Publications by authors named "Natsuko Kawai"

Context: Few studies have compared the prognostic value of scoring systems based on physical and blood parameters in terminally ill patients with cancer.

Objectives: This study evaluated the prognostic abilities of Palliative Prognostic Index (PPI), Laboratory Prognostic Score (LPS), and Palliative Prognostic Score (PaP).

Methods: We included 989 terminally ill patients with cancer who consulted for admission to our palliative care unit.

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Background: Few studies have developed an easy scoring system for the short-term survival of patients with gastrointestinal (GI) malignancy.

Methods: A total of 816 terminally ill patients with GI malignancy were admitted to our palliative care unit. They were randomly divided into the investigation (n = 490) and validation (n = 326) groups.

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Background: Some studies have developed a scoring system to determine the short-term survival of patients with respiratory malignancy.

Methods: A total of 649 terminally ill patients with respiratory malignancy admitted to our palliative care unit were included in this study. They were randomly divided into the investigation (n = 390) and validation (n = 259) groups.

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Background: There are few studies developing a scoring system for short-term survival of patients with gynecologic malignancy.

Methods: Seventy-three terminally ill patients with gynecologic malignancy who were admitted to our palliative care unit (PCU) from June 2009 to February 2018 were included. We accumulated routine blood data within 3 months before PCU discharge.

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Conventional prognostic scores for terminally ill cancer patients may have less objectivity because they include subjective or categorical variables that do not consider intensity or severity. The aim of this study was to identify prognostic factors for 30-day mortality from routine blood examination of terminally ill cancer patients. A total of 1308 study patients in a hospice setting were divided into investigation (n=761) and validation (n=547) groups.

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A 62-year-old woman received chemotherapy for breast cancer with bone metastasis and malignant pleural and pericardial effusion. She was examined by imaging for progressive cognitive impairment and headache. Enhanced MRI findings showed multiple solid tumors on brain surface, and brain perfusion scintigraphy showed blood flow decrease in both parietal lobes.

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