Review
Gastroenterology & Hepatology
Hitoshi Yoshiji, Sumiko Nagoshi, Takemi Akahane, Yoshinari Asaoka, Yoshiyuki Ueno, Koji Ogawa, Takumi Kawaguchi, Masayuki Kurosaki, Isao Sakaida, Masahito Shimizu, Makiko Taniai, Shuji Terai, Hiroki Nishikawa, Yoichi Hiasa, Hisashi Hidaka, Hiroto Miwa, Kazuaki Chayama, Nobuyuki Enomoto, Tooru Shimosegawa, Tetsuo Takehara, Kazuhiko Koike
Summary: The latest edition of the clinical practice guidelines for liver cirrhosis includes new background and future research questions, as well as updates based on international standards and recent findings. It covers various aspects of liver cirrhosis treatment, complication management, and clinically important issues, incorporating the latest information and references to international guidelines.
JOURNAL OF GASTROENTEROLOGY
(2021)
Review
Gastroenterology & Hepatology
Shinji Tanaka, Yusuke Saitoh, Takahisa Matsuda, Masahiro Igarashi, Takayuki Matsumoto, Yasushi Iwao, Yasumoto Suzuki, Ryoichi Nozaki, Tamotsu Sugai, Shiro Oka, Michio Itabashi, Ken-ichi Sugihara, Osamu Tsuruta, Ichiro Hirata, Hiroshi Nishida, Hiroto Miwa, Nobuyuki Enomoto, Tooru Shimosegawa, Kazuhiko Koike
Summary: The study introduces a part of the revised guideline of "Daicho Polyp Shinryo Guideline 2020" published by the Japanese Society of Gastroenterology, which covers various aspects of colorectal polyps such as epidemiology, diagnosis, and treatment. By discussing and analyzing 18 clinical questions, evidence-based clinical practice guidelines for management of colorectal polyps were proposed.
JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Computer Science, Interdisciplinary Applications
Gregor Lichtner, Brian S. Alper, Carlo Jurth, Claudia Spies, Martin Boeker, Joerg J. Meerpohl, Falk von Dincklage
Summary: This study proposes a FHIR-based format that uses computer-interpretable representations of knowledge artifacts to directly generate evidence-based recommendations. An information model and corresponding representation based on FHIR resources were developed, allowing for the transparent evaluation of evidence and the facilitation of computer-interpretable guideline recommendations.
JOURNAL OF BIOMEDICAL INFORMATICS
(2023)
Article
Gastroenterology & Hepatology
Hitoshi Yoshiji, Sumiko Nagoshi, Takemi Akahane, Yoshinari Asaoka, Yoshiyuki Ueno, Koji Ogawa, Takumi Kawaguchi, Masayuki Kurosaki, Isao Sakaida, Masahito Shimizu, Makiko Taniai, Shuji Terai, Hiroki Nishikawa, Yoichi Hiasa, Hisashi Hidaka, Hiroto Miwa, Kazuaki Chayama, Nobuyuki Enomoto, Tooru Shimosegawa, Tetsuo Takehara, Kazuhiko Koike
Summary: The latest edition of the clinical practice guidelines for liver cirrhosis integrates new findings in clinical treatment, aligns with international standards, and includes data based on clinical practice evidence from Japan. The guidelines encompass new approaches to diagnosis, treatment, and management of complications, with detailed explanations on topics such as nutritional therapy.
HEPATOLOGY RESEARCH
(2021)
Review
Gastroenterology & Hepatology
Katsutoshi Tokushige, Kenichi Ikejima, Masafumi Ono, Yuichiro Eguchi, Yoshihiro Kamada, Yoshito Itoh, Norio Akuta, Masato Yoneda, Motoh Iwasa, Masashi Yoneda, Motoyuki Otsuka, Nobuharu Tamaki, Tomomi Kogiso, Hiroto Miwa, Kazuaki Chayama, Nobuyuki Enomoto, Tooru Shimosegawa, Tetsuo Takehara, Kazuhiko Koike
Summary: Nonalcoholic fatty liver disease (NAFLD) is a serious public health issue in Japan, with nonalcoholic steatohepatitis (NASH) being a progressive form that can lead to liver cirrhosis and increase the risk of hepatocellular carcinoma. The most common cause of death in NAFLD patients is cardiovascular disease.
JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Oncology
Angela M. Hong, Cora Waldstein, Brindha Shivalingam, Matteo S. Carlino, Victoria Atkinson, Richard F. Kefford, Grant A. McArthur, Alexander M. Menzies, John F. Thompson, Georgina Long
Summary: The brain is a common site of metastatic disease for patients with advanced melanoma, with treatment approaches including surgery, radiotherapy, and systemic therapy. Management of melanoma brain metastases should involve a multidisciplinary team and consider optimal combinations and sequencing of treatments. It is important to establish appropriate guidelines for the management of melanoma brain metastases and update them regularly as new treatment options become available.
EUROPEAN JOURNAL OF CANCER
(2021)
Article
Medicine, General & Internal
Rongrong Nie, Shouqiang Huang, Weiye Liao, Zhiming Mao, Xianglin Li, Jun Xiong
Summary: This study aims to develop a guideline for moxibustion treatment of primary dysmenorrhea, proposing evidence-based best practice recommendations and moxibustion standards to improve clinical efficacy. The research is still in progress with no final results available yet.
Review
Gastroenterology & Hepatology
Katsuhiko Iwakiri, Yasuhiro Fujiwara, Noriaki Manabe, Eikichi Ihara, Shiko Kuribayashi, Junichi Akiyama, Takashi Kondo, Hiroshi Yamashita, Norihisa Ishimura, Yuichi Kitasako, Katsunori Iijima, Tomoyuki Koike, Nobuo Omura, Tsutomu Nomura, Osamu Kawamura, Shuichi Ohara, Soji Ozawa, Yoshikazu Kinoshita, Satoshi Mochida, Nobuyuki Enomoto, Tooru Shimosegawa, Kazuhiko Koike
Summary: The article introduces the Evidence-based Clinical Practice Guidelines for GERD issued by the Japanese Society of Gastroenterology, as well as their revised editions. It summarizes the sections related to GERD treatment and highlights the important clinical issues addressed in the revisions. The guidelines propose treatment algorithms for GERD classification, clarify treatment strategies based on the severity of reflux esophagitis, and position vonoprazan as a key medication for GERD treatment.
JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Obstetrics & Gynecology
A. Youssef, E. E. L. O. Lashley, N. Vermeulen, M. L. P. van der Hoorn
Summary: A nationwide survey in the Netherlands revealed discrepancies between recurrent pregnancy loss (RPL) guidelines and actual practice. These discrepancies can be considered in developing a new guideline and implementing strategies to improve the quality of care provided to RPL patients, reducing the need for cross border reproductive care.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Review
Health Care Sciences & Services
Xiaomei Yao, Jun Xia, Yinghui Jin, Quan Shen, Qi Wang, Ying Zhu, Sheila McNair, Jonathan Sussman, Zhiwen Wang, Ivan D. Florez, Xian-Tao Zeng, Melissa Brouwers
Summary: This study provides an overall summary of the currently available approaches and tools for the development, reporting, or assessment of clinical practice guidelines, aiming to improve users' understanding and facilitate informed choice and application.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2022)
Article
Gastroenterology & Hepatology
Katsutoshi Tokushige, Kenichi Ikejima, Masafumi Ono, Yuichiro Eguchi, Yoshihiro Kamada, Yoshito Itoh, Norio Akuta, Masato Yoneda, Motoh Iwasa, Masashi Yoneda, Motoyuki Otsuka, Nobuharu Tamaki, Tomomi Kogiso, Hiroto Miwa, Kazuaki Chayama, Nobuyuki Enomoto, Tooru Shimosegawa, Tetsuo Takehara, Kazuhiko Koike
Summary: NAFLD and NASH have become significant public health issues in both Western countries and Japan, with hepatic fibrosis being a key prognostic factor. Effective screening methods for NAFLD and urgent surveillance for HCC are necessary in Japan, where non-viral liver disease-related HCC cases are on the rise. Cardiovascular disease is the leading cause of death in NAFLD patients, emphasizing the importance of CVD monitoring in clinical practice. Several drug trials are ongoing for NAFLD/NASH therapy, with new treatments like SGLT2 inhibitors and GLP-1 analogues showing promise for future interventions.
HEPATOLOGY RESEARCH
(2021)
Article
Dentistry, Oral Surgery & Medicine
Julie Frantsve-Hawley, Elliot Abt, Alonso Carrasco-Labra, Tim Dawson, Maria Michaels, Sarah Pahlke, D. Brad Rindal, Heiko Spallek, Robert J. Weyant
Summary: This article provides an overview of strategies to overcome common challenges in guideline adoption, including using additional sources of evidence and methods for guideline development, accelerating the updating and dissemination process, and implementing strategies to improve the translation of CPGs into clinical practice. Adopting newer strategies can lead to improvements in patient care and population health.
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION
(2022)
Article
Public, Environmental & Occupational Health
Jaakko Taipale, Lotta Hautamaki
Summary: This article explores the use of clinical practice guidelines in courtroom settings, focusing on Finnish guidelines for brain injuries in traffic insurance compensation cases. The cases involve medical disputes, specialized expertise, and contradictory expert claims, with non-expert judges making decisions. The application of guidelines complicates the evaluation of cases involving delayed diagnoses, showcasing a feedback loop between patient-plaintiffs and the guidelines.
SOCIAL SCIENCE & MEDICINE
(2021)
Review
Urology & Nephrology
Nikita R. Bhatt, Stefan W. Czarniecki, Hendrick Borgmann, Inge M. van Oort, Francesco Esperto, Benjamin Pradere, Mark van Gurp, Jarka Bloemberg, J. Darraugh, Morgan Roupret, Stacy Loeb, James N'Dow, Maria J. Ribal, Gianluca Giannarini
Summary: Social media has shown significant improvement in knowledge, awareness, compliance, and positive behavior towards clinical practice guidelines compared to traditional methods. It has the potential to reach a large audience and engage them in the dissemination process. Standardized methods for evaluating and using social media in CPG dissemination are needed for future implementation.
EUROPEAN UROLOGY FOCUS
(2021)
Review
Gastroenterology & Hepatology
Naotaka Fujita, Ichiro Yasuda, Itaru Endo, Hiroyuki Isayama, Takuji Iwashita, Toshiharu Ueki, Kenichiro Uemura, Akiko Umezawa, Akio Katanuma, Yu Katayose, Yutaka Suzuki, Junichi Shoda, Toshio Tsuyuguchi, Toshifumi Wakai, Kazuo Inui, Michiaki Unno, Yoshifumi Takeyama, Takao Itoi, Kazuhiko Koike, Satoshi Mochida
Summary: The Japanese Society of Gastroenterology has published evidence-based clinical practice guidelines for cholelithiasis, with the most recent revision in 2016. The guidelines have been updated to reflect recent evidence on diagnosis, treatment, and prognosis, following the Grading of Recommendations Assessment, Development, and Evaluation system. A total of 52 questions were adopted to cover various aspects of cholelithiasis, and the level of evidence and recommendations were determined through a comprehensive literature search and the Delphi method. The guidelines provide a valuable resource for gastroenterologists and general physicians in making clinical management decisions for cholelithiasis patients.
JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Endocrinology & Metabolism
Z. Paskins, F. Crawford-Manning, L. Bullock, C. Jinks
OSTEOPOROSIS INTERNATIONAL
(2020)
Review
Endocrinology & Metabolism
Z. Paskins, V. D. Torres Roldan, A. W. Hawarden, L. Bullock, S. Meritxell Urtecho, G. F. Torres, L. Morera, N. R. Espinoza Suarez, A. Worrall, S. Blackburn, S. Chapman, C. Jinks, J. P. Brito
OSTEOPOROSIS INTERNATIONAL
(2020)
Review
Multidisciplinary Sciences
Opeyemi O. Babatunde, Annette Bishop, Elizabeth Cottrell, Joanne L. Jordan, Nadia Corp, Katrina Humphries, Tina Hadley-Barrows, Alyson L. Huntley, Danielle A. van der Windt
Article
Endocrinology & Metabolism
Ashley Hawarden, Clare Jinks, Waheed Mahmood, Laurna Bullock, Steven Blackburn, Stephen Gwilym, Zoe Paskins
ARCHIVES OF OSTEOPOROSIS
(2020)
Article
Endocrinology & Metabolism
F. Crawford-Manning, C. Greenall, A. Hawarden, L. Bullock, S. Leyland, C. Jinks, J. Protheroe, Z. Paskins
Summary: This study identified and assessed commonly accessed osteoporosis patient information resources for readability, quality, accuracy, and consistency. The resources were found to have inconsistencies, low quality and readability scores. Practical recommendations were made to improve understanding, relevance, balance, bias, and address information gaps.
OSTEOPOROSIS INTERNATIONAL
(2021)
Article
Medicine, General & Internal
Melanie A. Holden, Michael Callaghan, David Felson, Fraser Birrell, Elaine Nicholls, Sue Jowett, J. Kigozi, John McBeth, Belinda Borrelli, Clare Jinks, Nadine E. Foster, Krysia Dziedzic, Christian Mallen, Carol Ingram, Alan Sutton, Sarah Lawton, Nicola Halliday, Liz Hartshorne, Helen Williams, Rachel Browell, Hannah Hudson, Michelle Marshall, Gail Sowden, Dan Herron, Evans Asamane, George Peat
Summary: This study will assess the clinical and cost-effectiveness of adding knee bracing to the treatment package for knee osteoarthritis patients. Findings will be analyzed at 3, 6, and 12 months post-randomization.
Article
Endocrinology & Metabolism
Laurna Bullock, Fay Crawford-Manning, Elizabeth Cottrell, Jane Fleming, Sarah Leyland, John Edwards, Emma M. Clark, Simon Thomas, Stephen Chapman, Christopher Gidlow, Cynthia P. Iglesias, Joanne Protheroe, Robert Horne, Terence W. O'Neill, Christian Mallen, Clare Jinks, Zoe Paskins
Summary: This study conducted a modified Delphi survey to establish consensus on tasks for clinicians in a model Fracture Liaison Service (FLS) consultation. Seventy-two, 49, and 52 patients, carers, and clinicians participated in three rounds of the survey, resulting in 81 essential statements for FLS consultations covering various aspects of the consultation process. This Delphi consensus exercise provided a clear framework for clinicians and highlighted the importance of patient involvement in shared decision-making and communication in fracture prevention.
ARCHIVES OF OSTEOPOROSIS
(2021)
Article
Medicine, General & Internal
Zoe Paskins, Laurna Bullock, Fay Crawford-Manning, Elizabeth Cottrell, Jane Fleming, Sarah Leyland, John James Edwards, Emma Clark, Simon Thomas, Stephen Robert Chapman, Sarah Ryan, J. E. Lefroy, Christopher J. Gidlow, C. Iglesias, Joanne Protheroe, Robert Horne, Terence W. O'Neill, Christian Mallen, Clare Jinks
Summary: The iFraP programme aims to improve patient commitment to fracture prevention treatment by enhancing communication of scientific evidence and elicitation of patient medication-related beliefs. This aims to overcome the barriers inhibiting the uptake of fracture prevention medicines, ultimately improving informed treatment adherence.
Article
Rheumatology
Sarah McKevitt, Clare Jinks, Emma L. Healey, Jonathan G. Quicke
Summary: Through semi-structured interviews with older adults with osteoarthritis and comorbidity, it was found that they faced complex barriers to physical activity due to the impact of multiple long-term conditions. However, social support and support from knowledgeable healthcare professionals, along with physical activity adapted for their conditions, were identified as key facilitators in overcoming these barriers and increasing physical activity levels.
MUSCULOSKELETAL CARE
(2022)
Article
Orthopedics
Zoe Paskins, Laurna Bullock, Fay Manning, Simon Bishop, Paul Campbell, Elizabeth Cottrell, G. P. Partner, Clare Jinks, Melanie Narayanasamy, Ian C. Scott, Opinder Sahota, Sarah Ryan
Summary: This study aimed to explore the acceptability of and preferences for remote consultations among patients with osteoporosis and rheumatoid arthritis. The findings show that attitudes towards remote consultations, views on fairness and intervention coherence varied depending on the patients' consultation needs and their perceptions of the pandemic.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Zoe Paskins, Kieran Bromley, Martyn Lewis, Gemma Hughes, Emily Hughes, Susie Hennings, Andrea Cherrington, Alison Hall, Melanie A. Holden, Kay Stevenson, Ajit Menon, Philip Roberts, George Peat, Clare Jinks, Jesse Kigozi, Raymond Oppong, Nadine E. Foster, Christian D. Mallen, Edward Roddy
Summary: This study compared the clinical effectiveness of adding ultrasound guided intra-articular hip injection of corticosteroid and local anaesthetic to advice and education in adults with hip osteoarthritis. The results showed that this treatment option can improve hip pain intensity, especially for patients with synovitis or effusion.
BMJ-BRITISH MEDICAL JOURNAL
(2022)
Article
Primary Health Care
Emma L. Healey, Christian D. Mallen, Carolyn A. Chew-Graham, Elaine Nicholls, Martyn Lewis, Sarah A. Lawton, Andrew G. Finney, Valerie Tan, Vince Cooper, Krysia S. Dziedzic, Jennifer Liddle, Simon Wathall, Clare Jinks
Summary: This study aimed to test the feasibility of integrating intervention for osteoarthritis, anxiety, and depression into routine long-term condition reviews. The results showed that primary care practices were able to implement the intervention during routine assessments, but there is room for improvement in training and recruitment.
Article
Public, Environmental & Occupational Health
Andrew Morden, Bie Nio Ong, Clare Jinks, Emma Healey, Andrew Finney, Krysia S. Dziedzic
Summary: This study investigates the outcomes of a complex intervention to promote self-management for osteoarthritis. Findings suggest that communication styles influence the outcomes of self-management interventions.
Review
Medicine, Research & Experimental
Samantha L. Hider, Milica Bucknall, Clare Jinks, Kelly Cooke, Kendra Cooke, Erandie Ediriweera Desilva, Andrew G. Finney, Emma L. Healey, Daniel Herron, Annabelle R. Machin, Christian D. Mallen, Simon Wathall, Carolyn A. Chew-Graham
Summary: Patients with inflammatory rheumatological conditions are at increased risk of comorbidities, but are currently not systematically targeted for management. This pilot study shows that implementing a nurse-led integrated care review in primary care is feasible, providing insights for improving comorbidity management.
PILOT AND FEASIBILITY STUDIES
(2021)
Review
Medicine, General & Internal
Zoe Paskins, Fay Crawford-Manning, Elizabeth Cottrell, Nadia Corp, Jenny Wright, Clare Jinks, Simon Bishop, Alison Doyle, Terence Ong, Neil Gittoes, Jo Leonardi-Bee, Tessa Langley, Robert Horne, Opinder Sahota