Japanese Society for Palliative Medicine
News Letter No.30
日本緩和医療学会ニューズレター
Feb 2006  30
Journal Watch
聖隷三方原病院ホスピス  森田 達也
対象雑誌

対象期間:2005年10月から2005年12月(到着分まで)
Reviews, recommendations, meta-analyses, randomized controlled trials, and large surveys
対象雑誌に掲載された医学論文のうち緩和ケアの臨床家にとって有用と思われる、レビュー、学会の推奨、メタアナライシス、無作為化試験、あるいは、大規模サーベイなどを列記します。
トラマドールの経直腸投与
Mercadante S, Arcuri E, Fusco F, et al. Randomized double-blind, double-dummy crossover clinical trial of oral tramadol versus rectal tramadol administration in opioid-na ve cancer patients with pain. Support Care Cancer. 2005; 13(9): 702-707.
質問紙によるQOL調査やニード調査に対する患者の意見
McGrath P, Moore A, MeNaught M, Palmer G, Greene A, Atkinson D. Another form to fill in! Clients’ reflections on the hospice use of questionnaires. Support Care Cancer. 2005; 13(9):691-701.
インターネット上にホスピスケアに関する満足度評価を全国規模で公開した
Connor SR, Teno J, Spence C, Smith N. Family evaluation of hospice care: results from voluntary submission of data via website. J Pain Symptom Manage. 2005; 30(19:9-17.
神経因性疼痛:モルヒネ、ギャバペンチン、モルヒネ+ギャバぺンチンのRCT
Gilron I, Bailey JM, Tu D, Holden RR, Weaver DF, Houlden RL. Morphine, gabapentin, or their combination for neuropathic pain. N Engl J Med. 2005; 352(13):1324-1334.
疼痛:American pain societyの推奨
Gordon DB, Dahl JL, Miaskowski C, et al. American pain society recommendations for improving the quality of acute and cancer pain management: American pain society quality of care task force. Arch Intern Med. 2005; 165(14):1574-1580.
病院の緩和ケアを改善するためのVAチームの試みの評価
Bailey FA, Burgio KL, Woodby LL, et al. Improving processes of hospital care during the last hours of life. Arch Intern Med. 2005; 165(15):1722-1727.
輸液治療を中止した認知症患者の苦痛の評価
Pasman HRW, Onwuteaka-Philipsen BD, Kriegsman DMW, Ooms ME, Ribbe MW, van der Wal G. Discomfort in nursing home patients with severe dementia in whom artificial nutrition and hydration is forgone. Arch Intern Med. 2005; 165(15):1729-1735.
パロキセチンのホットフラッシュに対するRCT
Stearns V, Slack R, Greep N, et al. Paroxetine is an effective treatment for hot flashes: results from a prospective randomized clinical trial. J Clin Oncol. 2005; 23(28):6919-6930.
貧血
Hedenus M, Vansteenkiste J, Kotasek D, Austin M, Amado RG. Darbepoetin alfa for the treatment of chemotherapy-induced anemia: disease progression and survival analysis from four randomized, double-blind, placebo-controlled trial. J Clin Oncol. 2005; 23(28):6941-6948.
化学療法による嘔吐に対する鍼治療
Ezzo J, Vickers A, Richardson MA, et al. Acupuncture-point stimulation for chemotherapy-induced nausea and vomiting. J Clin Oncol. 2005; 23(28):7188-7198.
安楽死と抑うつ
van der Lee, van der Bom JG, Swarte NB, Heintz APM, de Graeff A, van den Bout J. Euthanasia and depression: a prospective cohort study among terminally ill cancer patients. J Clin Oncol. 2005; 23(27):6607-6612.
不眠に対する認知教育的治療
Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of congnitive-behavioral therapy for insomnia secondary to breast cancer, part T:sleep and psychological effects. J Clin Oncol. 2005; 23(25):6083-6096.
Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of congnitive behavioral therapy for insomnia secondary to breast cancer, part U:immunologic effects. J Clin Oncol. 2005; 23(25):6097-6106.
脳転移に対する治療のレビュー
Langer CJ, Mehta MP. Current management of brain metastases, with a focus on systemic options. J Clin Oncol. 2005; 23(25):6207-6219.
予後予測に関する推奨
Maltoni M, Caraceni A, Brunelli C, et al. Prognostic factors in advanced cancer patients: evidence-based clinical recommendations-A study by the steering committee of the European association for palliative care. J Clin Oncol. 2005; 23(25):6240-6248.
鎮静に関するJAMAの記事
Brender E, Burke A, Glass RM. JAMA patient page. Palliative sedation. JAMA. 2005; 294(14):1850.
Lo B, Rubenfeld G. Palliative sedation in dying patients: “we turn to it when everything else hasn’t worked”. JAMA. 2005; 294(14):1810-1816.
複数のオピオイドの併用
Davis MP, LeGrand SB, Lagman R. Look before leaping: combined opioids may not be the rave. Support Care Cancer. 2005; 13(10):769-774.
タキサンによる神経障害への治療
Hilpert F, Stahle A, Tome O, et al. Neuroprotection with amifostine in the first-line treatment of advanced ovarian cancer with carboplatin/paclitaxel-based chemotherapy-a double-blind, placebo-controlled, randomized phase U study from the arbeitsgemeinschaft gynakologische onkologie (AGO) ovarian cancer study group. Support Care Cancer. 2005; 13(10):797-805.
システム
Kurtz ME, Kurtz JC, Given CW, Given B. A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. J Pain Symptom Manage. 2005; 30(2):112-122.
緩和ケアにおける感染症治療
Reinbolt RE, Shenk Am, White PH, Navari RM. Symptomatic treatment of infections in patients with advanced cancer receiving hospice care. J Pain Symptom Manage. 2005; 30(2):175-182.
マッサージと瞑想のRCT
Williams A-L, Selwyn PA, Liberti L, et al. A randomized controlled trial of meditation and message effects on quality of life in people with late-stage disease: a pilot study. J Palliat Med. 2005; 8(5):939-952.
終末期ケアのレビュー
Plonk WM, Arnold RM. Terminal care: the last weeks of life. J Palliat Med. 2005; 8(5):1042-1054.
From Japan
日本の著者による報告を掲載します
国内の緩和ケア病棟におけるミダゾラムとフルニトラゼパムの使用状況
Matsuo N, Morita T. Intravenous infusion of midazolam and flunitrazepam for insomnia on Japanese palliative care units. J Pain Symptom Manage. 2005; 30(4):301-302.
大規模な多施設研究による鎮静の観察研究
Morita T, Chinone Y, Ikenaga M, et al. Ethical validity of palliative sedation therapy: a multicenter, prospective, observational study conducted on specialized palliative care units in japan. J Pain Symptom Manage. 2005; 30(4):308-319.
Morita T, Chinone Y, Ikenaga, et al. Efficacy and safety of palliative sedation therapy: a multicenter, prospective, observational study conducted on specialized palliative care units in japan. J Pain Symptom Manage. 2005; 30(4):320-328.
日本の乳がん患者の家族機能
Ozono S, Saeki T, Inoue S, Mantani T, Okamura H, Yamawaki S. Family functioning and psychological distress among Japanese breast cancer patients and families. Support Care Cancer. 2005; 13(12):1044-1050.
終末期癌患者の家族もまたがん患者でありうる
Onishi H, Onose M, Okuno S, et al. Spouse caregivers of terminally-ill cancer patients as cancer patients: a pilot study in a palliative care unit. Palliat Support Care. 2005; 3(2):83-86.

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