Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 5 (1), 3-89
eCollection

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016)

Osamu Nishida  1 Hiroshi Ogura  2 Moritoki Egi  3 Seitaro Fujishima  4 Yoshiro Hayashi  5 Toshiaki Iba  6 Hitoshi Imaizumi  7 Shigeaki Inoue  8 Yasuyuki Kakihana  9 Joji Kotani  10 Shigeki Kushimoto  11 Yoshiki Masuda  12 Naoyuki Matsuda  13 Asako Matsushima  14 Taka-Aki Nakada  15 Satoshi Nakagawa  16 Shin Nunomiya  17 Tomohito Sadahiro  18 Nobuaki Shime  19 Tomoaki Yatabe  20 Yoshitaka Hara  1 Kei Hayashida  21 Yutaka Kondo  22 Yuka Sumi  23 Hideto Yasuda  5 Kazuyoshi Aoyama  24   25 Takeo Azuhata  26 Kent Doi  27 Matsuyuki Doi  28 Naoyuki Fujimura  29 Ryota Fuke  30 Tatsuma Fukuda  31 Koji Goto  32 Ryuichi Hasegawa  33 Satoru Hashimoto  34 Junji Hatakeyama  35 Mineji Hayakawa  36 Toru Hifumi  37 Naoki Higashibeppu  38 Katsuki Hirai  39 Tomoya Hirose  40 Kentaro Ide  16 Yasuo Kaizuka  41 Tomomichi Kan'o  42 Tatsuya Kawasaki  43 Hiromitsu Kuroda  44 Akihisa Matsuda  45 Shotaro Matsumoto  16 Masaharu Nagae  3 Mutsuo Onodera  46 Tetsu Ohnuma  47 Kiyohiro Oshima  48 Nobuyuki Saito  49 So Sakamoto  50 Masaaki Sakuraya  51 Mikio Sasano  52 Norio Sato  53 Atsushi Sawamura  54 Kentaro Shimizu  55 Kunihiro Shirai  56 Tetsuhiro Takei  57 Muneyuki Takeuchi  58 Kohei Takimoto  5 Takumi Taniguchi  59 Hiroomi Tatsumi  12 Ryosuke Tsuruta  60 Naoya Yama  61 Kazuma Yamakawa  62 Chizuru Yamashita  1 Kazuto Yamashita  63 Takeshi Yoshida  64 Hiroshi Tanaka  65 Shigeto Oda  15
Affiliations

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016)

Osamu Nishida et al. Acute Med Surg.

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 in Japanese. An English-language version of these guidelines was created based on the contents of the original Japanese-language version.

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 5 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.

Keywords: Medical Information Network Distribution Service (Minds); Sepsis; evidence‐based medicine; guidelines; septic shock; systematic review.

Similar articles

See all similar articles

Cited by 13 PubMed Central articles

See all "Cited by" articles

References

    1. Sepsis Registry Committee of The Japanese Society of Intensive Care Medicine . The Japanese Guidelines for Management of Sepsis. J. Jpn. Soc. Intensive Care Med. 2013; 20: 124–73.
    1. Oda S, Aibiki M, Ikeda T et al The Japanese guidelines for the management of sepsis. J. Intensive Care. 2014; 2: 55. - PMC - PubMed
    1. Committee for the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016). J. Jpn. Soc. Intensive Care Med. 2017;24: s1–232.
    1. Committee for the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016. The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016). JJAAM 2017; 28:s1–232
    1. Singer M, Deutschman CS, Seymour CW et al The third international consensus definitions for sepsis and septic shock (Sepsis‐3). JAMA 2016; 315: 801–10. - PMC - PubMed

LinkOut - more resources

Feedback