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The comparison of QOL and cost between hemodialysis and peritoneal dialysis

Research Project

Project/Area Number 09470515
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionTohoku University

Principal Investigator

KOINUMA Nobuo  Medicine, Tohoku Univ., Professor, 大学院・医学系研究科, 教授 (60134095)

Co-Investigator(Kenkyū-buntansha) ITO Michiya  Medicine, Tohoku Univ., Assistant Professor, 大学院・医学系研究科, 助手 (70221083)
NISHIZAWA Akira  Medicine, Shinshu Univ. Professor, 医学部, 教授 (60091815)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1999: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1998: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1997: ¥1,600,000 (Direct Cost: ¥1,600,000)
KeywordsHemodialysis / Peritoneal dialysis / QOL / health status / health economics / medical cost / 血液透析 / 腹膜透析
Research Abstract

[Purpose] Renal dialysis has been faced with such serious problems as compound complications, burden of the family cause by long-term care, and the high cost of the therapy. The comparison of QOL and cost between hemodialysis (HD) and peritoneal dialysis (PD) in which there is comparatively a great difference by the country seems to be essential to improve efficiency and quality of the renal dialysis.
[Methods] The data were collected in four renal dialysis centers for 158 patients with end stage renal disease ; 140 patients undergoing HD and 18 PD patients. QOL of the patient was assessed by himself and from the viewpoints of family and the medical staff in every dialysis day for 2 years using questionnaires containing linear analogue scale. The data of medical cost in each case were also accumulated.
[Results] A positive correlation was seen between the QOL scores by self-estimation and those estimated by nurses in 50 patients with HD followed for two years (p<0.01). This means that the attendant nurses accurately grasp the patient's health status. There was a negative correlation between QOL scores by self-estimation before the dialysis and medical cost (p<0.01). When the specific medical treatments for unexpected complications are needed, QOL scores by self-estimation tend to become low. The variance of languor in HD patients is bigger than that in PD patients (p<0.05). QOL is in the trend that becomes higher with PD patients, although the more statistical analysis was impossible because number of PD cases is not sufficient in comparison with HD cases.

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (22 results)

All Other

All Publications (22 results)

  • [Publications] 濃沼信夫: "癌医療の医療分析の実際"癌治療と宿主. 11(3). 268-279 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Koinuma N.: "The economic evaluation of cancer care using CBA"Proceedings Jpn.J.Cancer Res.. 90Suppl. 332 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 濃沼信夫: "費用についてのインフォームド・コンセントインフォームドコンセントガイダンス(がん診療編・森岡恭彦編)"先端医学社. 150-165 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Nobuo Koinuma: "Economic analysis of cancer treatment"Cancer Therapy & Host. 11(3). 268-279 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 濃沼信夫: "癌医療の医療分析の実際"癌治療と宿主. 11(3). 268-279 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Koinuma N.: "The economic evaluation of cancer care using CBA"Proceedings. Jpn. J. cancer Res. 90suppl. 332 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 濃沼信夫: "費用についてのインフォームド・コンセント、インフォームド・コンセントガイダンス(がん診療編、盛岡恭彦編)"先端医学社. 16 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 濃沼信夫: "費用についてのインフォームド・コンセント、インフォームド・コンセントガイダンス(がん診療編、盛岡恭彦編)"先端医学社. 16 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 濃沼信夫: "人間ドックのコスト・ベネフィット,人間ドックの基礎知識" からだの科学増刊. 29-37 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫: "医療経済と介護保険" Gerontology. 10(2). 161-171 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫: "アメリカにおける病院機能評価の理論と実際" Medical QOL. 46. 16-17 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫,伊藤道哉: "在院日数短縮が医療の需給バランスに及ぼす影響" 日本公衆衛生雑誌. 45(10). 352 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫,伊藤道哉: "在院日数短縮が地域医療に及ぼす影響" 第18回医療情報学連合大会論文集. 584-585 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫: "在院期間による病床区分のインパクト" ばんぶう. 212. 54-59 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 濃沼信夫: "アメリカにおける病院機能評価の理論と実際" Medical QOL. 29. 16-17 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫: "クリニカル・インディケーターによる評価." Medical QOL. 30. 16-18 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫, 伊藤道哉: "脳死・臓器移植." プライマリ・ケア. 20(2). 189-194 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫: "ヘルスマンパワーの量と質." からだの科学臨時増刊「医療改革」. 14. 104-111 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫: "癌検診の現状と経済性." Medical Practice(臨時増刊号「実地医家のための癌臨床ガイド」). 47-56 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Nobuo Koinuma, Michiya Ito: "Economic analysis of cancer treatment taking QOL into consideratio" European Journal of Cancer 33 Suppl. 9. S29 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫, 岩崎 栄, 高柳和江: "「人間医療学」 日本の医療の現状." 南山堂, 65-89 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 濃沼信夫: "日本プライマリ・ケア学会「プライマリ・ケアを目ざす医師研修ガイドブック」" 医療関係法規., 145-152 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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