Nagayama Masao, Shinohara Yukito
Department of Neurology, Tokai University School of Medicine.
Rinsho Shinkeigaku. 2002 Nov;42(11):1170-2.
For the evidence-based management of stroke, the first guideline was produced at 1994 from the American Heart Association, and also at 2000 from the United Kingdom. However, there is no such guidelines created in Japan yet. Due to the differences in therapeutic agents, disease subtypes, and races between our and other countries, we must create our own guidelines, taking into consideration of the evidences and situations from/in Japan. In this presentation, we addressed the following issues; 1) Historical overview regarding the evidence-based guidelines for the management of stroke. 2) Details about the Japan Joint Committee on Guidelines for the Management of Stroke (Chairman: Yukito Shinohara, Secretary-General: Masao Nagayama) which was established in October 2000 with the initiative of stroke-related societies in Japan. 3) Analysis of the recommendations and literatures describe-cited in the first draft of the Guidelines and the Evidence tables. 4) Problems and future directions in the therapeutic research of stroke management.
对于基于证据的卒中管理，首份指南由美国心脏协会于1994年制定，英国也于2000年制定了相关指南。然而，日本尚未制定此类指南。由于我国与其他国家在治疗药物、疾病亚型和种族方面存在差异，我们必须考虑日本的证据和情况来制定本国的指南。在本报告中，我们探讨了以下问题：1）基于证据的卒中管理指南的历史概述。2）2000年10月在日本卒中相关学会的倡议下成立的日本卒中管理指南联合委员会（主席：筱原幸人，秘书长：永山正雄）的详细情况。3）对指南初稿和证据表中描述引用的建议及文献的分析。4）卒中管理治疗研究中的问题和未来方向。
