The Practice Guidelines for Primary Care of Acute Abdomen 2015

Toshihiko Mayumi, Masahiro Yoshida, Susumu Tazuma, Akira Furukawa, Osamu Nishii, Kunihiro Shigematsu, Takeo Azuhata, Atsuo Itakura, Seiji Kamei, Hiroshi Kondo, Shigenobu Maeda, Hiroshi Mihara, Masafumi Mizooka, Toshihiko Nishidate, Hideaki Obara, Norio Sato, Yuichi Takayama, Tomoyuki Tsujikawa, Tomoyuki Fujii, Tetsuro MiyataIzumi Maruyama, Hiroshi Honda, Koichi Hirata

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Background: Since acute abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of acute abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods: A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for acute abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie acute abdomen, these guidelines cover the primary care of adult patients with nontraumatic acute abdomen. Results: A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of acute abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions: The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of acute abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with acute abdomen.

Original languageEnglish
Pages (from-to)80-115
Number of pages36
JournalJapanese Journal of Radiology
Volume34
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Fingerprint

Acute Abdomen
Practice Guidelines
Primary Health Care
Guidelines
Epidemiology
Differential Diagnosis
Emergency Medicine
Medical Societies
Acetaminophen
Analgesia
Physical Examination
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Mayumi, T., Yoshida, M., Tazuma, S., Furukawa, A., Nishii, O., Shigematsu, K., ... Hirata, K. (2016). The Practice Guidelines for Primary Care of Acute Abdomen 2015. Japanese Journal of Radiology, 34(1), 80-115. https://doi.org/10.1007/s11604-015-0489-z

The Practice Guidelines for Primary Care of Acute Abdomen 2015. / Mayumi, Toshihiko; Yoshida, Masahiro; Tazuma, Susumu; Furukawa, Akira; Nishii, Osamu; Shigematsu, Kunihiro; Azuhata, Takeo; Itakura, Atsuo; Kamei, Seiji; Kondo, Hiroshi; Maeda, Shigenobu; Mihara, Hiroshi; Mizooka, Masafumi; Nishidate, Toshihiko; Obara, Hideaki; Sato, Norio; Takayama, Yuichi; Tsujikawa, Tomoyuki; Fujii, Tomoyuki; Miyata, Tetsuro; Maruyama, Izumi; Honda, Hiroshi; Hirata, Koichi.

In: Japanese Journal of Radiology, Vol. 34, No. 1, 01.01.2016, p. 80-115.

Research output: Contribution to journalReview article

Mayumi, T, Yoshida, M, Tazuma, S, Furukawa, A, Nishii, O, Shigematsu, K, Azuhata, T, Itakura, A, Kamei, S, Kondo, H, Maeda, S, Mihara, H, Mizooka, M, Nishidate, T, Obara, H, Sato, N, Takayama, Y, Tsujikawa, T, Fujii, T, Miyata, T, Maruyama, I, Honda, H & Hirata, K 2016, 'The Practice Guidelines for Primary Care of Acute Abdomen 2015', Japanese Journal of Radiology, vol. 34, no. 1, pp. 80-115. https://doi.org/10.1007/s11604-015-0489-z
Mayumi T, Yoshida M, Tazuma S, Furukawa A, Nishii O, Shigematsu K et al. The Practice Guidelines for Primary Care of Acute Abdomen 2015. Japanese Journal of Radiology. 2016 Jan 1;34(1):80-115. https://doi.org/10.1007/s11604-015-0489-z
Mayumi, Toshihiko ; Yoshida, Masahiro ; Tazuma, Susumu ; Furukawa, Akira ; Nishii, Osamu ; Shigematsu, Kunihiro ; Azuhata, Takeo ; Itakura, Atsuo ; Kamei, Seiji ; Kondo, Hiroshi ; Maeda, Shigenobu ; Mihara, Hiroshi ; Mizooka, Masafumi ; Nishidate, Toshihiko ; Obara, Hideaki ; Sato, Norio ; Takayama, Yuichi ; Tsujikawa, Tomoyuki ; Fujii, Tomoyuki ; Miyata, Tetsuro ; Maruyama, Izumi ; Honda, Hiroshi ; Hirata, Koichi. / The Practice Guidelines for Primary Care of Acute Abdomen 2015. In: Japanese Journal of Radiology. 2016 ; Vol. 34, No. 1. pp. 80-115.
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AU - Yoshida, Masahiro

AU - Tazuma, Susumu

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AU - Nishii, Osamu

AU - Shigematsu, Kunihiro

AU - Azuhata, Takeo

AU - Itakura, Atsuo

AU - Kamei, Seiji

AU - Kondo, Hiroshi

AU - Maeda, Shigenobu

AU - Mihara, Hiroshi

AU - Mizooka, Masafumi

AU - Nishidate, Toshihiko

AU - Obara, Hideaki

AU - Sato, Norio

AU - Takayama, Yuichi

AU - Tsujikawa, Tomoyuki

AU - Fujii, Tomoyuki

AU - Miyata, Tetsuro

AU - Maruyama, Izumi

AU - Honda, Hiroshi

AU - Hirata, Koichi

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N2 - Background: Since acute abdomen requires accurate diagnosis and treatment within a particular time limit to prevent mortality, the Japanese Society for Abdominal Emergency Medicine in collaboration with four other medical societies launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of acute abdomen. Here we provide the highlights of these guidelines [all clinical questions (CQs) and recommendations are shown in supplementary information]. Methods: A systematic and comprehensive evaluation of the evidence for epidemiology, diagnosis, differential diagnosis, and primary treatment for acute abdomen was performed to develop the Practice Guidelines for Primary Care of Acute Abdomen 2015. Because many types of pathophysiological events underlie acute abdomen, these guidelines cover the primary care of adult patients with nontraumatic acute abdomen. Results: A total of 108 questions based on 9 subject areas were used to compile 113 recommendations. The subject areas included definition, epidemiology, history taking, physical examination, laboratory test, imaging studies, differential diagnosis, initial treatment, and education. Japanese medical circumstances were considered for grading the recommendations to assure useful information. The two-step methods for the initial management of acute abdomen were proposed. Early use of transfusion and analgesia, particularly intravenous acetaminophen, were recommended. Conclusions: The Practice Guidelines for Primary Care of Acute Abdomen 2015 have been prepared as the first evidence-based guidelines for the management of acute abdomen. We hope that these guidelines contribute to clinical practice and improve the primary care and prognosis of patients with acute abdomen.

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