International comparison of clinical guidelines for acute pancreatitis

Abstract

Guidelines for the treatment of patients with acute pancreatitis have recently been published in various countries. In this paper, we compared the recommendations and evidence ratings of eight guidelines collected based on the following, (1) published within the last 10 years (2010-2020), (2) written in English, (3) published by domestic and foreign medical associations and societies, and (4) using the GRADE system. Of 30 items in 7 major categories, 26 were in general agreement, but there was disagreement on 4 items. One of the reasons for the divergent recommendations was the lack of sufficient evidence. The evaluation of the quality of evidence was greatly divided even within items. From the above, it was thought that the level of recommendation would be unified to some extent in the future as new accurate evidence is accumulated.