Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
Int J Clin Oncol. 2012 Feb;17(1):1-29. doi: 10.1007/s10147-011-0315-2. Epub 2011 Oct 15.
Colorectal cancer is a major cause of death in Japan, where it accounts for the largest number of deaths from malignant neoplasms in women and the third largest number in men. Many new treatment methods have been developed over the last few decades. The Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer (JSCCR Guidelines 2010) have been prepared to show standard treatment strategies for colorectal cancer, to eliminate disparities among institutions in terms of treatment, to eliminate unnecessary treatment and insufficient treatment, and to deepen mutual understanding between health-care professionals and patients by making these Guidelines available to the general public. These Guidelines have been prepared by consensuses reached by the JSCCR Guideline Committee, based on a careful review of the evidence retrieved by literature searches and in view of the medical health insurance system and actual clinical practice settings in Japan. Therefore, these Guidelines can be used as a tool for treating colorectal cancer in actual clinical practice settings. More specifically, they can be used as a guide to obtaining informed consent from patients and choosing the method of treatment for each patient. As a result of the discussions held by the Guideline Committee, controversial issues were selected as Clinical Questions, and recommendations were made. Each recommendation is accompanied by a classification of the evidence and a classification of recommendation categories based on the consensus reached by the Guideline Committee members. Here we present the English version of the JSCCR Guidelines 2010.
结直肠癌是日本的主要死亡原因之一,在女性中其恶性肿瘤死亡率最高,在男性中排名第三。过去几十年中开发了许多新的治疗方法。为了展示结直肠癌的标准治疗策略,消除机构之间在治疗方面的差异,消除不必要和不充分的治疗,并通过向公众提供这些指南来加深医疗保健专业人员和患者之间的相互理解,日本癌症协会制定了结直肠癌治疗指南(JSCCR 指南 2010)。这些指南是由 JSCCR 指南委员会根据共识制定的,该共识基于对文献检索中检索到的证据进行仔细审查,并考虑到日本的医疗保险制度和实际临床实践环境。因此,这些指南可以作为实际临床实践中治疗结直肠癌的工具。更具体地说,它们可以作为从患者那里获得知情同意并为每位患者选择治疗方法的指南。根据指南委员会的讨论,选择了有争议的问题作为临床问题,并提出了建议。每项建议都附有证据分类和基于指南委员会成员达成的共识的建议类别分类。这里我们提供了 2010 年日本癌症协会结直肠癌治疗指南的英文版本。