Dissemination of clinical practice guidelines for hepatocellular carcinoma among Japanese hepatologists and liver surgeons

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  • Kokudo Norihiro
    Department of Surgery, Hepato-Biliary-Pancreatic Surgery Division, University of Tokyo
  • Makuuchi Masatoshi
    Japanese Red Cross Medical Center
  • Nakayama Takeo
    Department of Health Informatics, Kyoto University School of Public Health
  • Arii Shigeki
    Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University
  • Omata Masao
    Department of Gastroenterology, Graduate School of Medicine, University of Tokyo
  • Kudo Masatoshi
    Department of Gastroenterology and Hepatology, Kinki University School of Medicine
  • Kojiro Masamichi
    Department of Pathology, Kurume University
  • Sakamoto Michiie
    Department of Pathology, Keio University
  • Takayasu Ken-ichi
    Department of Radiology, National Cancer Center
  • Hayashi Norio
    Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
  • Monden Morito
    Department of Surgery, Osaka University Graduate School of Medicine

Bibliographic Information

Other Title
  • 「科学的根拠に基づく肝癌診療ガイドライン」に関する日本肝癌研究会会員を対象としたアンケート調査報告
  • カガクテキ コンキョ ニ モトズク カンガン シンリョウ ガイドライン ニ カンスル ニホン カンガン ケンキュウカイ カイイン オ タイショウ ト シタ アンケート チョウサ ホウコク

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Abstract

"Clinical practice guidelines for hepatocellular carcinoma (HCC)," the first evidence-based guidelines for the treatment of HCC in Japan (the J-HCC Guidelines) have been compiled and English translation has just been completed (http://www.jsh.or.jp/). In March 2006, approximately a year after publication of the J-HCC Guideline Book, a questionnaire survey was conducted to investigate the level of awareness and influence of the guidelines among 2,279 members of the Liver Cancer Study Group of Japan. Of the 843 responders (37.0%), the J-HCC Guidelines have been acknowledged by 72% and 78.8% considered the guidelines useful for their daily practice. Algorithm for the treatment was most commonly used. After the introduction of the guidelines, only 20.8% of the responders changed their practice pattern; 40.3% did not change and were convinced that their choice of treatment was similar to the recommendations in the guidelines. In conclusion, one year after their publication, the J-HCC Guidelines have become well disseminated among specialists for HCC in Japan. As expected, these guidelines have begun to be applied at every level of clinical decision-making for HCC.<br>

Journal

  • Kanzo

    Kanzo 48 (11), 562-570, 2007

    The Japan Society of Hepatology

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