Furuhata Tomohisa, Hirata Koichi, Wakao Fumihiko, Okita Kenji, Imamura Masafumi, Maehara Yoshihiko, Nishiyama Masahiko
Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1 West 16, Chuo-ku, Sapporo, 060-8543, Japan,
Int J Clin Oncol. 2014 Oct;19(5):771-8. doi: 10.1007/s10147-014-0715-1. Epub 2014 Jun 26.
To understand the current situation of the development and publication of cancer clinical practice guidelines and discuss an ideal structure in future.
A questionnaire survey pertaining to the development and publication of cancer clinical practice guidelines was conducted with funding by a Health and Labour Sciences Research Grant. Respondents included presidents and chairpersons of academic societies developing guidelines and members of the Cancer Guidelines Committee of the Japan Society of Clinical Oncology who were specialists in various cancer sites.
Concerning the question of funding for the development and publication of the guidelines, 80.7 % of respondents indicated that partial public funding is required. As for the flow of public funds, 80.4 % of respondents thought that funds should be distributed appropriately to each academic society by a third-party organization. Regarding the question about the publication of the guidelines, 82.5 % of respondents replied that a comprehensive publication site needs to be established. In terms of the choice of organization that would be responsible for setting up and managing this site, the responses varied as follows: "a newly established organization" (38.3 %); "Center for Cancer Control and Information Services" (29.8 %); "Japan Society of Clinical Oncology" (23.4 %); and "Medical Information Network Distribution Service" (23.4 %) (multiple answers allowed).
While the guidelines should be developed voluntarily by each academic society, partial public funding is also considered to be necessary for maintaining the continuous revision process. As for the publication of the guidelines, the establishment of a new comprehensive publication site would improve user convenience.
了解癌症临床实践指南的制定与发布现状，并探讨未来的理想架构。
在厚生劳动科学研究补助金的资助下，针对癌症临床实践指南的制定与发布进行了问卷调查。受访者包括制定指南的学术团体的会长和主席，以及日本临床肿瘤学会癌症指南委员会中各癌症领域的专家成员。
关于指南制定与发布的资金问题，80.7%的受访者表示需要部分公共资金。关于公共资金的流向，80.4%的受访者认为应由第三方组织将资金适当分配给各学术团体。关于指南的发布问题，82.5%的受访者回答需要建立一个综合发布平台。对于负责建立和管理该平台的组织选择，回答情况如下：“新成立的组织”（38.3%）；“癌症控制与信息服务中心”（29.8%）；“日本临床肿瘤学会”（23.4%）；以及“医学信息网络分发服务”（23.4%）（允许多选）。
虽然指南应由各学术团体自主制定，但部分公共资金对于维持持续修订过程也被认为是必要的。至于指南的发布，建立一个新的综合发布平台将提高用户的便利性。
