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1. Wound, pressure ulcer and burn guidelines – 1: Guidelines for wounds in general, second edition

Author

Osamu Yamasaki, Ryokichi Irisawa, Jun Tsujita, Ryuta Ikegami, Sakae Kaneko, Kuninori Hirosaki, Yuichiro Yoshino, Hiroshi Kato, Akira Hashimoto, Masanari Kodera, Masahiro Hayashi, Masatoshi Abe, Yoichi Omoto, Hideaki Tanizaki, Eiichi Sakurai, Manabu Fujimoto, Hiroyuki Kanoh, Monji Koga, Masahiro Amano, Andres Le Pavoux, Koma Matsuo, Takeo Maekawa, Naoki Madokoro, Yoshihide Asano, Ryuichi Kukino, Hiroshi Yatsushiro, Zenzo Isogai, Hironobu Ihn, Miki Tanioka, Masaki Otsuka, Takeshi Kono, Takaaki Ito, Takayuki Ishii, Takao Tachibana, Hiroshi Fujiwara, Sei ichiro Motegi, Yuji Inoue, Hideki Fujita, Takeshi Nakanishi, Keisuke Sakai, Takafumi Kadono, Naotaka Doi, Yoichi Shintani, Taiki Isei, Masakazu Kawaguchi, Yasuko Sarayama, Minoru Hasegawa, Jun Asai, Tamihiro Kawakami, and Yohei Iwata

Subjects
Pressure Ulcer, Wound Healing, medicine.medical_specialty, integumentary system, business.industry, General surgery, Dermatology, General Medicine, Bandages, Wound pain, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, medicine, Humans, business, Wound treatment
Abstract

The Japanese Dermatological Association prepared the clinical guidelines for the "Wound, pressure ulcer and burn guidelines", second edition, focusing on treatments. Among them, "Guidelines for wounds in general" is intended to provide the knowledge necessary to heal wounds, without focusing on particular disorders. It informs the basic principles of wound treatment, before explanations are provided in individual chapters of the guidelines. We updated all sections by collecting references published since the publication of the first edition. In particular, we included new wound dressings and topical medications. Additionally, we added "Question 6: How should wound-related pain be considered, and what should be done to control it?" as a new section addressing wound pain, which was not included in the first edition.

Published
2020

2. Wound, pressure ulcer and burn guidelines – 4: Guidelines for the management of connective tissue disease/vasculitis‐associated skin ulcers

Author

Taiki Isei, Tamihiro Kawakami, Monji Koga, Ryokichi Irisawa, Sakae Kaneko, Kuninori Hirosaki, Hiroshi Yatsushiro, Takayuki Ishii, Hironobu Ihn, Yoshihide Asano, Miki Tanioka, Ryuta Ikegami, Yoichi Shintani, Zenzo Isogai, Manabu Fujimoto, Hiroshi Kato, Masakazu Kawaguchi, Hiroshi Fujiwara, Takeo Maekawa, Minoru Hasegawa, Osamu Yamasaki, Eiichi Sakurai, Hideaki Tanizaki, Jun Tsujita, Hiroyuki Kanoh, Takafumi Kadono, Andres Le Pavoux, Masanari Kodera, Masahiro Hayashi, Yuichiro Yoshino, Takeshi Nakanishi, Naoki Madokoro, Naotaka Doi, Sei-ichiro Motegi, Keisuke Sakai, Hideki Fujita, Akira Hashimoto, Koma Matsuo, Takeshi Kono, Yuji Inoue, Takaaki Ito, Takao Tachibana, Masatoshi Abe, Yoichi Omoto, Yasuko Sarayama, Masahiro Amano, Jun Asai, Yohei Iwata, Ryuichi Kukino, and Masaki Ohtsuka

Subjects
Vasculitis, medicine.medical_specialty, Connective tissue, Clinical settings, Dermatology, Skin Diseases, Vascular, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, immune system diseases, Skin Ulcer, medicine, Humans, Lupus Erythematosus, Systemic, Connective Tissue Diseases, skin and connective tissue diseases, Pressure Ulcer, business.industry, General Medicine, Dermatomyositis, medicine.disease, Connective tissue disease, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Rheumatoid arthritis, business
Abstract

The Japanese Dermatological Association prepared guidelines focused on the treatment of skin ulcers associated with connective tissue disease/vasculitis practical in clinical settings of dermatological care. Skin ulcers associated with connective tissue diseases or vasculitis occur on the background of a wide variety of diseases including, typically, systemic sclerosis but also systemic lupus erythematosus (SLE), dermatomyositis, rheumatoid arthritis (RA), various vasculitides and antiphospholipid antibody syndrome (APS). Therefore, in preparing the present guidelines, we considered diagnostic/therapeutic approaches appropriate for each of these disorders to be necessary and developed algorithms and clinical questions for systemic sclerosis, SLE, dermatomyositis, RA, vasculitis and APS.

Published
2020

3. Wound, pressure ulcer and burn guidelines - 6: Guidelines for the management of burns, second edition

Author

Masahiro Hayashi, Hiroshi Fujiwara, Akira Hashimoto, Eiichi Sakurai, Yoichi Omoto, Ryuichi Kukino, Ryokichi Irisawa, Sakae Kaneko, Kuninori Hirosaki, Takafumi Kadono, Koma Matsuo, Takeo Maekawa, Yoichi Shintani, Hideaki Tanizaki, Masatoshi Abe, Tamihiro Kawakami, Jun Asai, Hiroyuki Kanoh, Yohei Iwata, Osamu Yamasaki, Masaki Otsuka, Hiroshi Yatsushiro, Masahiro Amano, Yuji Inoue, Hironobu Ihn, Ryuta Ikegami, Jun Tsujita, Manabu Fujimoto, Masakazu Kawaguchi, Hiroshi Kato, Taiki Isei, Hideki Fujita, Takayuki Ishii, Minoru Hasegawa, Takeshi Kono, Miki Tanioka, Yasuko Sarayama, Masanari Kodera, Andres Le Pavoux, Naoki Madokoro, Yuichiro Yoshino, Sei-ichiro Motegi, Takeshi Nakanishi, Keisuke Sakai, Naotaka Doi, Takaaki Ito, Takao Tachibana, Monji Koga, Yoshihide Asano, and Zenzo Isogai

Subjects
Pressure Ulcer, medicine.medical_specialty, Burn injury, business.industry, medicine.medical_treatment, Chemical burn, Dermatology, General Medicine, medicine.disease, Bandages, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, National health insurance, Topical agents, 030220 oncology & carcinogenesis, Escharotomy, medicine, Initial treatment, Humans, Intensive care medicine, business
Abstract

"Wound, pressure ulcer and burn guidelines - 6: Guidelines for the management of burns, second edition" is revised from the first edition which was published in the Japanese Journal of Dermatology in 2016. The guidelines were drafted by the Wound, Pressure Ulcer and Burn Guidelines Drafting Committee delegated by the Japanese Dermatological Association, and intend to facilitate physicians' clinical decisions in preventing, diagnosing and treating burn injury. All sections are updated by collecting documents published since the publication of the first edition. Especially, the recommendation levels of dressing materials newly covered by the Japanese national health insurance are mentioned. In addition, the clinical questions (CQ) regarding the initial treatment of electrical (CQ15) and chemical burns (CQ16), and also the use of escharotomy (CQ22), are newly created.

Published
2020

4. The wound/burn guidelines - 3: Guidelines for the diagnosis and treatment for diabetic ulcer/gangrene

Author

Yuichiro Yoshino, Tamihiro Kawakami, Masaki Ohtsuka, Manabu Fujimoto, Fumihide Ogawa, Masakazu Kawaguchi, Minoru Hasegawa, Hironobu Ihn, Osamu Yamasaki, Takeshi Kono, Masakazu Takahara, Masahiro Hayashi, Takafumi Kadono, Yoshihide Asano, Ryokichi Irisawa, Takaaki Ito, Akira Hashimoto, Takao Tachibana, Masanari Kodera, Taiki Isei, Yuji Inoue, Andres Le Pavoux, Miki Tanioka, Naoki Madokoro, Koma Matsuo, Masatoshi Abe, Hiroshi Fujiwara, Shinichi Imafuku, Keisuke Sakai, Takeo Maekawa, Mikio Ohtsuka, Ryuichi Kukino, Yasuhiro Nakamura, Takayuki Ishii, and Takeshi Nakanishi

Subjects
Orthotic Devices, medicine.medical_specialty, 030209 endocrinology & metabolism, Dermatology, Diabetic ulcers, Gangrene, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Aldehyde Reductase, Ischemia, Renal Dialysis, medicine, Humans, Diabetic Nephropathies, Intensive care medicine, Diabetic skin ulcer, Hyperbaric Oxygenation, Wound Healing, business.industry, Osteomyelitis, General Medicine, medicine.disease, Skin symptoms, Diabetic Foot, Anti-Bacterial Agents, Surgery, Wound burn, Podiatrist, Debridement, Blood Component Removal, business, Negative-Pressure Wound Therapy
Abstract

We aimed to prepare guidelines for the management of diabetic ulcer/gangrene with emphasis on the diagnosis and treatment of skin symptoms. They serve as a tool to improve the quality of the diagnosis and treatment in each patient and, further, to improve the level of the care for diabetic ulcer in Japan by systematically presenting evidence-based recommendations for clinical judgments by incorporating various viewpoints.

Published
2016

5. The wound/burn guidelines - 1: Wounds in general

Author

Keisuke Sakai, Yuichiro Yoshino, Masahiro Hayashi, Takaaki Ito, Akira Hashimoto, Koma Matsuo, Takafumi Kadono, Masanari Kodera, Ryuichi Kukino, Hironobu Ihn, Takayuki Ishii, Takao Tachibana, Takeshi Nakanishi, Mikio Ohtsuka, Takeo Maekawa, Yuji Inoue, Yasuhiro Nakamura, Taiki Isei, Hiroshi Fujiwara, Osamu Yamasaki, Tamihiro Kawakami, Shinichi Imafuku, Masaki Ohtsuka, Masakazu Kawaguchi, Masatoshi Abe, Minoru Hasegawa, Masakazu Takahara, Andres Le Pavoux, Ryokichi Irisawa, Naoki Madokoro, Takeshi Kono, Miki Tanioka, Yoshihide Asano, Manabu Fujimoto, and Fumihide Ogawa

Subjects
medicine.medical_specialty, Therapeutic irrigation, Dermatology, Administration, Cutaneous, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Japan, Humans, Medicine, Therapeutic Irrigation, Societies, Medical, Wound Healing, integumentary system, business.industry, Deep wounds, 030208 emergency & critical care medicine, General Medicine, Disinfection, Clinical Practice, Wound burn, Chronic disease, Topical agents, Chronic Disease, Anti-Infective Agents, Local, Wounds and Injuries, Burns, business, Wound healing
Abstract

The Japanese Dermatological Association determined to prepare the Wound/Burn Guidelines focusing on treatments, catering to needs for the clinical practice of dermatology. Among these guidelines, "Wounds in General" was intended to explain knowledge necessary "to heal wounds" without specifying particular disorders.

Published
2016

6. The wound/burn guidelines - 2: Guidelines for the diagnosis and treatment for pressure ulcers

Author

Masaki Ohtsuka, Andres Le Pavoux, Takaaki Ito, Hironobu Ihn, Ryuichi Kukino, Naoki Madokoro, Miki Tanioka, Akira Hashimoto, Masakazu Takahara, Masahiro Hayashi, Takao Tachibana, Takayuki Ishii, Takeshi Nakanishi, Yoshihide Asano, Koma Matsuo, Takeo Maekawa, Takeshi Kono, Masanari Kodera, Hiroshi Fujiwara, Keisuke Sakai, Yasuhiro Nakamura, Masatoshi Abe, Ryokichi Irisawa, Yuichiro Yoshino, Tamihiro Kawakami, Shinichi Imafuku, Takafumi Kadono, Mikio Ohtsuka, Yuji Inoue, Masakazu Kawaguchi, Minoru Hasegawa, Osamu Yamasaki, Manabu Fujimoto, Fumihide Ogawa, and Taiki Isei

Subjects
medicine.medical_specialty, Evidence-based practice, education, Patient positioning, Dermatology, Administration, Cutaneous, Patient Positioning, Diagnosis, Differential, Ointments, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Japan, medicine, Humans, Pain Management, health care economics and organizations, Pressure Ulcer, Skin care, Wound Healing, business.industry, General Medicine, Pain management, Skin Care, Bandages, Wound burn, Debridement, Evidence-Based Practice, Family medicine, Burns, business, 030217 neurology & neurosurgery
Abstract

The Wound/Burn Guidelines Committee consists of members commissioned by the Board of Directors of the Japanese Dermatological Association (JDA). It held several meetings and evaluations in writing since October 2008, and drafted five guidelines for the diagnosis and treatment including commentaries on wounds in general and the Guidelines for the Diagnosis and Treatment for Pressure Ulcers by taking opinions of the Scientific Committee and Board of Directors of JDA into consideration.

Published
2016

7. Wound, pressure ulcer and burn guidelines - 2: Guidelines for the diagnosis and treatment of pressure ulcers, second edition

Author

Naotaka Doi, Koma Matsuo, Sakae Kaneko, Andres Le Pavoux, Eiichi Sakurai, Takeo Maekawa, Naoki Madokoro, Yoshihide Asano, Zenzo Isogai, Takao Tachibana, Hiroshi Fujiwara, Takaaki Ito, Hiroshi Yatsushiro, Masahiro Amano, Taiki Isei, Hiroyuki Kanoh, Ryuichi Kukino, Hironobu Ihn, Takeshi Nakanishi, Ryuta Ikegami, Masaki Otsuka, Takeshi Kono, Monji Koga, Hideaki Tanizaki, Takayuki Ishii, Masanari Kodera, Takafumi Kadono, Masahiro Hayashi, Sei ichiro Motegi, Yuichiro Yoshino, Yoichi Shintani, Yoichi Omoto, Yuji Inoue, Manabu Fujimoto, Masatoshi Abe, Akira Hashimoto, Hideki Fujita, Keisuke Sakai, Miki Tanioka, Ryokichi Irisawa, Kuninori Hirosaki, Jun Asai, Osamu Yamasaki, Jun Tsujita, Yohei Iwata, Yasuko Sarayama, Masakazu Kawaguchi, Hiroshi Kato, Minoru Hasegawa, and Tamihiro Kawakami

Subjects
Pressure Ulcer, medicine.medical_specialty, Wound Healing, Text mining, business.industry, medicine, MEDLINE, Humans, Dermatology, General Medicine, Intensive care medicine, business, Bandages
Published
2018

9. The wound/burn guidelines - 6: Guidelines for the management of burns

Author

Yoshihide Asano, Takeo Maekawa, Masanari Kodera, Masakazu Kawaguchi, Keisuke Sakai, Ryuichi Kukino, Taiki Isei, Minoru Hasegawa, Andres Le Pavoux, Yuichiro Yoshino, Takao Tachibana, Naoki Madokoro, Masahiro Hayashi, Koma Matsuo, Akira Hashimoto, Takayuki Ishii, Takeshi Nakanishi, Takeshi Kono, Masatoshi Abe, Tamihiro Kawakami, Masakazu Takahara, Mikio Ohtsuka, Yasuhiro Nakamura, Masaki Ohtsuka, Hironobu Ihn, Hiroshi Fujiwara, Shinichi Imafuku, Yuji Inoue, Takaaki Ito, Ryokichi Irisawa, Miki Tanioka, Osamu Yamasaki, Manabu Fujimoto, Fumihide Ogawa, and Takafumi Kadono

Subjects
medicine.medical_specialty, medicine.medical_treatment, Dermatology, Silver sulfadiazine, Administration, Cutaneous, Severity of Illness Index, Ointments, 03 medical and health sciences, 0302 clinical medicine, Adrenal Cortex Hormones, Severity of illness, Bronchoscopy, Tetanus Toxoid, Initial treatment, Medicine, Humans, Severe burn, Hydrotherapy, Adverse effect, Intensive care medicine, Lung, Wound Healing, Tetanus, business.industry, 030208 emergency & critical care medicine, General Medicine, Prognosis, Bandages, Silver Sulfadiazine, Anti-Bacterial Agents, Wound burn, Radiography, 030220 oncology & carcinogenesis, Anti-Infective Agents, Local, Wound Infection, Skin grafting, Fluid Therapy, business, Burns, medicine.drug, Burns, Inhalation
Abstract

Burns are a common type of skin injury encountered at all levels of medical facilities from private clinics to core hospitals. Minor burns heal by topical treatment alone, but moderate to severe burns require systemic management, and skin grafting is often necessary also for topical treatment. Inappropriate initial treatment or delay of initial treatment may exert adverse effects on the subsequent treatment and course. Therefore, accurate evaluation of the severity and initiation of appropriate treatment are necessary. The Guidelines for the Management of Burn Injuries were issued in March 2009 from the Japanese Society for Burn Injuries as guidelines concerning burns, but they were focused on the treatment for extensive and severe burns in the acute period. Therefore, we prepared guidelines intended to support the appropriate diagnosis and initial treatment for patients with burns that are commonly encountered including minor as well as moderate and severe cases. Because of this intention of the present guidelines, there is no recommendation of individual surgical procedures.

Published
2015

10. The wound/burn guidelines - 5: Guidelines for the management of lower leg ulcers/varicose veins

Author

Ryokichi Irisawa, Masanari Kodera, Osamu Yamasaki, Masakazu Kawaguchi, Minoru Hasegawa, Ryuichi Kukino, Takeo Maekawa, Manabu Fujimoto, Miki Tanioka, Fumihide Ogawa, Taiki Isei, Keisuke Sakai, Takao Tachibana, Tamihiro Kawakami, Andres Le Pavoux, Masaki Ohtsuka, Masakazu Takahara, Masahiro Hayashi, Yasuhiro Nakamura, Yuichiro Yoshino, Naoki Madokoro, Yoshihide Asano, Mikio Ohtsuka, Koma Matsuo, Masatoshi Abe, Takayuki Ishii, Takeshi Nakanishi, Takaaki Ito, Takeshi Kono, Hironobu Ihn, Akira Hashimoto, Shinichi Imafuku, Hiroshi Fujiwara, Yuji Inoue, and Takafumi Kadono

Subjects
medicine.medical_specialty, Chronic venous insufficiency, Dermatology, 030204 cardiovascular system & hematology, Varicose Ulcer, Varicose Veins, 03 medical and health sciences, 0302 clinical medicine, Japan, Varicose veins, Sclerotherapy, medicine, Humans, Societies, Medical, Ceap classification, business.industry, General surgery, Leg Ulcer, General Medicine, medicine.disease, Surgery, Wound burn, Disease concept, Dermatology clinic, medicine.symptom, business, Vascular Surgical Procedures, 030217 neurology & neurosurgery, Algorithms, Stockings, Compression
Abstract

Varicose veins are treated at multiple clinical departments, but as patients often visit the dermatology clinic first due to leg ulcers, the present Guidelines for the Management of Lower Leg Ulcers/Varicose Veins were prepared in consideration of the importance of the dermatologist's role. Also, the disease concept of chronic venous insufficiency or chronic venous disorders and the CEAP classification of these disorders are presented. The objective of the present guidelines is to properly guide the diagnosis and treatment of lower leg ulcers/varicose veins by systematically presenting evidence-based recommendations that support clinical decisions.

Published
2015

11. The wound/burn guidelines - 4: Guidelines for the management of skin ulcers associated with connective tissue disease/vasculitis

Author

Yuichiro Yoshino, Masakazu Kawaguchi, Andres Le Pavoux, Minoru Hasegawa, Naoki Madokoro, Yasuhiro Nakamura, Masakazu Takahara, Manabu Fujimoto, Takao Tachibana, Fumihide Ogawa, Masahiro Hayashi, Takafumi Kadono, Ryuichi Kukino, Shinichi Imafuku, Keisuke Sakai, Takayuki Ishii, Takeshi Nakanishi, Tamihiro Kawakami, Takeshi Kono, Yoshihide Asano, Osamu Yamasaki, Koma Matsuo, Takaaki Ito, Miki Tanioka, Takeo Maekawa, Ryokichi Irisawa, Hiroshi Fujiwara, Yuji Inoue, Masaki Ohtsuka, Masanari Kodera, Mikio Ohtsuka, Taiki Isei, Masatoshi Abe, Hironobu Ihn, and Akira Hashimoto

Subjects
Endothelin Receptor Antagonists, Vasculitis, medicine.medical_specialty, Pathology, Connective tissue, Clinical settings, Dermatology, Antithrombins, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, immune system diseases, Skin Ulcer, medicine, Humans, Leukapheresis, skin and connective tissue diseases, Connective Tissue Diseases, Glucocorticoids, 030203 arthritis & rheumatology, business.industry, Tumor Necrosis Factor-alpha, Calcinosis, General Medicine, Dermatomyositis, Phosphodiesterase 5 Inhibitors, medicine.disease, Calcium Channel Blockers, Connective tissue disease, Wound burn, medicine.anatomical_structure, Rheumatoid arthritis, Prostaglandins, business, Dapsone, Immunosuppressive Agents, Platelet Aggregation Inhibitors
Abstract

The Japanese Dermatological Association prepared guidelines focused on the treatment of skin ulcers associated with connective tissue disease/vasculitis practical in clinical settings of dermatological care. Skin ulcers associated with connective tissue diseases or vasculitis occur on the background of a wide variety of diseases including, typically, systemic sclerosis but also systemic lupus erythematosus (SLE), dermatomyositis, rheumatoid arthritis (RA), various vasculitides and antiphospholipid antibody syndrome (APS). Therefore, in preparing the present guidelines, we considered diagnostic/therapeutic approaches appropriate for each of these disorders to be necessary and developed algorithms and clinical questions for systemic sclerosis, SLE, dermatomyositis, RA, vasculitis and APS.

Published
2015

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