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The effectiveness of the prevention bundle and the assessment of the quality of life in patients who receive radiotherapy for head and neck cancer

Research Project

Project/Area Number 18K10275
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58060:Clinical nursing-related
Research InstitutionNagasaki University

Principal Investigator

Kawashita Yumiko  長崎大学, 医歯薬学総合研究科(歯学系), 助教 (10304958)

Project Period (FY) 2018-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords頭頸部癌 / 放射線治療 / 口腔粘膜炎 / 口腔支持療法 / 口腔管理 / 支持療法 / 有害事象 / 頭頸部 / 予防バンドル / 頭頚部癌
Outline of Final Research Achievements

Radiotherapy is a common treatment for head and neck cancer, and it is effective in preserving the shape and function of the affected area. However, radiotherapy can also result in adverse events, such as oral mucositis, taste disorders, and dry mouth. Oral mucositis, in particular, is a common side effect of radiotherapy, and it is important to practice oral management to prevent severe mucositis. Despite the importance of oral management, it has not yet been fully established. Therefore, I conducted studies to investigate the factors associated with severe mucositis and to identify effective strategies for preventing it.

Academic Significance and Societal Importance of the Research Achievements

頭頸部への放射線治療によって口内炎をはじめとする癌治療の早期に生じる有害事象や放射線性口腔乾燥によって生じるむし歯の晩期の有害事象がある。そのため、本研究によって放射線治療前から口腔管理を行う方法が確立できれば、放射線治療の完遂と放射線治療後の晩期の有害事象を抑制することに貢献できると考えられる。さらに高齢者人口の増加に伴い、頭頸部癌で放射線治療を受ける患者が増えることから口腔管理の方法が確立することの社会的意義は大きいと考えられる。

Report

(7 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (20 results)

All 2023 2022 2021 2020 2019 2018

All Journal Article (8 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 8 results,  Open Access: 5 results) Presentation (10 results) (of which Int'l Joint Research: 3 results) Book (2 results)

  • [Journal Article] Predictive Risk Factors Associated with Severe Radiation-Induced Mucositis in Nasopharyngeal or Oropharyngeal Cancer Patients: A Retrospective Study2022

    • Author(s)
      Kawashita Yumiko、Soutome Sakiko、Umeda Masahiro、Saito Toshiyuki
    • Journal Title

      Biomedicines

      Volume: 10 Issue: 10 Pages: 2661-2661

    • DOI

      10.3390/biomedicines10102661

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 頭頸部癌における重度の放射線性口腔粘膜炎に対する口腔ケアの効果 二次出版2022

    • Author(s)
      川下由美子、森本心平、田代健輔、五月女さき子、吉松昌子、中尾紀子、黒木唯文、齋藤俊行、鵜飼 孝、梅田正博
    • Journal Title

      日本口腔ケア学会雑誌

      Volume: 16 Pages: 30-30

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association of neutrophil-to-lymphocyte ratio with severe radiation-induced mucositis in pharyngeal or laryngeal cancer patients: a retrospective study2021

    • Author(s)
      Kawashita Yumiko、Kitamura Masayasu、Soutome Sakiko、Ukai Takashi、Umeda Masahiro、Saito Thoshiyuki
    • Journal Title

      BMC Cancer

      Volume: 21 Issue: 1

    • DOI

      10.1186/s12885-021-08793-6

    • NAID

      120007175566

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between dental extraction after radiotherapy and osteoradionecrosis: A multi‐centre retrospective study2021

    • Author(s)
      Saito Izumi、Hasegawa Takumi、Kawashita Yumiko、Kato Shinichiro、Yamada Shin‐ichi、Kojima Yuka、Ueda Nobuhiro、Umeda Masahiro、Shibuya Yasuyuki、Kurita Hiroshi、Kirita Tadaaki、Akashi Masaya
    • Journal Title

      Oral Diseases

      Volume: - Issue: 4 Pages: 1-7

    • DOI

      10.1111/odi.13826

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risk factors associated with the development of aspiration pneumonia in patients receiving radiotherapy for head and neck cancer: retrospective study2020

    • Author(s)
      Kawashita Yumiko、Morimoto Shimpei、Tashiro Kensuke、Soutome Sakiko、Yoshimatsu Masako、Nakao Noriko、Kurogi Tadafumi、Saito Thoshiyuki、Ukai Takashi、Umeda Masahiro
    • Journal Title

      Head & Neck

      Volume: 42 Issue: 9 Pages: 2571-2580

    • DOI

      10.1002/hed.26314

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Oral management strategies for radiotherapy of head and neck cancer2020

    • Author(s)
      Kawashita Yumiko、Soutome Sakiko、Umeda Masahiro、Saito Toshiyuki
    • Journal Title

      Japanese Dental Science Review

      Volume: 56 Issue: 1 Pages: 62-67

    • DOI

      10.1016/j.jdsr.2020.02.001

    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of a comprehensive oral management protocol for the prevention of severe oral mucositis in patients receiving radiotherapy with or without chemotherapy for oral cancer: a multicentre, phase II, randomized controlled trial.2019

    • Author(s)
      Yumiko Kawashita, Yoshito Koyama, Hiroshi Kurita, Mitsunobu Otsuru, Yoshihide Ota, Masaya Okura, Akihisa Horie, Hideki Sekiya, Masahiro Umeda
    • Journal Title

      Int J Oral Maxillofac Surg

      Volume: Jan 2 Issue: 7 Pages: 1-8

    • DOI

      10.1016/j.ijom.2018.10.010

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A retrospective study of factors associated with the development of oral candidiasis in patients receiving radiotherapy for head and neck cancer: Is topical steroid therapy a risk factor for oral candidiasis?2018

    • Author(s)
      Yumiko Kawashita, Madoka Funahara, Masako Yoshimatsu, Noriko Nakao, Toshiyuki Saito, Masahiro Umeda
    • Journal Title

      Medicine

      Volume: 44 Issue: 44 Pages: 1-8

    • DOI

      10.1097/md.0000000000013073

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 半夏瀉心湯によるGrade 2の放射線性咽頭粘膜炎発症遅延への効果2023

    • Author(s)
      川下由美子、吉松昌子、村田真穂、大森 彩、山崎拓也、西 秀昭、 黒木唯文、五月女さき子、鵜飼 孝、梅田正博
    • Organizer
      日本がん口腔支持療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Risk factors associated with severe radiation-related mucositis in patients with nasopharyngeal or oropharyngeal cancer: a retrospective study2022

    • Author(s)
      Yumiko Kawashita, Sakiko Soutome, Masahiro Umeda, Toshiyuki Saito
    • Organizer
      MASCC/ISOO 2022 Annual Meeting
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 下咽頭癌または喉頭癌における重度の放射線性粘膜炎とNLRとの関連について:後ろ向き観察研究2022

    • Author(s)
      川下由美子, 五月女さき子, 梅田正博, 齋藤俊行
    • Organizer
      日本頭頸部癌学会学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] 咽頭癌患者におけるリンパ球数と重度の放射線性粘膜炎との関連2022

    • Author(s)
      Yumiko Kawashita;Sakiko Soutome;Takashi Ukai;Masahiro Umeda;Toshiyuki Saito
    • Organizer
      International Society of Oral Care
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] 頭頸部癌で放射線治療を受ける患者における重度の咽頭粘膜炎発症との関連因子2021

    • Author(s)
      川下由美子, 五月女さき子, 梅田正博, 齋藤俊行
    • Organizer
      第24回日本歯科医学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] A retrospective study of neutrophil-to-lymphocyte ratio associated with severe radiotherapy-induced mucositis in patients with pharyngeal or laryngeal cancer2021

    • Author(s)
      川下由美子
    • Organizer
      日本口腔ケア学会
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] 下咽頭・喉頭癌で放射線治療を受ける患者の半夏瀉心湯による粘膜炎の管理2020

    • Author(s)
      川下由美子, 五月女さき子, 黒木唯文, 吉松昌子, 中尾紀子, 梅田正博, 鵜飼孝
    • Organizer
      日本口腔ケア学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 頭頸部の放射線治療における誤嚥性肺炎発症と関連因子2019

    • Author(s)
      川下由美子、五月女さき子、吉松昌子、中尾紀子、牧野亜紀子、貫間知美、松枝里衣、末永しずえ、江田カレン、冨永真衣子、斎藤敏行、梅田正博
    • Organizer
      日本口腔ケア学会
    • Related Report
      2019 Research-status Report
  • [Presentation] :頭頸部の放射線治療における誤嚥性肺炎発症と関連因子2019

    • Author(s)
      川下 由美子
    • Organizer
      口腔ケア学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 癌で頭頸部への放射線治療における口腔カンジダ症発症と関連因子の検討2018

    • Author(s)
      川下 由美子
    • Organizer
      口腔衛生学会
    • Related Report
      2018 Research-status Report
  • [Book] 文献ベースで歯科臨床の疑問に答える チェアサイド 予防歯科偏 PART 12018

    • Author(s)
      於保孝彦 荒川浩久 安細敏弘 伊藤博夫 岩崎正則 大澤多恵子 小島美樹 小幡純子 角田聡子 川下由美子 川戸孝志行 北村雅保 久保庭雅恵 斎藤俊行 田中秀樹 玉木直文 中井久美子 中野由 長田恵美 永田英樹
    • Total Pages
      119
    • Publisher
      クインテッセンス出版
    • ISBN
      9784781206585
    • Related Report
      2018 Research-status Report
  • [Book] Clinical Questionでわかる エビデンスに基づいた周術期口腔機能管理2018

    • Author(s)
      梅田正博 五月女さき子 池上由美子 川下由美子 北川一智 栗田浩 兒島由佳 坂本由紀 渋谷恭之 中尾紀子 西井美佳 長谷川巧実 林田咲 船原まどか 向山仁 森和代 山田慎一 柳本惣市 吉松昌子
    • Total Pages
      166
    • Publisher
      医歯薬出版
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2025-01-30  

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