Collaborative care approach to improve quality of life among patients with hematological cancer

• Project/Area Number: 24616008
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: ケア学
• Research Institution: Nagoya City University
• Principal Investigator: Okuyama Toru 名古屋市立大学, 医学(系)研究科(研究院), 講師 (80349349)
• Project Period (FY): 2012-04-01 – 2016-03-31
• Project Status: Completed (Fiscal Year 2015)
• Budget Amount: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000); Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
• Keywords: 緩和ケア / 支持療法 / がん / 抑うつ / 生活の質 / 支持的ケア / Quality of life / 多職種協働ケア / 精神腫瘍学

Outline of Final Research Achievements

In addition to cure of disease or survival, quality of life is an important outcome of cancer medicine. The purpose of this study is to explore factors associated with quality of life in patients with hematological cancer. The subjects were patients newly diagnosed as having malignant lymphoma or multiple myeloma, just before the start of chemotherapy. Their quality of life, physical and psychological symptoms, and other factors were assessed repeatedly (at diagnosis, 1 month later, and 12 month later). As a results, we clarified that both depression and physical symptoms were influenced on the patients quality of life. The collaborative care approach to improve quality of life among patients with hematological cancer has been proposed based on this results.

Research Products

• [Journal Article] Screening Performance for Frailty Among Older Patients With Cancer: A Cross-Sectional Observational Study of Two Approaches. (2015)
  • Author(s): Okuyama, T., K. Sugano, S. Iida, T. Ishida, S. Kusumoto, and T. Akechi
  • Journal Title: J Natl Compr Canc Netw Volume: 13(12) Pages: 1525-31
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Medical Decision-Making Incapacity among Newly Diagnosed Older Patients with Hematological Malignancy Receiving First Line Chemotherapy: A Cross-Sectional Study of Patients and Physicians. (2015)
  • Author(s): Sugano, K., T. Okuyama, S. Iida, H. Komatsu, T. Ishida, S. Kusumoto, M. Uchida, T. Nakaguchi, Y. Kubota, Y. Ito, K. Takahashi, and T. Akechi
  • Journal Title: PLoS One Volume: 10(8) Issue: 8 Pages: 398-404
  • DOI: 10.1371/journal.pone.0136163
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Presentation] Prevalence, associated factors and physicians' recognition of medical decision-making incapacity among newly diagnosed older cancer patients (2014)
  • Author(s): Sugano K, Okuyama T, Iida S, Ishida T, Kusumoto S, Uchida M, Nakaguchi T, Kubota Y, Ito Y, Takahashi K, Akechi T.
  • Organizer: Annual meeting of International Psycho-oncology Society
  • Place of Presentation: Lisbon, Portugal
  • Year and Date: 2014-10-20 – 2014-10-24