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Japanese Clinical Practice Guidelines for Vascular Anomalies 2017

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  • Hidefumi Mimura
    Department of Radiology St. Marianna University School of Medicine Kawasaki Japan
  • Sadanori Akita
    Department of Plastic Surgery Wound Repair and Regeneration Fukuoka University School of Medicine Fukuoka Japan
  • Akihiro Fujino
    Division of Surgery National Center for Child Health and Development Tokyo Japan
  • Masatoshi Jinnin
    Department of Dermatology Wakayama Medical University Wakayama Japan
  • Mine Ozaki
    Department of Plastic, Reconstructive and Aesthetic Surgery Kyorin University School of Medicine Mitaka Japan
  • Keigo Osuga
    Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine Suita Japan
  • Hiroki Nakaoka
    Department of Plastic Surgery Ehime University Hospital Toon Japan
  • Eiichi Morii
    Department of Pathology Osaka University Graduate School of Medicine Suita Japan
  • Akira Kuramochi
    Department of Dermatology Saitama Medical University Iruma‐gun Japan
  • Yoko Aoki
    Department of Medical Genetics Tohoku University School of Medicine Sendai Japan
  • Yasunori Arai
    Department of Radiology St. Marianna University School of Medicine Kawasaki Japan
  • Noriko Aramaki
    Department of Plastic and Reconstructive Surgery Keio University School of Medicine Tokyo Japan
  • Masanori Inoue
    Department of Radiology Keio University School of Medicine Tokyo Japan
  • Yuki Iwashina
    Department of Plastic, Reconstructive and Aesthetic Surgery Kyorin University School of Medicine Mitaka Japan
  • Tadashi Iwanaka
    Department of Pediatric Surgery The University of Tokyo Hospital Tokyo Japan
  • Shigeru Ueno
    Department of Pediatric Surgery Tokai University School of Medicine Isehara Japan
  • Akihiro Umezawa
    Department of Reproductive Biology Center for Regenerative Medicine National Center for Child Health and Development Tokyo Japan
  • Michio Ozeki
    Department of Pediatrics Gifu University Graduate School of Medicine Gifu Japan
  • Junko Ochi
    Department of Diagnostic Radiology Tohoku University Graduate School of Medicine Sendai Japan
  • Yoshiaki Kinoshita
    Department of Pediatric Surgery Niigata University Graduate School of Medical and Dental Sciences Niigata Japan
  • Masakazu Kurita
    Department of Plastic and Reconstructive Surgery The University of Tokyo Hospital Tokyo Japan
  • Shien Seike
    Department of Plastic Surgery Osaka University Graduate School of Medicine Suita Japan
  • Nobuyuki Takakura
    Department of Signal Transduction Research Institute for Microbial Diseases Osaka University Suita Japan
  • Masataka Takahashi
    Department of Reproductive Biology Center for Regenerative Medicine National Center for Child Health and Development Tokyo Japan
  • Takao Tachibana
    Department of Dermatology Osaka Red Cross Hospital Osaka Japan
  • Kumiko Chuman
    Department of Dermatology Kanto Central Hospital Tokyo Japan
  • Shuji Nagata
    Department of Radiology Kurume University School of Medicine Kurume Japan
  • Mitsunaga Narushima
    Department of Plastic and Reconstructive Surgery Graduate School of Medicine Mie University Tsu Japan
  • Yasunari Niimi
    Department of Neuroendovascular Therapy St. Luke's International Hospital Tokyo Japan
  • Shunsuke Nosaka
    Division of Radiology National Center for Child Health and Development Tokyo Japan
  • Taiki Nozaki
    Department of Radiology St. Luke's International Hospital Tokyo Japan
  • Kazuki Hashimoto
    Department of Radiology St. Marianna University School of Medicine Kawasaki Japan
  • Ayato Hayashi
    Department of Plastic and Reconstructive Surgery Juntendo University Urayasu Hospital Urayasu Japan
  • Satoshi Hirakawa
    Department of Dermatology Hamamatsu University School of Medicine Hamamatsu Japan
  • Atsuko Fujikawa
    Department of Radiology St. Marianna University School of Medicine Kawasaki Japan
  • Yumiko Hori
    Department of Pathology Osaka University Graduate School of Medicine Suita Japan
  • Kentaro Matsuoka
    Department of Pathology Dokkyo Medical University Saitama Medical Center Koshigaya Japan
  • Hideki Mori
    Department of Plastic Surgery Ehime University Hospital Toon Japan
  • Yuki Yamamoto
    Department of Dermatology Wakayama Medical University Wakayama Japan
  • Shunsuke Yuzuriha
    Department of Plastic and Reconstructive Surgery Shinshu University School of Medicine Matsumoto Japan
  • Naoaki Rikihisa
    Department of Plastic and Reconstructive Surgery Oyumino Central Hospital Chiba Japan
  • Shoji Watanabe
    Department of Plastic and Reconstructive Surgery Saitama Children's Medical Center Saitama Japan
  • Shinichi Watanabe
    Department of Dermatology Teikyo University School of Medicine Tokyo Japan
  • Tatsuo Kuroda
    Department of Pediatric Surgery Keio University School of Medicine Tokyo Japan
  • Shunsuke Sugawara
    Department of Diagnostic Radiology National Cancer Center Hospital Tokyo Japan
  • Kosuke Ishikawa
    Department of Plastic and Reconstructive Surgery Faculty of Medicine and Graduate School of Medicine Hokkaido University Sapporo Japan
  • Satoru Sasaki
    Department of Plastic and Reconstructive Surgery Center for Vascular Anomalies Tonan Hospital Sapporo Japan

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Abstract

<jats:title>Abstract</jats:title><jats:p>The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence-based medicine (EBM) techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of September 2014 was searched in Pubmed, Cochrane Library, and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System (MINDS) technique. A total of 33 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence-based guidelines for the management of vascular anomalies.</jats:p>

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