Guideline for Gynecological Practice in Japan: Japan Society of Obstetrics and Gynecology and Japan Association of Obstetricians and Gynecologists 2020 edition

Ryuji Kawaguchi; Koji Matsumoto; Tetsuya Ishikawa; Ken Ishitani; Ryugo Okagaki; Mariko Ogawa; Toshimichi Oki; Nobuaki Ozawa; Kaoru Kawasaki; Yoshimitsu Kuwabara; Kaori Koga; Yuichi Sato; Yasushi Takai; Kyoko Tanaka; Kyoko Tanebe; Masakazu Terauchi; Yukiharu Todo; Sayaka Nose-Ogura; Tsuneo Noda; Tsukasa Baba; Eriko Fujii; Takuma Fujii; Hiroaki Miyazaki; Osamu Yoshino; Kazuaki Yoshimura; Tsugio Maeda; Yoshiki Kudo; Hiroshi Kobayashi

doi:10.1111/jog.14487

Guideline for Gynecological Practice in Japan: Japan Society of Obstetrics and Gynecology and Japan Association of Obstetricians and Gynecologists 2020 edition

J Obstet Gynaecol Res. 2021 Jan;47(1):5-25. doi: 10.1111/jog.14487. Epub 2020 Nov 4.

Authors

Ryuji Kawaguchi¹, Koji Matsumoto², Tetsuya Ishikawa², Ken Ishitani³, Ryugo Okagaki⁴, Mariko Ogawa⁵, Toshimichi Oki⁶, Nobuaki Ozawa⁷, Kaoru Kawasaki⁸, Yoshimitsu Kuwabara⁹, Kaori Koga¹⁰, Yuichi Sato¹¹, Yasushi Takai¹², Kyoko Tanaka¹³, Kyoko Tanebe¹⁴, Masakazu Terauchi¹⁵, Yukiharu Todo¹⁶, Sayaka Nose-Ogura^{10

17}, Tsuneo Noda¹⁸, Tsukasa Baba¹⁹, Eriko Fujii²⁰, Takuma Fujii²¹, Hiroaki Miyazaki²², Osamu Yoshino²³, Kazuaki Yoshimura²⁴, Tsugio Maeda²⁵, Yoshiki Kudo²⁶, Hiroshi Kobayashi¹

Affiliations

¹ Department of Obstetrics and Gynecology, Nara Medical University, Kashihara, Japan.
² Department of Obstetrics and Gynecology, Showa University School of Medicine, Tokyo, Japan.
³ Department of Gynecology, Kitasato University, Kitasato Institute Hospital, Tokyo, Japan.
⁴ Department of Obstetrics and Gynecology, Faculty of Medicine, Saitama Medical University, Saitama, Japan.
⁵ Department of Obstetrics and Gynecology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.
⁶ Department of Reproductive Health Nursing, School of Health Science, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
⁷ Center for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
⁸ Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
⁹ Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
¹⁰ Department of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
¹¹ Obstetrics and Gynecology, Tatedebari Sato Hospital, Takasaki, Japan.
¹² Department of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
¹³ Department of Obstetrics and Gynecology, Toho University Ohashi Medical Center, Tokyo, Japan.
¹⁴ Women's Clinic We! Toyama, Toyama, Japan.
¹⁵ Department of Women's Health, Tokyo Medical and Dental University, Tokyo, Japan.
¹⁶ Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo, Japan.
¹⁷ Sports Medical Center, Japan Institute of Sports Sciences, Tokyo, Japan.
¹⁸ Clinic Ms SOPHIA, Hamamatsu, Japan.
¹⁹ Department of Obstetrics and Gynecology, Iwate Medical University School of Medicine, Shiwa.
²⁰ Ikegami General Hospital, Tokyo, Japan.
²¹ Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan.
²² Division of Infection Control and Prevention, Kokura Memorial Hospital, Kitakyusyu, Japan.
²³ Department of Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, Japan.
²⁴ Department of Obstetrics and Gynecology, Wakamatsu Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan.
²⁵ Maeda Clinic, Yaizu, Japan.
²⁶ Department of Obstetrics and Gynecology, Hiroshima University, Hiroshima, Japan.

PMID: 33145837
DOI: 10.1111/jog.14487

Abstract

Nine years after the first edition of The Guideline for Gynecological Practice, which was jointly edited by The Japan Society of Obstetrics and Gynecology and The Japan Association of Obstetricians and Gynecologists, the 4th Revised Edition was published in 2020. The 2020 Guidelines includes 4 additional clinical questions (CQ), which brings the total to 99 CQ (12 on infectious disease, 29 on oncology and benign tumors, 29 on endocrinology and infertility and 29 on healthcare for women). Currently, a consensus has been reached on the Guidelines, and therefore, the objective of this report is to present the general policies regarding diagnostic and treatment methods used in standard gynecological outpatient care that are considered appropriate. At the end of each answer, the corresponding Recommendation Level (A, B, C) is indicated.

Keywords: gynecologic oncology; gynecology; infections; reproductive endocrinology and infertility; urogynecology.

MeSH terms

Female
Gynecology*
Humans
Japan
Obstetrics*
Physicians*
Pregnancy
Societies, Medical

Grants and funding

Nara Medical University Library