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Determining the appropriate pharmacotherapy for pain in patients with amyotrophic lateral sclerosis: A multicenter prospective observational study

Research Project

Project/Area Number 17K15501
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical pharmacy
Research InstitutionKanazawa University

Principal Investigator

Ishida Natsuko  金沢大学, 薬学系, 助教 (70794220)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords筋萎縮性側索硬化症 / 疼痛緩和 / 緩和ケア / QOL / 薬物療法 / 緩和医療 / 非がん性疼痛 / 多施設共同研究
Outline of Final Research Achievements

This study aimed to establish the pharmacotherapy for treating pain in patients with amyotrophic lateral sclerosis (ALS), tailored according to the cause of pain and extent of illness. In this multicenter cross-sectional study, youth, bedridden state, and limb onset were significantly related to pain in ALS. During the observational period in the multicenter prospective study, the group that did not experience pain reported a decline in physical function, whereas no change was observed in the physical function of the group that experienced pain. These results suggest that ALS patients with unchanged body function were particularly prone to pain. Moreover, analgesic adjuvants and opioids should be used aggressively because many patients using only non-steroidal anti-inflammatory drugs complained of pain.

Academic Significance and Societal Importance of the Research Achievements

本研究によりALS患者の疼痛は疾患の進行に伴うものではなく,むしろ身体機能の維持された状況で発現しやすいことが示唆された。このことから,ALS患者においては発症早期から定期的に疼痛評価を行うことが必要であると考える。さらに,疼痛を緩和するためにはNSAIDsだけではなくオピオイドや鎮痛補助薬などを使用することが必要であると示唆された。本研究で得られた知見がALS患者の疼痛の緩和,さらにはQOLの向上に資することが期待される。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (2 results)

All 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (1 results)

  • [Journal Article] Relationship between Pain and Functional Status in Patients with Amyotrophic Lateral Sclerosis: A Multicenter Cross-Sectional Study2018

    • Author(s)
      Ishida Natsuko、Hongo Shuya、Kumano Ayaka、Hatta Hiroyuki、Zakoji Nobuyuki、Hirutani Makiko、Yamamoto Yoshiaki、Aono Hirohumi、Tuigi Moe、Suzuki Ryohei、Hanamitsu Hiroshi、Wakasugi Eisaku、Takahashi Masaaki、Yamatani Akimasa
    • Journal Title

      Journal of Palliative Medicine

      Volume: 21 Issue: 5 Pages: 588-591

    • DOI

      10.1089/jpm.2017.0503

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 筋萎縮性側索硬化症患者の疼痛治療薬の使用実態調査(第2報)2019

    • Author(s)
      北川莉穂,石田奈津子,八田 裕之,座光寺 伸幸,蛭谷 牧子,山本 吉章,鈴木亮平,花満裕,菅幸生,石崎純子,松下良
    • Organizer
      第29回日本医療薬学会年会
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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