title: Japanese clinical guidelines for autoimmune pancreatitis.
abstract: OBJECTIVE
  As the patients with autoimmune pancreatitis (AIP) are increasing in Japan, the practical guideline for managing AIP is required to be established.
  
  
  METHODS
  Three committees (the professional committee for making clinical questions [CQs] and statements by Japanese specialists, the expert panelist committee for rating statements by the modified Delphi method, and the evaluating committee by moderators) were organized. Fifteen specialists for AIP extracted the specific clinical statements from a total of 871 literatures by PubMed search (approximately 1963-2008) and from a secondary database and made the CQs and statements. The expert panelists individually rated these clinical statements using a modified Delphi approach, in which a clinical statement receiving a median score greater than 7 on a 9-point scale from the panel was regarded as valid.
  
  
  RESULTS
  The professional committee made 13, 6, 6, and 11 CQs and statements for the concept and diagnosis, extrapancreatic lesions, differential diagnosis, and treatment, respectively. The expert panelists regarded them as valid after a 2-round modified Delphi approach.
  
  
  CONCLUSIONS
  After evaluation by the moderators, the Japanese clinical guideline for AIP has been established. Further studies for the international guideline are needed after international consensus for diagnosis and treatment.
authors.affiliation: Department of Gastroenterology and Hepatology, Kansai Medical University, Hirakata, Osaka, Japan. okazaki@hirakata.kmu.ac.jp
authors.forename: Kazuichi
authors.initials: K
authors.lastname: Okazaki
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Kawa
authors.forename: Terumi
authors.initials: T
authors.lastname: Kamisawa
authors.forename: Tetsuhide
authors.initials: T
authors.lastname: Ito
authors.forename: Kazuo
authors.initials: K
authors.lastname: Inui
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Irie
authors.forename: Atsushi
authors.initials: A
authors.lastname: Irisawa
authors.forename: Keishi
authors.initials: K
authors.lastname: Kubo
authors.forename: Kenji
authors.initials: K
authors.lastname: Notohara
authors.forename: Osamu
authors.initials: O
authors.lastname: Hasebe
authors.forename: Yasunari
authors.initials: Y
authors.lastname: Fujinaga
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Ohara
authors.forename: Shigeki
authors.initials: S
authors.lastname: Tanaka
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Nishino
authors.forename: Isao
authors.initials: I
authors.lastname: Nishimori
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Nishiyama
authors.forename: Koichi
authors.initials: K
authors.lastname: Suda
authors.forename: Keiko
authors.initials: K
authors.lastname: Shiratori
authors.forename: Toru
authors.initials: T
authors.lastname: Shimosegawa
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D044466:Asian People; D001327:Autoimmune Diseases / Q000175:diagnosis* / Q000208:ethnology / Q000628:therapy*; D032921:Consensus; D003697:Delphi Technique; D003937:Diagnosis, Differential; D006801:Humans; D007564:Japan; D010195:Pancreatitis / Q000175:diagnosis* / Q000208:ethnology / Q000628:therapy*; D017410:Practice Guidelines as Topic