Clinical practice guideline for the treatment of malignant ascites: section summary in Clinical Practice Guideline for peritoneal dissemination (2021)

Keisuke Matsusaki, Kuniaki Aridome, Shigenobu Emoto, Hiroaki Kajiyama, Nobumasa Takagaki, Takao Takahashi, Hiroshi Tsubamoto, Shoji Nagao, Akihiro Watanabe, Hideaki Shimada, Joji Kitayama

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with peritoneal dissemination (PD) caused by abdominal malignancies are often associated with massive ascites, which shows extremely dismal prognosis because of the discontinuation of systemic chemotherapy mostly due to poor performance status. Many treatment methods, such as simple drainage, peritoneovenous shunting (PVS) and cell-free and concentrated reinfusion therapy (CART), have been used for symptom relief. However, the clinical efficacies of these methods have not been fully investigated yet. Recently, we developed the Clinical Practice Guideline for PD caused by various malignancies according to "Minds Clinical Practice Guideline Development Guide 2017". In this guideline, we systematically reviewed information on clinical diagnosis and treatments for PD using PubMed databases (2000 – 2020), and clarified the degree of recommendation for clinical questions (CQ). The evidence level was divided into groups by study design and quality. The literature level and a body of evidence were evaluated in reference to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Based on the results of systematic review, the strength of the recommendations was evaluated at a consensus meeting of the Guideline Committee. This is the English synopsis of the part of treatment of malignant ascites in Clinical Practice Guideline for PD, 2021 in Japanese. The guidelines summarize the general aspect of the treatment of malignant ascites and statements with recommendation strengths, evidence levels, agreement rates and future perspective for four raised clinical questions.

Original languageEnglish
JournalInternational Journal of Clinical Oncology
Volume27
Issue number1
DOIs
Publication statusPublished - Jan 2022

Keywords

  • Cell-free and concentrated reinfusion therapy
  • Guideline
  • Malignant ascites
  • Peritoneal dissemination
  • Peritoneovenous shunting

ASJC Scopus subject areas

  • Surgery
  • Hematology
  • Oncology

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