| Item type |
文献 / Documents(1) |
| 公開日 |
2025-02-13 |
| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
関連識別子 |
https://doi.org/10.2152/jmi.71.279 |
|
|
関連名称 |
10.2152/jmi.71.279 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Achievements of perioperative assist team medical care in esophageal cancer surgery, Tokushima University Hospital |
| タイトル別表記 |
|
|
その他のタイトル |
Perioperative assist team medical care |
| 著者 |
井上, 聖也
後藤, 正和
藤原, 聡史
吉田, 卓弘
Izaki, Fuyumi
Takeuchi, Taihei
住友, 弘幸
(青山)三崎, 万理子
鳥羽, 博明
滝沢, 宏光
濵田, 康弘
松浦, 哲也
青田, 桂子
Takano, Hidenori
|
| 抄録 |
|
|
内容記述 |
Background : Radical esophagectomy is highly invasive and associated with many postoperative complications. A decline in postoperative QOL is a serious issue for patients, and comprehensive perioperative management through multidisciplinary cooperation is necessary. Our institution has established a perioperative assist team (OPERA) to address this need since 2017. Methods : This study included 109 patients with esophageal cancer who underwent neoadjuvant chemotherapy and esophagectomy from 2009 to 2018. O group, means OPERA intervention group, included 57 patients, and N group, means Non-OPERA intervention group, included 52 patients. The effects of the OPERA intervention on reducing chemotherapy-related adverse events and improving postoperative outcomes were retrospectively investigated. Results : The OPERA intervention significantly reduced the incidence of chemotherapy-related adverse events (P=0.002). In particular, anorexia and diarrhea, febrile neutropenia were significantly reduced (P<0.001, P=0.002, P=0.025, respectively). Postoperatively, the start date of walking was significantly earlier (P<0.001), the incidence of pneumonia was lower (P=0.022). At the time of postoperative discharge, N group was significantly greater weight loss compared to O group (P=0.002). The 5-year survival rate was longer in O group (P=0.003). Conclusion : The OPERA intervention reduced the incidence of chemotherapy-related adverse events and postoperative complications and helped improved prognosis. |
| キーワード |
|
|
主題 |
esophageal cancer |
| キーワード |
|
|
主題 |
esophagectomy |
| キーワード |
|
|
主題 |
perioperative assist team |
| キーワード |
|
|
主題 |
postoperative complication |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 71,
号 3-4,
p. 279-285,
発行日 2024-08
|
| 収録物ID |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
13496867 |
| 収録物ID |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 出版者 |
|
|
出版者 |
Tokushima University Faculty of Medicine |
| EID |
|
|
識別子 |
416124 |
| 言語 |
|
|
言語 |
eng |
jmi_71_3-4_279.pdf (738 KB)
