• Yoshinobu Matsuda, Hitoshi Tanimukai, Shinichiro Inoue, Shuji Inada, Koji Sugano, Hideaki Hasuo, Masafumi Yoshimura, Saho Wada, Chikako Dotani, Hiroyoshi Adachi, Yoshiaki Okamoto, Mari Takeuchi, Daisuke Fujisawa, Jun Kako, Chiyuki Sasaki, Yasuhiro Kishi, Nobuya Akizuki, Masatoshi Inagaki, Yosuke Uchitomi, Eisuke Matsushima, and Toru Okuyama.
• Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan.
• Jpn. J. Clin. Oncol. 2020 May 5; 50 (5): 586-593.

BackgroundThe 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.MethodsThe 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.ResultsThis article provides a summary of the recommendations with rationales for each, as well as a short summary.ConclusionsThese 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.© The Author(s) 2020. Published by Oxford University Press.

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