Publications by authors named "Yasuaki Gyoda"
Article Synopsis
- A study focused on adolescents and young adults (AYA) with cancer found that they have specific end-of-life care needs that differ from older patients, emphasizing the importance of individualized care.
- Researchers analyzed medical records of 81 AYA patients aged 16-39 who received home palliative care and compared them to over 5,000 older patients, finding that AYA patients had a median home care duration of 28.5 days, shorter than the 40 days for older patients.
- The study revealed that while the rates of receiving home care were similar between AYA and older patients, the type of care and sedation practices varied by age group, particularly showing more sedation use in older AYAs (30-39 years)
In recent years, home medical care has been strongly promoted. As a consequence, the conditions managed in home medical care have become increasingly diverse. Heart failure is one of the most common disorders after malignant diseases.
View Article and Find Full Text PDFContext: Although the Palliative Prognostic Index (PPI) is a reliable and validated tool to predict the survival of terminally ill cancer patients, all clinicians cannot always precisely diagnose delirium.
Objectives: The primary aim of this study was to examine the predictive value of a simplified PPI. In the simplified PPI, a single item from the Communication Capacity Scale was substituted for the delirium item of the original.
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.
Tube feeding or hydration is often considered for end-of-life cancer patients despite the negative effects on quality of life. The efficacy of oral nutritional support in this setting is unknown. We conducted a randomized trial to compare the efficacies of an amino acid jelly, Inner Power® (IP), and a liquid enteral product, Ensure Liquid® (EL), in terminally ill cancer patients.
View Article and Find Full Text PDFA palliative care team provides palliative care in the hospital setting.However, palliative care might be discontinued when a patient was switched to an outpatient from an inpatient or when a patient was being transferred to another hospital.In the present work, we report a case who could receive anti-cancer therapy and palliative care simultaneously at home.
View Article and Find Full Text PDFBackground: We have actively carried out cell-free and concentrated ascites reinfusion therapy (CART) for refractory ascites. However, with conventional CART, the membrane becomes clogged after processing about 2 L of cancerous ascites fluid due to the fact that it is rich in cellular and mucous components; it is therefore difficult to process the entire volume of collected ascites.
Methods: We developed KM-CART which includes a membrane cleaning function, and applied it in 73 cases of cancerous ascites, after its basic functions had been evaluated in 11 cases of refractory cancerous ascites.