Publications by authors named "Chikako Dotani"

Article Synopsis
  • The Japanese Psycho-Oncology Society and the Japanese Association of Supportive Care in Cancer have updated guidelines for managing delirium in adult cancer patients, detailing the development process and key recommendations.
  • A multidisciplinary group formulated new clinical questions on non-drug interventions and drug treatments like antipsychotics and trazodone, along with a review of existing questions.
  • The guidelines aim to enhance the prevention, assessment, and management of delirium in cancer patients in Japan.
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Article Synopsis
  • - The Japanese Psycho-Oncology Society and the Japanese Association of Supportive Care in Cancer created new guidelines for managing delirium in adult cancer patients to improve clinical assessment and treatment practices.
  • - The guidelines were developed through a systematic review process involving a multidisciplinary team and independent reviews of literature up to May 2016, using a recognized grading system to assess evidence and recommendations.
  • - The article summarizes the recommendations and their rationales, emphasizing the need for further clinical research to enhance delirium management in cancer patients.
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Purpose: We explored pediatricians' practices and attitudes concerning end-of-life discussions (EOLds) with pediatric patients with cancer, and identified the determinants of pediatricians' positive attitude toward having EOLds with pediatric patients.

Methods: A multicenter questionnaire survey was conducted with 127 pediatricians specializing in the treatment of pediatric cancer.

Results: Forty-two percent of participants reported that EOLds should be held with the young group of children (6-9 years old), 68% with the middle group (10-15 years old), and 93% with the old group (16-18 years old).

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Objective: End-of-life discussions with patients can be one of the most difficult and stressful tasks for the oncologist. However, little is known about the discussions that healthcare providers have with patients in such situations and the difficulties they face. The primary end points of this study were to describe the contents of end-of-life discussion in the pediatric setting and the barriers to end-of-life discussion for pediatric patients, as perceived by pediatric healthcare providers.

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