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The Study about Quality of Life of Patients with Rheumatic Diseases in Children.

Research Project

Project/Area Number 10672130
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionKAGOSHIMA UNIVERSITY

Principal Investigator

HOKONOHARA Masashi  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Professor, 医学部, 教授 (40041412)

Co-Investigator(Kenkyū-buntansha) FUKANO Yosikazu  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Professor, 医学部, 教授 (40189915)
IMANAKA Hiroyuki  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Assistant Professor, 医学部, 講師 (80223329)
TAKEI Shuji  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Assistant Professor, 医学部, 講師 (60175437)
OWATASHI Akihiko  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Research Associate, 医学部, 助手 (30295282)
SHIOKAWA Mutsuko  Faculty of Medicine, KAGOSHIMA UNIVERSITY, Professor, 医学部, 教授 (00206046)
丹羽 さよ子  鹿児島大学, 医学部, 講師 (00197550)
田畑 裕子  鹿児島大学, 医学部, 助手 (30274864)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 2000: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1999: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1998: ¥1,200,000 (Direct Cost: ¥1,200,000)
Keywordsinfant rheumatic diseases / QOL / juvenile rheumatiod arthritis (JRA) / systemic lupus erythematodes (SLE) / daily life / carry-over / social life / growth retardation / SLE / 日常生活動作 / 成長障害 / 骨塩量 / リハビリテーション / 小児リウマチ性疾患 / QOL / 日常生活実態調査
Research Abstract

Head investigator, Dr.Hokonohara is responsible for the care of more than 200 infant patients suffering from rheumatic diseases at the Pediatric Clinic in Kagoshima University Hospital.
Together with Dr.Takei and a team of other doctors, children are diagnosed and following the results of consultation with patients, a variety of examinations are performed. Previously diagnosed patients are also consulted through a questionnaire. Team investigators examine the daily-life capabilities of the patients, QOL, psychology, and rehabilitation methods. Comparative studies are also made of the level of clinical disabilities and muscle power, biological examinations and bone density.
Following research into growth retardation and bone metabolism in patients suffering from juvenile rheumatoid arthiritis, results, already presented, have so far shown that these have been affected by disease activity, steroid administration and growth factor. (Congress of Japan Rheumatism Association, Kyushu Rheumatis … More m Association)
Research into the number of 'carry-over' patients (over 15 years old) with rheumatic diseases, has revealed that 43.2% of patients were 16 years old or more. In the questionnaires about daily school and social life, these patients stated that they encountered a variety of hardships. The need for daily care became quite apparent.(Congress of Japan Pediatric Society)
Furthermore, in the research into the QOL of patients with rheumatic diseases, the SDI, SLEDAI and CHO questionnaires were used and the following conclusions were drawn. It is thought that as patients grow more and more conscious of their organ disability and the duration of the disease, this begins to affect their physical mobility and their studies.(Cogress of Japanese Society of Child Health, Congress of Japan Rheumatism Association)
From the above data, it can be seen that the longer the duration of infant rheumatic diseases, the greater the effect on the QOL, and hence it is clear that both mental and physical care is needed. Less

Report

(4 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (30 results)

All Other

All Publications (30 results)

  • [Publications] Takei S,Hokonohara M, et al: "Incidence and factors related to remission in children with juvenile rheumatoid arthritis (JRA)."Arthritis and Rheum.. 41・s. 49 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 今中啓之,鉾之原昌 他: "重篤なLupus Retinopathyを起こした抗リンパ脂質抗体陽性SLE男児例"リウマチ. 39・1. 22-26 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 今中啓之,鉾之原昌 他: "長期経過例からみた自己免疫疾患の問題点-若年性関節リウマチ-"小児内科. 31・11. 1577-1580 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武井修治,鉾之原昌: "若年性関節リウマチの成長障害"小児科. 40・9. 1117-1126 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 今中啓之,武井修治,鉾之原昌 他: "ステロイド治療中に重篤な水痘肝炎を起こした重症筋無力症の1例"小児感染免疫. 11・1. 35-38 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S,Groh D,Bernstein B et al: "Preliminary experience on the safety and efficacy of high dose etanercept in the treatment of juvenile rheumatoic arthriti (JRA)"J Rheumatol.. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 鉾之原昌: "今日の小児治療指針 第12版,リウマチ熱,リウマチ性心炎"医学書院. 183-184 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 武井修治: "免疫症候群(上),小児期発症全身性エリテマトーデス"日本臨床社. 462-466 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S, Hokonohara M, et al: "Incidence and factors related to remission in children with juvenile rheumatoid arthritis (JRA)."Arthitis and Rheum.. 41(s). 49 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Imanaka H, Hokonohara M et al: "A boy patient with systemic lupus erythematodes who occured severe lupus retinopathy with anti phospholipid antibody."The Ryumachi. 39(1). 22-26 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Imanaka H, Hokonohara M et al: "The problem points of patients with long termed autoimmune diseases. -Juvenile Rheumatoid Arthritis-."Jap.J.Pediatr.Med.. 31(11). 1577-80 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S.: "The counterplans for bacterial infections during treatments of pateins with collagen diseases."Jap.J.Pediatr.Med.. 31(1). 94-97 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S and Hokonohara M: "Growth retardation of patients with juvenile rheumatoid arthritis."Shounika. 40(9). 1117-26 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S: "Anti TNF-α therapy. -New treatment for juvenile rheumatoid arthritis."Infection and Immunity in childhood. 11(1). 42-43 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Imanaka H, Takei S, Hokonohara M, et al: "A case with myastenia gravis who occured severe hepatitis caused chicken pox during treatment of steroid."Infection and Immunity in childhood.. 11(1). 35-38 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S and Miyata K.: "Effects of gold therapy and MTX for juvenile rheumatoid arthritis."Ryumachika. 22(5). 460-67 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei S, Groh D, Bernstein B et al: "Preliminary experience on the safety and efficacy of high dose etanercept in the treatment of juvenile rheumatoid arthritis (JRA)."J Rheumatol.. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Takei.S,Hokonohara M et al: "Incidence and factors related to remission in children with juvenile rheumatoid arthritis (JRA)"Arthritis and Rheum.. 41・S. 49 (1998)

    • Related Report
      2000 Annual Research Report
  • [Publications] 今中啓之,鉾之原昌 他: "重篤なLupus Retinopathyを起した抗リンパ脂質抗体陽性SLE男児例"リウマチ. 39・1. 22-26 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 今中啓之,鉾之原昌: "長期経過例からみた自己免疫患の問題点-若年性関節リウマチ-"小児内科. 31・11. 1577-1580 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 鉾之原昌: "今日の小児治療指針第12版、リウマチ熱、リウマチ性心炎"医学書院. 183-184 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Takei S.Hokonohara M et al: "Incidence and factors related to remission in children with juvenile rheumatoid arthritis(JRA)"Arthritis and Rheum.. 41・S. 49 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] 今中啓之、鉾之原昌 他: "重篤なLupus Retinopathyを起した抗リンパ脂質抗体陽性SLE男児例"リウマチ. 39・1. 22-26 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 今中啓之、鉾之原昌: "長期経過例からみた自己免疫疾患の問題点-若年性関節リウマチ-"小児内科. 31・11. 1577-1580 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 武井修治他: "小児期発症リウマチ性疾患・全国小児科医への疫学調査結果から" リウマチ. 38・(3). 555-561 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 武井修治: "ケアに役立つ病態生理-若年性関節リウマチ" 小児看護. 21・9. 1226-1230 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] S.Takei,M.Hokonohara: "Incidence and factors related to remission in children with JRA" ArHiritis & Rheum. 41・9sup. 49 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 武井修治: "膠原病治療中の細菌感染症とその対策" 小児内科. 31・1. 94-97 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 今中啓之、武井修治、鉾之原昌他: "小児科病棟より感染症病棟より隔離した患者の検討" 小児保健かごしま. 11. 39-42 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 今中啓之、武井修治、鉾之原昌他: "ステロイド治療中に重篤な水痘肝炎を起した重症筋無力症の1例" 小児感染症学会雑誌. (発表予定). (1999)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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