Evaluation of compliance with the Tokyo Guidelines for the management of acute cholangitis based on the Japanese administrative database associated with the Diagnosis Procedure Combination system

Atsuhiko Murata, Shinya Matsuda, Kazuaki Kuwabara, Yoshihisa Fujino, Tatsuhiko Kubo, Kenji Fujimori, Hiromasa Horiguchi

研究成果: Article査読

22 被引用数 (Scopus)

抄録

Background/purpose: We aimed to evaluate compliance with the clinical practice guidelines for acute cholangitis (Tokyo Guidelines) using the Japanese administrative database associated with the Diagnosis Procedure Combination (DPC) system. Methods: We collected database data from 60,842 acute cholangitis patients, examining 10 recommendations in the Tokyo Guidelines. We counted how many recommendations had been complied with for every patient. The patient compliance score was defined as the rate of compliance with these recommendations (score 0 = 0% to score 10 = 100%). An aggregated patient compliance score was measured according to the severity of acute cholangitis. Severity was categorized as grade I (mild cholangitis; n = 49,630), grade II (moderate cholangitis; n = 10,444), and grade III (severe cholangitis; n = 768). Results: The mean patient compliance score was significantly higher for patients with grade III than for those with grades II and I (7.6 ± 2.1 vs. 6.5 ± 3.0 vs. 2.9 ± 0.9, p < 0.001, respectively). Multiple linear regression analysis revealed that the severity of acute cholangitis was the parameter most significantly associated with the patient compliance score. The standardized coefficient of grade III was higher than that of grade II (0.657 vs. 0.248, p < 0.001). Conclusions: Compliance with the Tokyo Guidelines became higher in accordance with the severity of acute cholangitis.

本文言語English
ページ(範囲)53-59
ページ数7
ジャーナルJournal of Hepato-Biliary-Pancreatic Sciences
18
1
DOI
出版ステータスPublished - 2011 1月 1
外部発表はい

ASJC Scopus subject areas

  • 医学(全般)

フィンガープリント

「Evaluation of compliance with the Tokyo Guidelines for the management of acute cholangitis based on the Japanese administrative database associated with the Diagnosis Procedure Combination system」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル