Publications by authors named "Hiroto Shirayama"
Background: The association between C-reactive protein (CRP) level, symptoms, and activities of daily living (ADL) in advanced cancer patients is unclear.
Methods: Secondary data analysis of a multicenter prospective cohort study consisted of 2426 advanced cancer patients referred to palliative care settings was conducted to examine the cross-sectional relationships between CRP level, symptoms, and ADL disabilities. Laboratory data, symptoms, ADL, and manual muscle testing (MMT) results were obtained at baseline.
Background: Changes in activities of daily living in cancer patients may predict their survival. The Palliative Prognostic Index is a useful tool to evaluate cancer patients, and adding an item about activities of daily living changes might improve its predictive value.
Aim: To clarify whether adding an item about activities of daily living changes improves the accuracy of Palliative Prognostic Index.
Background: Although the place of death has a great influence on the quality of death and dying for cancer patients, whether the survival time differs according to the place of death is unclear. The primary aim of this study was to explore potential differences in the survival time of cancer patients dying at home or in a hospital.
Methods: This multicenter, prospective cohort study was conducted in Japan from September 2012 through April 2014 and involved 58 specialist palliative care services.
Context: Accurate prognoses are needed for patients with advanced cancer.
Objectives: To evaluate the accuracy of physicians' clinical predictions of survival (CPS) and assess the relationship between CPS and actual survival (AS) in patients with advanced cancer in palliative care units, hospital palliative care teams, and home palliative care services, as well as those receiving chemotherapy.
Methods: This was a multicenter prospective cohort study conducted in 58 palliative care service centers in Japan.
Context: Accurate prognostic information in palliative care settings is needed for patients to make decisions and set goals and priorities. The Prognosis Palliative Care Study (PiPS) predictor models were presented in 2011, but have not yet been fully validated by other research teams.
Objectives: The primary aim of this study is to examine the accuracy and to validate the modified PiPS (using physician-proxy ratings of mental status instead of patient interviews) in three palliative care settings, namely palliative care units, hospital-based palliative care teams, and home-based palliative care services.
In the current state of medical treatment, cancer patients discharged from hospital to home have been increasing. For enforcement of home palliative care, we think that family willingness to care for the patient is very important. We examined how much the willingness of a family to care for the patient influences the enforcement of home palliative care and the factors that influence the willingness of care given by the family.
View Article and Find Full Text PDF[Necessity of discharge planning of patients with malignant tumors].
Gan To Kagaku Ryoho
December 2004
Patients with malignant tumors and their families have to worry about many things when they leave the hospital including future changes of their medical conditions, home care, and the pros and cons of re-hospitalization. We examined the effects of discharge planning for 148 patients with malignant tumors who had been treated by our clinic as a part of discharge support in terms of anxiety relief and the length of home care. An adequate discharge planning reduced anxieties of patients as well as their families, and it also extended the period of home care significantly.
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