Evidence map›Paper›PMID 39676120›Full record

GuidelineInternational journal of hematology2025

Clinical practice guidelines for management of disseminated intravascular coagulation in Japan 2024. Part 1: sepsis.

Kazuma Yamakawa, Kohji Okamoto, Yoshinobu Seki, Takayuki Ikezoe, Takashi Ito, Toshiaki Iba, Satoshi Gando, Noritaka Ushio, Takaaki Totoki, Takeshi Wada and 18 more

Abstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in International journal of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Regulated cell death-induced coagulation dysfunction in sepsis.Journal of thrombosis and thrombolysis · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Disseminated intravascular coagulation.Journal of intensive care · 2025
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Kazuma YamakawaDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, 2-7 Daigakumachi, Takatsuki, Osaka, 569-8686, Japan. kazuma.yamakawa@ompu.ac.jp.ORCID http://orcid.org/0000-0003-2999-4021
Kohji OkamotoDepartment of Surgery, Kitakyushu City Yahata Hospital, Kitakyushu, Japan.
Yoshinobu SekiDepartment of Hematology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Takayuki IkezoeDepartment of Hematology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Takashi ItoDepartment of Hematology and Immunology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Toshiaki IbaDepartment of Emergency and Disaster Medicine, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan.
Satoshi GandoDepartment of Acute and Critical Care Medicine, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.
Noritaka UshioDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, 2-7 Daigakumachi, Takatsuki, Osaka, 569-8686, Japan.
Takaaki TotokiDepartment of Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, 2-7 Daigakumachi, Takatsuki, Osaka, 569-8686, Japan.
Takeshi WadaDivision of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Hidesaku AsakuraDepartment of Hematology, Kanazawa University Hospital, Kanazawa, Japan.
Hiroyasu IshikuraDepartment of Emergency and Critical Care Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Mitsuhiro UchibaDepartment of Blood Transfusion and Cell Therapy, Kumamoto University Hospital, Kumamoto, Japan.
Toshimasa UchiyamaDepartment of Laboratory Medicine, NHO Takasaki General Medical Center, Takasaki, Japan.
Kaoru KawasakiDepartment of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Higashiosaka, Japan.
Noriaki KawanoDepartment of Internal Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan.
Shigeki KushimotoDivision of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Shin KogaDepartment of Internal Medicine, SBS Shizuoka Health Promotion Center, Shizuoka, Japan.
Yuichiro SakamotoDepartment of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Toshihisa TamuraDepartment of Surgery 1, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Kenji NishioDepartment of General Medicine, Uda Municipal Hospital, Nara, Japan.
Mineji HayakawaDivision of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Takeshi MatsumotoDepartment of Transfusion Medicine and Cell Therapy, Mie University Hospital, Tsu, Japan.
Seiji MadoiwaDepartment of Clinical Laboratory Medicine, Tokyo Saiseikai Central Hospital, Minato-ku, Tokyo, Japan.
Toshihiko MayumiDepartment Intensive Care, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, Japan.
Shinya YamadaDepartment of Hematology, Kanazawa University Hospital, Kanazawa, Japan.
Hideo WadaAssociated Department with Mie Graduate School of Medicine, Mie Prefectural General Medical Center, Yokkaichi, Japan.
Committee of the Clinical Practice Guidelines for Management of Disseminated Intravascular Coagulation 2024, the Japanese Society on Thrombosis and Hemostasis

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Japanese Society on Thrombosis and Hemostasis (JSTH) published the first-ever disseminated intravascular coagulation (DIC) guidelines in 2009. Fifteen years later, the JSTH developed new guidelines covering DIC associated with various underlying conditions. These guidelines were developed in accordance with the GRADE system to determine the strength of the recommendations and certainty of the evidence. This article was drafted as Part 1 of an overall DIC guideline covering various underlying conditions, with sepsis as the subject. In this section, seven key clinical issues (questions) are set. Question 1, regarding DIC diagnosis, introduces several diagnostic criteria, such as the JAAM-2, ISTH overt, SIC, and JSTH DIC criteria and recommends choosing the appropriate diagnostic criteria for DIC based on an understanding of their diagnostic properties. For pharmacotherapy in DIC patients with sepsis, we recommend the administration of antithrombin (Question 2) and recombinant thrombomodulin (Question 3) (both GRADE 1B). However, we do not make a clear recommendation regarding the administration of heparin (Question 6) and serine protease inhibitors (Question 7) because of the lack of evidence. Combination therapy, order of administration, and other administration methods for antithrombin and recombinant thrombomodulin are proposed as important future research questions (Questions 4 and 5).

Indexed as

Disseminated Intravascular CoagulationSepsisAnticoagulantsAntithrombinsDisease ManagementHumansJapanThrombomodulinAnticoagulantsAntithrombinsThrombomodulinAntithrombinDICInfectionSepsisThrombomodulin

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.