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DCフィールド | 値 | 言語 |
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dc.contributor.author | 宮田, 康好 | ja |
dc.contributor.author | 松尾, 朋博 | ja |
dc.contributor.author | 光成, 健輔 | ja |
dc.contributor.author | 大庭, 康司郎 | ja |
dc.contributor.author | 酒井, 英樹 | ja |
dc.contributor.alternative | Miyata, Yasuyoshi | en |
dc.contributor.alternative | Matsuo, Tomohiro | en |
dc.contributor.alternative | Mitsunari, Kensuke | en |
dc.contributor.alternative | Ohba, Kojiro | en |
dc.contributor.alternative | Sakai, Hideki | en |
dc.contributor.transcription | ミヤタ, ヤスヨシ | ja-Kana |
dc.contributor.transcription | マツオ, トモヒロ | ja-Kana |
dc.contributor.transcription | ミツナリ, ケンスケ | ja-Kana |
dc.contributor.transcription | オオバ, コウジロウ | ja-Kana |
dc.contributor.transcription | サカイ, ヒデキ | ja-Kana |
dc.date.accessioned | 2020-06-02T23:46:47Z | - |
dc.date.available | 2020-06-02T23:46:47Z | - |
dc.date.issued | 2020-04-30 | - |
dc.identifier.issn | 0018-1994 | - |
dc.identifier.uri | http://hdl.handle.net/2433/251050 | - |
dc.description.abstract | Chemotherapy and immune-checkpoint inhibitors, used as second-line treatments for advanced urothelial cancer (UC), can have adverse effects in some patients, such as decreased organ function. We investigated the effectiveness of cooperation with medical/welfare services, so-called cooperative medicine, in these cases. A total of 137 UC patients who had undergone second-line therapy were analyzed. Of these 137 patients, 49 were categorized in the "cooperative"treatment group, in which a general practitioner performed blood tests and transfusions ; and, administered medication, while nurses and case workers from a community health care institution provided mental and social support. There were 50 in the "joint" treatment group, who were treated jointly by a urologist and general practitioner ; and, 38 in the "solo" treatment group who were treated by a urologist only. The Short Form Health Survey, SF-36, was used to evaluate quality of life (QoL). We observed that the overall survival after the second-line treatment was significantly longer in the cooperative group than in the other two groups, with multivariate analyses confirming cooperative treatment as a significant factor for better prognosis (P=0.005). The period of second-line treatment in the cooperative group was significantly longer (P=0.003) than that in the solo group, whereas the proportion of patients who subsequently received third-line treatment was higher in the cooperative group, 58. 5%, than in the solo and joint groups, 26. 5% and 25. 5%, respectively. Posttreatment QoL measurements in the joint and solo groups were significantly lower for 3 and 6 items, respectively, whereas there was no appreciable decrease in post-treatment QoL measurements in the cooperative group. Multivariate analysis showed that cooperative treatment was particularly beneficial for female patients ≥75 years of age, and patients with status 2 performance. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | jpn | - |
dc.publisher | 泌尿器科紀要刊行会 | ja |
dc.rights | 許諾条件により本文は2021/05/01に公開 | ja |
dc.subject | Urothelial cancer | en |
dc.subject | Cooperative medical system | en |
dc.subject | Survival | en |
dc.subject | Quality of life | en |
dc.subject.ndc | 494.9 | - |
dc.title | 進行性尿路がんの2次治療における地域の医療・福祉サービスとの診療連携の有用性 : 生命予後やQoLへの影響 | ja |
dc.title.alternative | Effectiveness of Cooperative Treatment Using Community Medical Systems and Healthcare Services for Second-Line Therapy in Advanced Urothelial Cancer Patients : Impact on Survival | en |
dc.type | departmental bulletin paper | - |
dc.type.niitype | Departmental Bulletin Paper | - |
dc.identifier.ncid | AN00208315 | - |
dc.identifier.jtitle | 泌尿器科紀要 | ja |
dc.identifier.volume | 66 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 107 | - |
dc.identifier.epage | 113 | - |
dc.textversion | publisher | - |
dc.sortkey | 01 | - |
dc.address | 長崎大学病院泌尿器科 | ja |
dc.address | 長崎大学病院泌尿器科 | ja |
dc.address | 長崎大学病院泌尿器科 | ja |
dc.address | 長崎大学病院泌尿器科 | ja |
dc.address | 長崎大学病院泌尿器科 | ja |
dc.address.alternative | The Department of Urology, Nagasaki University Hospital | en |
dc.address.alternative | The Department of Urology, Nagasaki University Hospital | en |
dc.address.alternative | The Department of Urology, Nagasaki University Hospital | en |
dc.address.alternative | The Department of Urology, Nagasaki University Hospital | en |
dc.address.alternative | The Department of Urology, Nagasaki University Hospital | en |
dc.identifier.pmid | 32483944 | - |
dc.identifier.selfDOI | 10.14989/ActaUrolJap_66_4_107 | - |
dcterms.accessRights | open access | - |
datacite.date.available | 2021-05-01 | - |
dc.identifier.pissn | 0018-1994 | - |
dc.identifier.jtitle-alternative | Acta urologica Japonica | la |
dc.identifier.jtitle-alternative | Hinyokika Kiyo | en |
出現コレクション: | Vol.66 No.4 |
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