities:
Keywords:
Evidence-based medicine; Guidelines; Medical Information Network Distribution Service (Minds); Sepsis; Septic shock; Systematic review
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