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

Masafumi Imamura1, Koichi Hirata2,3, Michiaki Unno4

  • 1Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan. imamura@sapmed.ac.jp.

International Journal of Clinical Oncology
|August 26, 2018
PubMed
Abstract

Insights

Developing cancer guidelines in Japan requires clinical validation and sufficient funding. A national organization is needed to ensure guideline maintenance, revision, and address legal/ethical issues for better adoption.

Area of Science:

  • Oncology
  • Health Policy
  • Clinical Practice Guidelines

Background:

  • The current landscape of cancer-related clinical practice guidelines in Japan remains unclear.
  • Understanding their adoption and dissemination is crucial for improving cancer care.

Purpose of the Study:

  • To assess the current status and adoption of cancer-related clinical practice guidelines in Japan.
  • To propose future directions and necessary roles for developing these guidelines.

Main Methods:

  • A 17-question survey across four domains was developed.
  • The questionnaire was distributed to 28 Japanese academic organizations funded by the Ministry of Health, Labor, and Welfare that have created cancer guidelines.

Main Results:

  • Most surveyed organizations reported investigating guideline dissemination and adoption, with an estimated clinical practice adoption rate of approximately 70%.
  • Organizations with larger budgets reported higher success rates in surveying guideline adoption (100%) compared to those with smaller budgets (60%).
  • A consensus emerged among organization presidents favoring a new, government-operated national organization.

Conclusions:

  • Clinical validation studies are essential for developing cancer-related clinical practice guidelines in Japan.
  • Adequate funding is necessary for the maintenance and revision of these guidelines.
  • Resolving legal and ethical concerns is a prerequisite for establishing a registry system for cancer guidelines.
Keywords:
CancersClinical practice guidelinesJapan Society of Clinical OncologyPlan-do-check-act cycle

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