JPOS/JASCC clinical guidelines for delirium in adult cancer patients: a summary of recommendation statements

  • Yoshinobu Matsuda
    Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan
  • Hitoshi Tanimukai
    Faculty of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Shinichiro Inoue
    Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan
  • Shuji Inada
    Department of Psychosomatic Medicine, The University of Tokyo Hospital, Tokyo, Japan
  • Koji Sugano
    Division of Respiratory Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Tokyo, Japan
  • Hideaki Hasuo
    Department of Psychosomatic Medicine, Kansai Medical University, Hirakata, Japan
  • Masafumi Yoshimura
    Department of Neuropsychiatry, Kansai Medical University, Moriguchi, Japan
  • Saho Wada
    Department of Psycho-Oncology, National Cancer Center Hospital, Tokyo, Japan
  • Chikako Dotani
    Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan
  • Hiroyoshi Adachi
    Sleep Medicine Center, Osaka University Hospital, Suita, Japan
  • Yoshiaki Okamoto
    Department of Pharmacy, Ashiya Municipal Hospital, Ashiya, Japan
  • Mari Takeuchi
    Department of Palliative Care, Keio University School of Medicine, Tokyo, Japan
  • Daisuke Fujisawa
    Division of Patient Safety, Keio University School of Medicine, Tokyo, Japan
  • Jun Kako
    Division of Nursing Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
  • Chiyuki Sasaki
    Nursing Department, National Cancer Center Hospital, Tokyo, Japan
  • Yasuhiro Kishi
    Department of Psychiatry, Nippon Medical School Musashikosugi Hospital, Kawasaki 211-8533, Japan
  • Nobuya Akizuki
    Department of Psycho-Oncology/Psychiatry, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo 113-8677, Japan
  • Masatoshi Inagaki
    Department of Psychiatry, Faculty of Medicine, Shimane University, Izumo 693-8501, Japan
  • Yosuke Uchitomi
    Innovation Center for Supportive, Palliative and Psychosocial Care, National Cancer Center Hospital, Tokyo 104-0045, Japan
  • Eisuke Matsushima
    Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
  • Toru Okuyama
    Division of Psycho-oncology and Palliative Care, Nagoya City University Hospital, Mizuho-cho, Mizuho-ku, Nagoya, Aichi 467-8601, Japan

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<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>The Japanese Psycho-Oncology Society and Japanese Association of Supportive Care in Cancer recently launched the clinical practice guidelines for delirium in adult cancer patients. The aim of the guidelines was to provide evidence-based recommendations for the clinical assessment and management of delirium in cancer patients. This article reports the process of developing the guideline and summarizes the recommendations made.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>The guidelines were developed in accordance with the Medical Information Network Distribution Service creation procedures. The guideline development group, consisting of multidisciplinary members, formulated nine clinical questions. A systematic literature search was conducted to identify relevant articles published prior to through 31 May 2016. Each article was reviewed by two independent reviewers. The level of evidence and the strength of the recommendations were graded using the grading system developed by the Medical Information Network Distribution Service, following the concept of The Grading of Recommendations Assessment, Development and Evaluation system. The modified Delphi method was used to validate the recommendation statements.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>This article provides a summary of the recommendations with rationales for each, as well as a short summary.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>These guidelines will support the clinical assessment and management of delirium in cancer patients. However, additional clinical studies are warranted to further improve the management of delirium.</jats:p> </jats:sec>


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