A5049441164- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Geriatric Care and Nursing Homes
- Nutrition and Health in Aging
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Frailty in Older Adults
- Patient-Provider Communication in Healthcare
- Intensive Care Unit Cognitive Disorders
- Pharmaceutical Practices and Patient Outcomes
- Oral health in cancer treatment
- Cancer Diagnosis and Treatment
- Gastrointestinal motility and disorders
- Pharmacy and Medical Practices
- Medication Adherence and Compliance
- Healthcare Decision-Making and Restraints
- COVID-19 and healthcare impacts
- Cerebral Palsy and Movement Disorders
- Chronic Disease Management Strategies
- Ethics in medical practice
- Head and Neck Cancer Studies
- Empathy and Medical Education
- Gastroesophageal reflux and treatments
University of Tsukuba
2016-2025
Keio University
2024
Chuo University
2024
King's College London
2023
National Yang Ming Chiao Tung University
2023
Ritsumeikan University
2020-2023
University of Tsukuba Hospital
2020-2022
Tohoku University
2022
Dongguk University Ilsan Hospital
2022
John Wiley & Sons (United States)
2016
Abstract Background. Predicting the short-term survival in cancer patients is an important issue for patients, family, and oncologists. Although prognostic accuracy of surprise question has value 1-year mortality not been formally assessed. The primary aim present study was to assess 7-day 30-day with advanced cancer. Patients Methods. multicenter prospective cohort conducted Japan from September 2012 through April 2014, involving 16 palliative care units, 19 hospital-based teams, 23...
Objectives It is unknown to what extent the fluid retention (FR) status disrupts detection of weight loss rate (WLR) in adult patients with advanced cancer. This study aimed determine association FR WLR. Methods was a secondary analysis prospective cohort study. evaluated as follows: oedema (0, no; 1, yes), pleural effusion yes but asymptomatic; 2, symptomatic) and ascites symptomatic). Patients were divided into three groups according their scores: no-FR (0), moderate-FR (1–2) high-FR...
To clarify physicians' practices and attitudes regarding advance care planning (ACP) in palliative units (PCUs) Japan, we conducted a self-completed questionnaire survey of 203 certificated PCUs 2010. Ninety-nine physicians participated the survey. Although most Japanese recognized importance ACP, many failed to implement aspects patient-directed ACP that they acknowledged be important, such as recommending completion directives (ADs), designation health proxies, implementing existing ADs....
Although various phrases to communicate prognoses based on a certain concept have been proposed, no study has systematically investigated preferences of patients with cancer for actual phrases. We whether wider range and additional "hope the best, prepare worst" (hope/prepare) statement would be more preferable explored variables associated patients' preferences.In cross-sectional survey, 412 outpatients self-assessed their 13 conveying prognostic information (e.g., or without median,...
PURPOSE Opioid-induced constipation is the most frequent and non–self-limiting adverse effect of opioid analgesia, reducing adherence interfering with pain relief. This clinical trial aimed to clarify preventive naldemedine versus placebo for in patients cancer starting regularly dosed strong opioids therapy. METHODS multicenter, double-blinded, randomized, placebo-controlled, confirmatory was conducted between July 2021 May 2023 at four academic hospitals Japan (ClinicalTrials.gov...
Background: Few studies investigated the clinical implications of C-reactive protein-albumin ratio (CAR) in palliative care. Objectives: To determine association CAR with overall survival among terminally ill patients cance. Design: Datasets were obtained through two multicenter prospective cohort studies. Setting/Subjects: Patients newly referred to Measurements: Physicians recorded measures at baseline. followed up their death or observed for 6 months. The 2 divided using cutoffs detected...
Background: Accurate prediction of next-day survival in imminently dying patients is crucial for facilitating timely end-of-life decisions. Objectives: To develop diagnostic models predicting cancer with a Palliative Performance Scale (PPS) score ≤20. Design: A multicenter, prospective, observational study. Setting/subjects: We enrolled advanced at 23 palliative care units across Japan. Measurements: Clinical signs impending death were recorded daily after patients' PPS scores decreased to...
ABSTRACT Introduction Systemic opioids are recommended as a pharmacological treatment for dyspnea, and antipsychotics widely used delirium. Because little is known about optimal palliative strategies dyspnea in patients with delirium, this study explored the symptom course such cases, including use of antipsychotics. Methods This was secondary analysis multicenter prospective observational study. We consecutively enrolled adult advanced cancer at care units Japan. The eligibility criteria...
Abstract Purpose Japan has insufficient palliative care specialists, so there are calls for a consultation system to aid primary physicians. Community-based may require clarification on the division of tasks and responsibilities. Primary physicians’ needs specific also ambiguous. We therefore aimed elucidate physicians particular in Japan. Methods This analysis nationwide observational study was conducted between December 2023 January 2024. sent questionnaires 1,100 Japanese board-certified...
<title>Abstract</title> Background Previous studies have investigated the frequency and target symptoms of palliative sedation in patients with home-based cancer. However, status non-cancer remains unclear. This study aimed to determine Japan. Methods We conducted a post hoc analysis multicenter prospective cohort elderly at home Japan between January 2020 December 2020. The physicians routinely assessed recorded treatment every 3 months until care was discontinued or patient died home....
Although several previous studies have examined the prevalence and risk factors associated with inappropriate prescribing (IP) among elderly patients, as identified by Screening Tool of Older Persons' potentially Prescriptions (STOPP) to Alert doctors Right Treatment (START) criteria, no research has been conducted home care patients.This study aimed explore IP its STOPP/START criteria patients in Japan.Cross-sectional study.Home settings Japan.Eighty-nine aged 65 years or older who received...
BACKGROUND Although the place of death has a great influence on quality and dying for cancer patients, whether survival time differs according to is unclear. The primary aim this study was explore potential differences in patients at home or hospital. METHODS This multicenter, prospective cohort conducted Japan from September 2012 through April 2014 involved 58 specialist palliative care services. RESULTS Among 2426 recruited, 2069 were analyzed study: 1582 receiving hospital‐based 487...
The Care Evaluation Scale (CES1.0) was designed to allow bereaved family members evaluate the structure and process of care, but has been associated with a high frequency misresponses. objective this study develop modified version CES1.0 (CES2.0) that would eliminate misresponses while maintaining good reliability validity.We conducted cross-sectional questionnaire survey by mail in October 2013. participants were patients who died from cancer seven institutions Japan. All asked complete...
Aim As aging populations shift health care from hospitals to communities, Japan has implemented policies promote home care. This study explored regional differences in recipients among older adults and related factors. Methods We used nationwide data 2020 describe the proportion of receiving regular visits medical institutions utilized across secondary areas: urban, middle depopulated areas. examined factors associated with patients visits. Exposures included each area's long‐term‐care (LTC)...