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日本妇科肿瘤学会2023年子宫体肿瘤治疗指南

Japan Society of Gynecologic Oncology 2023 guidelines for treatment of uterine body neoplasm.

作者信息

Morisada Tohru, Kobayashi Yoichi, Nagase Satoru, Baba Tsukasa, Tokunaga Hideki, Watari Hidemichi, Takekuma Munetaka, Terao Yasuhisa, Terai Yoshito, Kajiyama Hiroaki, Asai-Sato Mikiko, Takehara Kazuhiro, Tabata Tsutomu, Harano Kenichi, Hirashima Yasuyuki, Yunokawa Mayu, Okamoto Aikou, Mikami Mikio

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Kyorin University, Tokyo, Japan.

Department of Obstetrics and Gynecology, Faculty of Medicine, Yamagata University, Yamagata, Japan.

出版信息

J Gynecol Oncol. 2025 May;36(3):e119. doi: 10.3802/jgo.2025.36.e119.

Abstract

The Japan Society of Gynecologic Oncology (JSGO) guideline for the treatment of uterine body neoplasm are revised from the 2018 guideline. This guideline aimed to provide standardized care for uterine body neoplasm, indicate appropriate current treatment methods for uterine body neoplasm, minimize variances in treatment methods among institutions, improve disease prognosis and treatment safety, reduce the economic and psychosomatic burden on patients by promoting the performance of appropriate treatment, and enhance mutual understanding between patients and healthcare professionals. The guidelines were prepared through the consensus of the JSGO guideline committee, based on a careful review of evidence from the literature searches and the medical health insurance system and actual clinical practice situations in Japan. The main features of the 2023 revision are as follows: 1) The Guidelines Formulation Committee members were asked to understand Minds' medical guideline development method in advance. 2) The clinical question (CQ) was changed to Patient, Intervention, Comparison, Outcome format as much as possible. 3) Introduced the "body of evidence," which summarizes the results of research reports collected for the CQs by outcome and study design, and the strength of evidence for each body of evidence was rated from levels A to D. 4) Introduction of systematic reviews in some CQs. 5) The strength of evidence, the balance of benefits and harms, value and hope for patients, and clinical applicability were considered while drafting recommendations. Herein, we present the English version of the JSGO guidelines 2023 for the treatment of uterine body neoplasm.

摘要

日本妇科肿瘤学会(JSGO)子宫体肿瘤治疗指南是在2018年指南的基础上修订而成。本指南旨在为子宫体肿瘤提供标准化治疗,指明子宫体肿瘤当前合适的治疗方法,减少各机构治疗方法的差异,改善疾病预后和治疗安全性,通过推动实施恰当治疗减轻患者的经济和身心负担,并增进患者与医护人员之间的相互理解。这些指南是通过JSGO指南委员会的共识制定的,基于对文献检索证据、日本医疗保险系统及实际临床实践情况的仔细审查。2023年修订版的主要特点如下:1)要求指南制定委员会成员提前了解Minds的医学指南制定方法。2)临床问题(CQ)尽可能改为患者、干预措施、对照、结局格式。3)引入了 “证据主体”,按结局和研究设计总结为CQ收集的研究报告结果,并对每个证据主体的证据强度从A到D级进行评级。4)在部分CQ中引入系统评价。5)在起草推荐意见时考虑了证据强度、利弊平衡、对患者的价值和希望以及临床适用性。在此,我们呈现2023年JSGO子宫体肿瘤治疗指南的英文版本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/12099053/0fc39144ae8e/jgo-36-e119-g001.jpg

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