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

Masafumi Imamura¹, Koichi Hirata^{2

3}, Michiaki Unno⁴, Kinj Kamiya⁵, Mitsukazu Gotoh⁶, Hiroyuki Konno⁷, Akiko Shibata⁸, Kenichi Sugihara⁹, Arata Takahashi¹⁰, Masahiko Nishiyama¹¹, Kenichi Hakamada¹², Tsuguya Fukui¹³, Toshiharu Furukawa¹⁴, Tsunekazu Mizushima¹⁵, Masamichi Mizuma⁴, Hiroaki Miyata¹⁶, Masaki Mori¹⁵, Ichiro Takemasa¹⁷, Toru Mizuguchi¹⁷, Toshiyoshi Fujiwara¹⁸

Affiliations

¹ Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan. imamura@sapmed.ac.jp.
² Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan. kouichi.hirata@jrhokkaido.co.jp.
³ JR Sapporo Hospital, North 3, East 1, Chuo-ku, Sapporo, 060-0033, Japan. kouichi.hirata@jrhokkaido.co.jp.
⁴ Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
⁵ Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
⁶ Osaka General Medical Center, Osaka, Japan.
⁷ Hamamatsu University School of Medicine, Hamamatsu, Japan.
⁸ National Cancer Center, Center for Cancer Control and Information Services, Tokyo, Japan.
⁹ Tokyo Medical and Dental University, Tokyo, Japan.
¹⁰ Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
¹¹ Department of Molecular Pharmacology and Oncology, Gunma University Graduate School of Medicine, Maebash, Japan.
¹² Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
¹³ St. Luke's International University, Tokyo, Japan.
¹⁴ Keio University Law School, Tokyo, Japan.
¹⁵ Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
¹⁶ The University of Tokyo, Healthcare Quality Assessment, Tokyo, Japan.
¹⁷ Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan.
¹⁸ Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

PMID: 30143906
PMCID: PMC6373226
DOI: 10.1007/s10147-018-1340-1

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

Masafumi Imamura et al. Int J Clin Oncol. 2019 Feb.

. 2019 Feb;24(2):189-195.

doi: 10.1007/s10147-018-1340-1. Epub 2018 Aug 24.

Authors

Affiliations

¹ Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan. imamura@sapmed.ac.jp.
² Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan. kouichi.hirata@jrhokkaido.co.jp.
³ JR Sapporo Hospital, North 3, East 1, Chuo-ku, Sapporo, 060-0033, Japan. kouichi.hirata@jrhokkaido.co.jp.
⁴ Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
⁵ Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
⁶ Osaka General Medical Center, Osaka, Japan.
⁷ Hamamatsu University School of Medicine, Hamamatsu, Japan.
⁸ National Cancer Center, Center for Cancer Control and Information Services, Tokyo, Japan.
⁹ Tokyo Medical and Dental University, Tokyo, Japan.
¹⁰ Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
¹¹ Department of Molecular Pharmacology and Oncology, Gunma University Graduate School of Medicine, Maebash, Japan.
¹² Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
¹³ St. Luke's International University, Tokyo, Japan.
¹⁴ Keio University Law School, Tokyo, Japan.
¹⁵ Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
¹⁶ The University of Tokyo, Healthcare Quality Assessment, Tokyo, Japan.
¹⁷ Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan.
¹⁸ Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

PMID: 30143906
PMCID: PMC6373226
DOI: 10.1007/s10147-018-1340-1

Abstract

Background: The 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.

Methods: A 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.

Results: Most organizations have investigated nationwide dissemination and adoption of clinical practice guidelines. The rate of adoption in clinical practice was estimated at approximately ≥ 70%. 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.

Conclusion: In 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.

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

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Conflict of interest statement

The authors have no conflicts of interest to declare.

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Determinants of Awareness of Clinical Practice Guidelines among Healthcare Users in Japan.
Sato Y, Okumura A, Nohara M, Fukuoka T. Sato Y, et al. J Patient Exp. 2023 Jan 23;10:23743735231152205. doi: 10.1177/23743735231152205. eCollection 2023. J Patient Exp. 2023. PMID: 36741821 Free PMC article.

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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