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Study of the withdrawal of life-sustaining treatment and related problems in emergency medicine in Japan

Research Project

Project/Area Number 20601002
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 医療における生命倫理
Research InstitutionThe University of Tokyo

Principal Investigator

KAI Ichiro  The University of Tokyo, 大学院・医学系研究科, 教授 (30126023)

Co-Investigator(Kenkyū-buntansha) KOIZUMI Takeo  杏林大学, 医学部, 助教 (50419719)
Co-Investigator(Renkei-kenkyūsha) AITA Kaoruko  東京大学, 大学院・人文社会系研究科, 特任研究員 (40507810)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2008: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords延命治療 / 救急医療 / 脳死 / 人工呼吸器 / 末期医療 / 医療倫理 / 高齢者医療 / 死生学
Research Abstract

The question of whether to withdraw mechanical ventilation and other treatment from dying patients remains nearly unexplored in Japan. In 2008-2009, an anonymous, cross-sectional questionnaire survey was conducted with 2,802 physicians, who were members of the Japanese Association for Acute Medicine. Of them, 928 completed the self-report survey (response rate : 33%). Data showed that mechanical ventilation was rarely withdrawn from brain-dead patients, while other treatment including medication was withdrawn frequently so that a "soft-landing" was created. Mixed reaction was observed to "the double standard of brain death" in Japan, in which brain-dead people are considered dead only when they are organ donor candidates. More respondents appreciated the double standard because it allows discretion regarding when to stop providing medical care to brain-dead people.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (25 results)

All 2011 2010 2009 2008

All Journal Article (16 results) (of which Peer Reviewed: 11 results) Presentation (5 results) Book (4 results)

  • [Journal Article] New organ transplant policies in Japan, including the family-oriented priority donation clause.2011

    • Author(s)
      会田薫子
    • Journal Title

      Transplantation. 91

      Pages: 489-491

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] New organ transplant policies in Japan, including the family-oriented priority donation clause.2011

    • Author(s)
      Aita, K.
    • Journal Title

      Transplantation

      Volume: 91 Pages: 489-491

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Physicians' psychosocial barriers to different modes of withdrawal of life support in critical care : A qualitative study in Japan.2010

    • Author(s)
      会田薫子, 甲斐一郎
    • Journal Title

      Social Science & Medicine. 70

      Pages: 616-622

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Brain death is a scientific concept-author's reply.2010

    • Author(s)
      会田薫子
    • Journal Title

      Lancet 375

      Pages: 554-554

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 胃ろう栄養法の適応と終末期の栄養摂取の考え方2010

    • Author(s)
      会田薫子
    • Journal Title

      診療研究

      Volume: 462 Pages: 38-45

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 胃瘻の現状と課題:医療倫理の立場から-認知症の終末期と胃瘻栄養法2010

    • Author(s)
      会田薫子
    • Journal Title

      Progress in Medicine

      Volume: 30 Pages: 2555-2560

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Physicians' psychosocial barriers to different modes of withdrawal of life support in critical care : A qualitative study in Japan.2010

    • Author(s)
      Aita, K., Kai, I
    • Journal Title

      Social Science & Medicine 70

      Pages: 616-622

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Japan approves brain death to increase donors : will it work?2009

    • Author(s)
      会田薫子
    • Journal Title

      Lancet. 374

      Pages: 1403-1404

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 末期患者における人工呼吸器の中止:救急医に対する質的研究2009

    • Author(s)
      会田薫子、甲斐一郎
    • Journal Title

      日本救急医学会雑誌 20

      Pages: 16-30

    • NAID

      10027836075

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 改正臓器移植法の意味と課題2009

    • Author(s)
      会田薫子
    • Journal Title

      看護管理 19

      Pages: 869-873

    • NAID

      40016805608

    • Related Report
      2010 Final Research Report
  • [Journal Article] Japan approves brain death to increase donors : will it work?2009

    • Author(s)
      Aita, K.
    • Journal Title

      The Lancet 374

      Pages: 1403-1404

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 末期患者における人工呼吸器の中止:救急医に対する質的研究2009

    • Author(s)
      会田薫子
    • Journal Title

      日本救急医学会雑誌 20

      Pages: 16-30

    • NAID

      10027836075

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 脳死患者における人工呼吸器の中止:救急医に対する質的研究2008

    • Author(s)
      会田薫子
    • Journal Title

      生命倫理 18

      Pages: 11-21

    • NAID

      110007658170

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 延命治療の差し控えと中止-患者の利益と医師の心理的負担の視点から2008

    • Author(s)
      会田薫子
    • Journal Title

      医学のあゆみ 226

      Pages: 809-814

    • Related Report
      2010 Final Research Report
  • [Journal Article] 実生活の中の老年学に向けて老年社会科学会の立場から2008

    • Author(s)
      甲斐一郎
    • Journal Title

      日本老年医学会雑誌 45

      Pages: 28-29

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 脳死患者における人工呼吸器の中止;救急医に対する質的研究.2008

    • Author(s)
      会田薫子
    • Journal Title

      生命倫理(日本生命倫理学会雑誌) 18

      Pages: 11-21

    • NAID

      110007658170

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] 脳死患者の看取りと救急医療:脳死概念の変遷のなかで2010

    • Author(s)
      会田薫子
    • Organizer
      第38回日本救急医学会学術集会
    • Place of Presentation
      東京ビッグサイト(東京都)
    • Year and Date
      2010-10-09
    • Related Report
      2010 Final Research Report
  • [Presentation] 認知症末期患者における人工的な栄養・水分補給法:実証研究に基づく代替法の提案2010

    • Author(s)
      会田薫子、甲斐一郎
    • Organizer
      日本老年医学会第52回学術集会
    • Place of Presentation
      神戸国際会議場(兵庫県神戸市)
    • Year and Date
      2010-06-25
    • Related Report
      2010 Annual Research Report
  • [Presentation] 重篤な脳障害を有する患者における人工呼吸器の中止:救急医対象の全国調査から2009

    • Author(s)
      会田薫子
    • Organizer
      日本生命倫理学会第21回年次大会
    • Place of Presentation
      東洋英和女学院大学(神奈川県)
    • Year and Date
      2009-11-15
    • Related Report
      2010 Final Research Report 2009 Annual Research Report
  • [Presentation] 臨床的に脳死と診断された患者における人工呼吸器の中止の状況と関連要因2009

    • Author(s)
      会田薫子、矢作直樹
    • Organizer
      第37回日本救急医学会学術集会
    • Place of Presentation
      ホテルメトロポリタン盛岡(岩手県)
    • Year and Date
      2009-10-29
    • Related Report
      2010 Final Research Report 2009 Annual Research Report
  • [Presentation] 終末期医療ガイドラインを受けて:救命センターにおけるpalliativecareの重要性.2008

    • Author(s)
      小泉健雄
    • Organizer
      日本救急医学会
    • Place of Presentation
      北海道、ロイトン札幌
    • Year and Date
      2008-10-13
    • Related Report
      2008 Annual Research Report
  • [Book] 病院倫理委員会と倫理コンサルテーション2009

    • Author(s)
      会田薫子
    • Total Pages
      352
    • Publisher
      勁草書房
    • Related Report
      2010 Final Research Report
  • [Book] 死生学シリーズ5 医と法をめぐる生死の境界2008

    • Author(s)
      会田薫子
    • Total Pages
      263
    • Publisher
      東京大学出版会
    • Related Report
      2010 Final Research Report
  • [Book] 日米の医療-制度と倫理2008

    • Author(s)
      会田薫子
    • Total Pages
      263
    • Publisher
      大阪大学出版会
    • Related Report
      2010 Final Research Report
  • [Book] 死生学シリーズ5医と法をめぐる生死の境界2008

    • Author(s)
      会田薫子
    • Publisher
      東京大学出版会
    • Related Report
      2008 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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