Yusuke Hiratsuka
A5020359631- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Nutrition and Health in Aging
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Frailty in Older Adults
- Patient-Provider Communication in Healthcare
- Pain Management and Opioid Use
- Religion, Spirituality, and Psychology
- Intensive Care Unit Cognitive Disorders
- Inflammatory Biomarkers in Disease Prognosis
- Pharmacological Effects and Toxicity Studies
- Global Cancer Incidence and Screening
- Body Composition Measurement Techniques
- Anesthesia and Sedative Agents
- Health Systems, Economic Evaluations, Quality of Life
- Multiple and Secondary Primary Cancers
- Family and Patient Care in Intensive Care Units
- Clinical Nutrition and Gastroenterology
- Opioid Use Disorder Treatment
- Gastrointestinal motility and disorders
- Economic and Financial Impacts of Cancer
- Nausea and vomiting management
- Esophageal and GI Pathology
Ijinkai Takeda General Hospital
2021-2025
Tohoku University
2018-2025
Takeda (Japan)
2024
Dongguk University Ilsan Hospital
2022
Tohoku Institute of Technology
2021
Tohoku University Hospital
2021
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...
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: Continuous deep sedation is ethically controversial with respect to whether it shortens a patient’s life. Aim: To examine continuous patient survival from the day of Palliative Performance Scale decline 20 (PPS20). Design: A part multicenter prospective cohort study (EASED study). Setting/participants: We recruited consecutive adult patients advanced cancer admitted 23 participating palliative care units in 2017 Japan. compared PPS20 between those who did and not receive...
Background We aimed to investigate the performance of clinician prediction survival (CPS) and association between CPS prognostic confidence clinicians in ambulatory medical oncology outpatients. Methods Eight oncologists estimated expected their patients a prospective cohort study. They were asked provide temporal type weeks, together with level for each (0–100%). analyzed accuracy CPS, confidence, characteristics showing inaccurate CPS. Results A total 200 advanced cancer enrolled median...
Background: Little is known about accuracy and confidence of clinicians' prediction survival (CPS) in East-Asian countries. Objective: We aimed to examine CPS for 7-, 21-, 42-day palliative inpatients its association with prognostic confidence. Design: An international prospective cohort study Japan (JP), Korea (KR), Taiwan (TW). Setting/Subjects: Subjects were advanced cancer admitted 37 care units three Measurements: Discrimination was investigated through sensitivity, specificity, overall...
Abstract Background The study aimed to clarify the efficacy of “3‐Day Surprise Question (3DSQ)” in predicting prognosis for advanced cancer patients with impending death. Patients and Methods This was a part multicenter prospective observational which investigated dying process Japan. For Palliative Performance Scale ≤20, 3DSQ “Would I be surprised if this patient died next 3 days?” answered by their physicians. In addition sensitivity specificity 3DSQ, characteristics who survived longer...
Abstract Objectives The present study aims were (1) to identify the proportion of terminally ill cancer patients with desire for hastened death (DHD) receiving specialized palliative care, (2) reasons DHD, and (3) classify DHD into some interpretable subgroups. Methods Advanced admitted 23 inpatients hospices/palliative care units in 2017 enrolled. Data prospectively obtained by primarily responsible physicians. presence/absence recorded. A cluster analysis was performed patterns subgroups...
Background: Limited information is available on the relationship between C-reactive protein (CRP) levels and pain in advanced cancer. Objectives: To investigate serum of CRP subtypes pain. Design: A secondary cross-sectional analysis a prospective cohort study. Setting/Subjects: Patients with cancer admitted to 23 palliative care units Japan. Measurements: rated severity numerical rating scale (NRS) physicians evaluated integrated outcome (IPOS). Physicians assessed neuropathic breakthrough...
Research on the association between circumstances of death in advanced cancer patients and depression their bereaved caregivers is limited.A longitudinal study was performed admitted to 21 inpatient hospices/palliative care units (PCUs) Japan. Patient symptoms were assessed at admission last 3 days life. Data distressing events (unexpected death, bleeding) received treatments (morphine prescriptions, continuous deep sedation, cardiopulmonary resuscitation) also obtained. Bereaved caregiver 6...
Modified versions of the Objective Prognostic Score (mOPS) needs to be validated reflect practical palliative care circumstances in Taiwan.
Abstract Background Patients with advanced cancer have been reported to be more likely receive goal-concordant care if they accurate prognostic awareness. However, many patients do not this This study aimed examine the awareness among Japanese cancer. Methods single-center, follow-up cohort included who received chemotherapy at Tohoku University Hospital between January 2015 and 2016. were surveyed enrollment followed up for clinical events 5 years thereafter. We compared (i) patients’ both...
Background: The objective prognostic score (OPS) needs to be modified reflect practical palliative care circumstances. Objectives: We aimed validate models of OPS with few or no laboratory tests for patients advanced cancer. Design: An observational study was performed. Setting/Subjects: A secondary analysis an international, multicenter cohort in East Asia subjects were inpatients cancer the unit. Measurements: developed two (mOPS) predict two-week survival: mOPS-A consisted symptoms,...
Abstract Background Few studies have investigated the relationship between body mass index (BMI) and mortality or evaluated prognostic validity of a grading system incorporating BMI weight loss in Asian cancer patients. We conducted study to investigate characteristics according confirm system. Methods This involved secondary analysis prospective cohort study. Subjects were divided into six groups five grades Characteristics compared groups. time‐to‐event analyses using Kaplan–Meier method,...