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Smooth Transition to and Implementation of Palliative Care : Issues in Clinical Practice Guidelines and QOL Assessment

Research Project

Project/Area Number 21390161
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionKyoto University

Principal Investigator

MIYAZAKI Kikuko  京都大学, 医学研究科, 研究員 (70464229)

Co-Investigator(Kenkyū-buntansha) NAKAYAMA Takeo  京都大学, 医学研究科, 教授 (70217933)
SUZUKAMO Yoshimi  東北大学, 医学研究科, 講師 (60362472)
SHIMOZUMA Kojiro  立命館大学, 生命科学部, 教授 (00248254)
YAMAZAKI Hiroshi  信州大学, 医学部, 准教授 (30378773)
OHSUMI Shozo  四国がんセンター, 乳腺科, 医長 (20416473)
TSUKIYAMA Yoshi  和歌山県立医科大学, 医学部附属病院, 准教授 (90264895)
SUKEGAWA Akiko  横浜市立大学, 医学部附属病院, 助教 (30347322)
SAITO Mari  横浜市立大学, 市民総合医療センター, 准教授 (80295485)
Co-Investigator(Renkei-kenkyūsha) HIRAHARA Fumiki  横浜市立大学, 医学研究科, 教授 (30201734)
URUSHIHARA Hisashi  京都大学, 医学研究科, 助教 (10511917)
Research Collaborator AIDA Hideko  順天堂大学, 保健看護学部, 教授 (40258976)
OKUYAMA Akiko  東京大学, 医学研究科, 大学院生
TAKAGAKI Nobumasa  日本バブテスト病院, 総合内科, 医長
SHIKATA Satoru  蘇生会総合病院, 外科, 医長
SATO Teruyuki  京都市立病院, 総合外科, 副部長
TOYAMA Mayumi  京都大学, 医学研究科, 大学院生
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥19,370,000 (Direct Cost: ¥14,900,000、Indirect Cost: ¥4,470,000)
Fiscal Year 2011: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2010: ¥7,670,000 (Direct Cost: ¥5,900,000、Indirect Cost: ¥1,770,000)
Fiscal Year 2009: ¥7,020,000 (Direct Cost: ¥5,400,000、Indirect Cost: ¥1,620,000)
Keywords緩和ケア / 診療ガイドライン / QOL評価 / MID / 意思決定 / エビデンス / 情報共有 / 患者の視点 / EORTC QLQ-C15-PAL / 緩和ケアのエビデンス / コミュニケーション / がん
Research Abstract

Interviews with drafters of clinical practice guidelines for cancer and clinicians involved in palliative care, as well as content analysis of clinical practice guidelines from other countries, revealed the following issues regarding the transition to and implementation of palliative care : obtaining evidence for palliative care, bridging the information gap, the volume of palliative care descriptions and author characteristics, and a clear display of consensus when drafting treatment guidelines. Based on a nationwide survey, awareness of QOL stood at roughly 20%. We verified the Japanese-language edition of the EORTC QLQ-C15-PAL(a QOL assessment questionnaire for palliative care patients), and used it in a multicenter prospective study and demonstrated the minimally important difference(MID) of QOL scores for palliative care in the clinical setting.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (28 results)

All 2012 2011 2010 2009 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (20 results) Book (2 results) Remarks (4 results)

  • [Journal Article] Verification of the psychometric properties of the Japanese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 palliative(EORTC QLQ-C15-PAL)2012

    • Author(s)
      Miyazaki K, Suzukamo Y, Shimozuma K, Nakayama T
    • Journal Title

      Quality of Life Research

      Volume: 21 Issue: 2 Pages: 335-340

    • DOI

      10.1007/s11136-011-9939-y

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Characteristics of qualitative studies in influential journals of general medicine : a critical review2009

    • Author(s)
      Yamazaki H, Slingsby BT, Takahashi M, Hayashi Y, Sugimori H, Nakayama T
    • Journal Title

      Biosci Trends

      Volume: 3(6) Pages: 202-9

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Presentation] Descriptions of palliative medicine/care in clinical oncology practice guidelines in Japan : a literature content analysis2011

    • Author(s)
      Miyazaki K. Nakayama T
    • Organizer
      The 8th Guidelines International Network(G-I-N) Conference
    • Place of Presentation
      Seoul. Korea
    • Year and Date
      2011-08-30
    • Related Report
      2011 Final Research Report
  • [Presentation] Descriptions of palliative medicine/care in clinical oncology practice guidelines in Japan : a literature content analysis2011

    • Author(s)
      Miyazaki K, Okumura A, Nakaoka S, Mori H, Nakayama T
    • Organizer
      8th Guidelines International Network (G-I-N) Conference
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2011-08-30
    • Related Report
      2011 Annual Research Report
  • [Presentation] QOL/PROデータにおけるMinimally important difference (MID)とは?2011

    • Author(s)
      宮崎貴久子
    • Organizer
      国際医薬経済・アウトカム研究学会(ISPOR)日本部会第7回学術総会
    • Place of Presentation
      国際医療福祉大学(東京)
    • Year and Date
      2011-07-23
    • Related Report
      2011 Annual Research Report
  • [Presentation] 小学校・中学校教科書における「死」と「病」の記載状況調査2011

    • Author(s)
      宮崎貴久子
    • Organizer
      東京大学臨床死生学・倫理学研究会
    • Place of Presentation
      東京大学(東京)
    • Year and Date
      2011-06-09
    • Related Report
      2011 Annual Research Report
  • [Presentation] オピオイド導入によるQOL改善についての検討2010

    • Author(s)
      葛西路、助川明子、宮城悦子、平原史樹、宮崎貴久子
    • Organizer
      第34回日本死の臨床研究会
    • Place of Presentation
      盛岡
    • Year and Date
      2010-11-07
    • Related Report
      2011 Final Research Report
  • [Presentation] オピオイド導入によるQOL改善についての検討2010

    • Author(s)
      葛西路、助川明子、宮崎貴久子
    • Organizer
      第34回日本死の臨床研究会
    • Place of Presentation
      盛岡市民文化ホール(盛岡市)
    • Year and Date
      2010-11-07
    • Related Report
      2010 Annual Research Report
  • [Presentation] Nationwide survey of awareness and understanding of quality of life in Japan : A comparison of surveys in 2004 and 20102010

    • Author(s)
      Miyazaki K, Suzukamo Y, Shimozuma K, Saito M, Nakayama T
    • Organizer
      The 17th Annual Conference of the International Society for Quality of Life Research
    • Place of Presentation
      London
    • Year and Date
      2010-10-30
    • Related Report
      2011 Final Research Report
  • [Presentation] Nationwide survey of awareness and understanding of quality of life in Japan : A comparison of surveys in 2004 and 20102010

    • Author(s)
      Miyazaki K
    • Organizer
      The 17th Annual Conference of the International Society for Quality of Life Research
    • Place of Presentation
      Hilton Metropole London, England
    • Year and Date
      2010-10-30
    • Related Report
      2010 Annual Research Report
  • [Presentation] 海外の消化器診療ガイドラインにおける緩和医療2010

    • Author(s)
      四方哲、里輝幸、宮崎貴久子、奥村晃子、高垣伸匡、中山健夫
    • Organizer
      第65回日本消化器外科学会
    • Place of Presentation
      下関
    • Year and Date
      2010-07-16
    • Related Report
      2011 Final Research Report
  • [Presentation] 日本の消化器診療ガイドラインにおける緩和医療2010

    • Author(s)
      里輝幸、四方哲、宮崎貴久子、奥村晃子、高垣伸匡、中山健夫
    • Organizer
      第65回日本消化器外科学会
    • Place of Presentation
      下関
    • Year and Date
      2010-07-16
    • Related Report
      2011 Final Research Report
  • [Presentation] 海外の消化器診療ガイドラインにおける緩和医療2010

    • Author(s)
      四方哲、里輝幸、宮崎貴久子、奥村晃子、中山健夫
    • Organizer
      第65回日本消化器外科学会
    • Place of Presentation
      海峡メッセ下関(下関市)
    • Year and Date
      2010-07-16
    • Related Report
      2010 Annual Research Report
  • [Presentation] 日本の消化器診療ガイドラインにおける緩和医療2010

    • Author(s)
      里輝幸、四方哲、宮崎貴久子、奥村晃子、中山健夫
    • Organizer
      第65回日本消化器外科学会
    • Place of Presentation
      海峡メッセ下関(下関市)
    • Year and Date
      2010-07-16
    • Related Report
      2010 Annual Research Report
  • [Presentation] Understanding health service assessments : literature review of minimally important differences in quality of life scores Association Western Pacific Region2010

    • Author(s)
      Miyazaki K, Urushihara H, Suzukamo Y, Shimozuma K, Nakayama T
    • Place of Presentation
      Saitama
    • Year and Date
      2010-01-09
    • Related Report
      2011 Final Research Report
  • [Presentation] Understanding health service assessments : literature review of minimally important differences in quality of life scores2010

    • Author(s)
      宮崎貴久子
    • Organizer
      International Epidemiological Association Western Pacific Region and Japan Epidemiology Association
    • Place of Presentation
      Saitama Prefectural University, Saitama
    • Year and Date
      2010-01-09
    • Related Report
      2009 Annual Research Report
  • [Presentation] いのちの教育へ向けて : 小学校・中学校教科書に記載されている死因に関する記述調査2009

    • Author(s)
      宮崎貴久子
    • Organizer
      日本臨床死生学会
    • Place of Presentation
      東京大学 (東京都)
    • Year and Date
      2009-12-05
    • Related Report
      2009 Annual Research Report
  • [Presentation] Literature review of minimally important differences in quality of life score2009

    • Author(s)
      Miyazaki K, Nakayama T, Suzukamo Y, Shimoduma K
    • Organizer
      The 16th Annual Conference of the International Society for Quality of Life Research
    • Place of Presentation
      New Orleans
    • Year and Date
      2009-10-29
    • Related Report
      2011 Final Research Report
  • [Presentation] Literature review of minimally important differences in quality of life score2009

    • Author(s)
      宮崎貴久子
    • Organizer
      International Society for Quality of Life Research
    • Place of Presentation
      Sheraton New Orleans, New Orleans. USA
    • Year and Date
      2009-10-29
    • Related Report
      2009 Annual Research Report
  • [Presentation] 緩和ケアにおけるQOL調査 : EORTC QLQ-C15-PALをめぐって2009

    • Author(s)
      宮崎貴久子
    • Organizer
      日本行動計量学会
    • Place of Presentation
      大分大学医学部 (大分県)
    • Year and Date
      2009-08-08
    • Related Report
      2009 Annual Research Report
  • [Presentation] 緩和ケア用のQOL評価票EORTC QLQ-C15-PAL日本語版の検証2009

    • Author(s)
      宮崎貴久子, 鈴鴨よしみ, 下妻晃二郎, 中山健夫
    • Organizer
      第14回日本緩和医療学会
    • Place of Presentation
      大阪
    • Year and Date
      2009-06-20
    • Related Report
      2011 Final Research Report
  • [Presentation] 緩和ケア用のQOL評価票EORTC QLQ-C15-PAL日本語版の検証2009

    • Author(s)
      宮崎貴久子
    • Organizer
      日本緩和医療学会
    • Place of Presentation
      大阪国際会議場 (大阪府)
    • Year and Date
      2009-06-20
    • Related Report
      2009 Annual Research Report
  • [Book] QOL(生活の質)統計応用事典2011

    • Author(s)
      宮崎貴久子、松原望、美添泰人
    • Publisher
      丸善出版
    • Related Report
      2011 Final Research Report
  • [Book] QOL(生活の質)統計応用の百科事典2011

    • Author(s)
      宮崎貴久子
    • Total Pages
      2
    • Publisher
      丸善出版
    • Related Report
      2011 Annual Research Report
  • [Remarks]

    • URL

      http://www.healthim.umin.jp/resarch/jisseki_PP.html

    • Related Report
      2011 Final Research Report
  • [Remarks]

    • URL

      http://www.healthim.umin.jp/resarch/jisseki_pp.html

    • Related Report
      2011 Annual Research Report
  • [Remarks] QOL認知に関する社会調査結果

    • URL

      http://www.healthim.umin.jp/resarch/jisseki_PP.html

    • Related Report
      2010 Annual Research Report
  • [Remarks]

    • URL

      http://square.umin.ac.jp/healthim/

    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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