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Reappraisal of the" Slow code"

Research Project

Project/Area Number 15K15168
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Medical sociology
Research InstitutionOkayama University

Principal Investigator

Saito Shinya  岡山大学, 保健学研究科, 教授 (10335599)

Co-Investigator(Kenkyū-buntansha) 下妻 晃二郎  立命館大学, 生命科学部, 教授 (00248254)
児玉 聡  京都大学, 文学研究科, 准教授 (80372366)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2015: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
KeywordsSlow code / スローコード / 心肺蘇生 / 医学的無益性 / 医療倫理 / slow code / medical futility / 医師のインテグリティ / 死の受容 / ベッドサイドラショニング / Good death concept
Outline of Final Research Achievements

Most bioethicists condemn the practice of "slow codes”, which refers half-hearted or submaximal attempt at resuscitation. Nevertheless, some complain that the slow code should be allowed for the satisfaction of the family. Therefore, we conducted the survey for current condition of the slow code and physicians’ concerning. There were only 3% answered that the slow code must not be performed, while almost all physicians allowed and accepted it. Moreover, 16% answered that it was a good practice to perform, when considering sentiment of the patient family. On the contrary to the ethical textbook, most of physicians accept the "Slow code".

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (30 results)

All 2018 2017 2016 2015

All Journal Article (11 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 9 results,  Open Access: 2 results) Presentation (17 results) (of which Int'l Joint Research: 3 results,  Invited: 6 results) Book (2 results)

  • [Journal Article] The sexual lives of breast cancer patients: Coping with changes associated with treatment.2018

    • Author(s)
      Yoshikawa, A , Saito S, Kondo K, Tsuyumu Y, Taira N,Shien T, Doihara H.
    • Journal Title

      Clinical Nursing Studies

      Volume: 6 Issue: 1 Pages: 61-75

    • DOI

      10.5430/cns.v6n1p61

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of Adverse Events on Health Utility and Health-Related Quality of Life in Patients Receiving First-Line Chemotherapy for Metastatic Breast Cancer: Results from the SELECT BC Study2018

    • Author(s)
      Hagiwara Y, Shiroiwa T, Shimozuma K, Kawahara T, Uemura Y, Watanabe T, Taira N, Fukuda T, Ohashi Y, Mukai H
    • Journal Title

      PharmacoEconomics

      Volume: 36 Issue: 2 Pages: 215-223

    • DOI

      10.1007/s40273-017-0580-7

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Feature Topic がん診療のコスト原論 Quality of Life-医療コストをどのように評価していけばよいのか?2017

    • Author(s)
      齋藤信也
    • Journal Title

      Cancer Board Square

      Volume: 3 Issue: 2 Pages: 240-246

    • DOI

      10.11477/mf.1430200190

    • ISSN
      2189-6410, 2189-6429
    • Year and Date
      2017-07-15
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Journal Article] Reliability And Validity Of Two Proxy Versions Of EQ-5D-5L in Japan.2017

    • Author(s)
      S Noto, A Igarashi, T Shiroiwa, T Fukuda, S Ikeda, K Moriwaki, S Saito, K Shimozuma, H Ishida, M Kobayash
    • Journal Title

      Value in Health

      Volume: 20 Pages: 682-683

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Present Status and Challenges Concerning Urinary Catheters Left in the Bladder in Elderly Care Facilities and Home Medical Care2017

    • Author(s)
      盛次浩二、齋藤信也
    • Journal Title

      Japanese Journal of Infection Prevention and Control

      Volume: 32 Issue: 1 Pages: 34-41

    • DOI

      10.4058/jsei.32.34

    • NAID

      130005437600

    • ISSN
      1882-532X, 1883-2407
    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 病院経営における事務職員の重要性について-国立病院における独法化以降事務職員数変化-2017

    • Author(s)
      高橋信夫,小林英樹,中村哲浩,丸尾芳光,岩永暁史、山本時生,藤崎沙彩,斎藤博文,沖田哲美,福永肇,齋藤信也
    • Journal Title

      医療

      Volume: 71 Pages: 119-125

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development of a Japanese version of the BREAST-Q and the traditional psychometric test of the mastectomy module for the assessment of HRQOL and patient satisfaction following breast surgery.2017

    • Author(s)
      Saiga M, Taira N, Kimata Y, Watanabe S, Mukai Y, Shimozuma K, Mizoo T, Nogami T, Iwamoto T, Motoki T, Shien T, Matsuoka J, Doihara H.
    • Journal Title

      Breast Cancer

      Volume: 24 Pages: 288-298

    • NAID

      120006401575

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 看護師の意思決定支援:文献にみる現状と課題④心不全患者の意思決定支援の特徴2016

    • Author(s)
      齋藤信也
    • Journal Title

      看護技術

      Volume: 62 Pages: 68-71

    • Related Report
      2016 Research-status Report
  • [Journal Article] Societal Preferences for Interventions with the Same Efficiency: Assessment and Application to Decision Making2016

    • Author(s)
      Shiroiwa T, Saito S, Shimozuma K, Kodama S, Noto S, Fukuda T.
    • Journal Title

      Appl Health Econ Health Policy

      Volume: 14 Pages: 375-385

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Comparison of Value Set Based on DCE and/or TTO Data: Scoring for EQ-5D-5L Health States in Japan.2016

    • Author(s)
      Shiroiwa T, Ikeda S, Noto S, Igarashi A, Fukuda T, Saito S, Shimozuma K
    • Journal Title

      Value Health

      Volume: 19 Pages: 648-654

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Long-term health status as measured by EQ-5D among patients with metastatic breast cancer: comparison of first-line oral S-1 and taxane therapies in the randomized phase III SELECT BC trial2016

    • Author(s)
      Shiroiwa T, Fukuda T, Shimozuma K, Mouri M, Hagiwara Y, Doihara H, Akabane H, Kashiwaba M, Watanabe T, Ohashi Y, Mukai H
    • Journal Title

      Qual life Res

      Volume: 26 Pages: 445-453

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 看護師の看護補助者への業務の委譲についての研究2017

    • Author(s)
      吉川あゆみ、齋藤信也
    • Organizer
      第30回日本看護研究学会中国・四国地方会
    • Place of Presentation
      岡山市 岡山コンベンションセンター
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
  • [Presentation] 看護師の看護補助者への業務の委譲についての研究2017

    • Author(s)
      吉川あゆみ、齋藤信也
    • Organizer
      第30回日本看護研究学会中国四国地方会
    • Related Report
      2017 Annual Research Report
  • [Presentation] どうなる?がん対策~今までとこれから~ がん医療と費用対効果評価2017

    • Author(s)
      齋藤信也
    • Organizer
      第22回日本緩和医療学会総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 試行的導入の折り返し地点:本格導入に向けたよりよい評価プロセスのありかたについて2017

    • Author(s)
      齋藤信也
    • Organizer
      第2回国際医薬経済学アウトカム研究学会日本部会総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 医療資源配分の倫理2017

    • Author(s)
      齋藤信也
    • Organizer
      第2回国際高等研究所シンポジウム
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 世界の安楽死の動向と日本への影響2017

    • Author(s)
      田中美穂・児玉聡
    • Organizer
      第29回日本生命倫理学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 試行的導入の折り返し地点:本格導入に向けたよりよい評価プロセスのありかたについて.「海外の再分析・評価プロセスについて」2017

    • Author(s)
      齋藤信也
    • Organizer
      国際医療経済・アウトカム研究学会ISPOR日本部会2016年度シンポジウム
    • Place of Presentation
      東京 星陵会館
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 医療経済評価に基づく資源配分の倫理的課題.2017

    • Author(s)
      齋藤信也
    • Organizer
      「領域横断型の生命倫理プラットフォーム形成に向けて」国際高等研究所2016年度第2回研究会
    • Place of Presentation
      京都市 国際高等研究所
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] EQ-5D-5Lを用いた維持透析患者のQOLの評価~費用対効果の検証~.2016

    • Author(s)
      宮崎 雅史、高津 成子、岡 良成、松田 浩明、尾山 貴徳、吉田 龍一、桂 佑貴、能登 真一、斎藤 信也
    • Organizer
      第61回日本透析医学会学術集会・総会
    • Place of Presentation
      大阪市 大阪国際会議場
    • Related Report
      2016 Research-status Report
  • [Presentation] 緩和医療と費用対効果2016

    • Author(s)
      齋藤信也
    • Organizer
      第21回日本緩和医療学会学術大会
    • Place of Presentation
      京都市 京都国際会議場
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] エンド・オブ・ライフケア実践における看護師の意思決定支援の現状と課題-慢性腎不全患者の意思決定に焦点を当てて-2016

    • Author(s)
      富樫理恵、長江弘子、岩城典子、酒井昌子、片山陽子、蒔田麻友子、齋藤信也
    • Organizer
      第18回日本在宅医学会第21回日本在宅ケア学会学術集会合同大会
    • Place of Presentation
      東京 東京ビッグサイト
    • Related Report
      2016 Research-status Report
  • [Presentation] 循環器疾患のエンドオブライフケアにおける看護師の意思決定支援-システマティックレビュー2016

    • Author(s)
      齋藤信也、長江弘子、岩城典子、高橋在也、片山陽子、酒井昌子
    • Organizer
      第18回日本在宅医学会第21回日本在宅ケア学会学術集会合同大会
    • Place of Presentation
      東京 東京ビッグサイト
    • Related Report
      2016 Research-status Report
  • [Presentation] Health utility measured with EQ5D5L in Japanese patients undergoing hemodialysis2016

    • Author(s)
      Shinya Saito, Shinichi Noto, Masashi Miyazaki, Sigeko Takatsu, Yoshinari Oka, Hiroaki Matsuda
    • Organizer
      7th ISPOR(International Society for Pharmacoeconomics and Outcome Research), Asia-Pacific Conference
    • Place of Presentation
      シンガポール シンガポール国際会議場
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 看護師の離職とそれに影響する因子 -特にコミットメント、エンゲイジメントに着目して2016

    • Author(s)
      齋藤信也、川上由紀
    • Organizer
      第54回日本医療・病院管理学会学術集会
    • Place of Presentation
      東京 東京医科歯科大学
    • Related Report
      2016 Research-status Report
  • [Presentation] The Results of the Veterans Health Administration’s Ethics Consultation Proficiency Assessment Tool Survey in Japan2016

    • Author(s)
      Yamaguchi M, Kawamura Y, Saito S, Shimozuma K, Shimizu ME
    • Organizer
      ASBH(American Society for Bioethcs and Humanities) 18th Annual Meeting
    • Place of Presentation
      ワシントンDC, USA Hyatt Regency Washington on Capitol Hill
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Economic evaluation guideline for pharmaceuticals and medical devices in Japan2016

    • Author(s)
      Fukuda T, Igarashi A, Ishida H, Ikeda S, Saito S, Sakamaki H, Shimozuma K, Shiroiwa T, Takura T, Tomita N, Noto S, Fukuda H, Moriwaki K, Moriyama Y, Akazawa M
    • Organizer
      International Society for Phamacoeconomics and Outcomes Research (ISPOR) 7th Asia-Pacific Conference
    • Place of Presentation
      シンガポール シンガポール国際会議場
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 医療ラショニングおよびベッドサイド・ラショニングに対する医師の基本的姿勢について2015

    • Author(s)
      齋藤信也、白岩健、能登真一、児玉聡、下妻晃二郎
    • Organizer
      第27回日本生命倫理学会年次大会
    • Place of Presentation
      千葉県千葉市
    • Year and Date
      2015-11-29
    • Related Report
      2015 Research-status Report
  • [Book] 終の選択--終末期医療を考える2017

    • Author(s)
      田中美穂・児玉聡
    • Total Pages
      316
    • Publisher
      勁草書房
    • ISBN
      9784326701018
    • Related Report
      2017 Annual Research Report
  • [Book] 「医学的無益性」の生命倫理2016

    • Author(s)
      齋藤信也
    • Total Pages
      220
    • Publisher
      山代印刷出版部
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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