Changes in management of acute pancreatitis before and after the publication of evidence-based practice guidelines in 2003

Miho Sekimoto, Satoru Shikata, Tadahiro Takada, Koichi Hirata, Masahiro Yoshida, Masahiko Hirota, Nobuya Kitamura, Kunihiro Shirai, Yasutoshi Kimura, Keita Wada, Hodaka Amano, Seiki Kiriyama, Shinju Arata, Toshifumi Gabata, Morihisa Hirota, Kazunori Takeda, Masamichi Yokoe, Toshihiko Mayumi

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18 Citations (Scopus)

Abstract

Background The Japanese Guidelines for the Management of Acute Pancreatitis was published in 2003. However, the impact of the guidelines on physicians' practice patterns has not been well known. Methods To examine the current clinical practices in the management of acute pancreatitis, we conducted a questionnaire survey with members of three societies involved in the treatment of pancreatic diseases and abdominal emergency medical care. Questions included diagnostic and treatment processes considered important in the management of acute pancreatitis in addition to demographic data, experience in medical care, and areas of specialty of respondents. We also examined changes in the treatment of acute pancreatitis before and after publication of the Guidelines. Results Of 1,000 society members to whom questionnaires were mailed, 590 responded. Respondents who had read the Guidelines also handled significantly more cases in the most recent 3 years. A variety of changes were observed in the performance of clinical practices before and after publication of the Guidelines. The use of amylase in the assessment of severity decreased significantly, while its use for determination of severity scores increased significantly after publication of the Guidelines. In treatment, use of a nasogastric tube in mild and moderate cases deceased after the Guidelines. The frequency of prophylactic use of antibiotics decreased with mild pancreatitis after publication of the Guidelines. Conclusions Although it is difficult to attribute these changes to the direct influence of the Guidelines, several changes were observed in performance of clinical practices in accordance with recommendations of the Guidelines.

Original languageEnglish
Pages (from-to)17-23
Number of pages7
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Volume17
Issue number1
DOIs
Publication statusPublished - 2010 Jan

Keywords

  • Acute pancreatitis
  • Clinical practice guidelines
  • Physicians' practice pattern
  • Questionnaire survey

ASJC Scopus subject areas

  • Medicine(all)

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    Sekimoto, M., Shikata, S., Takada, T., Hirata, K., Yoshida, M., Hirota, M., Kitamura, N., Shirai, K., Kimura, Y., Wada, K., Amano, H., Kiriyama, S., Arata, S., Gabata, T., Hirota, M., Takeda, K., Yokoe, M., & Mayumi, T. (2010). Changes in management of acute pancreatitis before and after the publication of evidence-based practice guidelines in 2003. Journal of Hepato-Biliary-Pancreatic Sciences, 17(1), 17-23. https://doi.org/10.1007/s00534-009-0212-5