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Comprehensive Geriatric Assessment of Pre-surgical Patients

Research Project

Project/Area Number 24791252
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Psychiatric science
Research InstitutionNational Center of Neurology and Psychiatry

Principal Investigator

FUJISAWA Daisuke  独立行政法人国立がん研究センター, 東病院, 医長 (30327639)

Project Period (FY) 2012-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords老年精神医学 / 精神医学 / 老年医学 / がん / 周術期 / 喫煙
Research Abstract

Comprehensive Geriatric Assessment (CGA) was conducted among 144 elderly cancer patients who were scheduled to undergo thoracic surgery. Up to 57% of the participants had household size of two or smaller, which means below optimal level of caregiving functioning. On nutritional screening, 20-27% were categorized as at risk of malnutrition. Substantial proportion of the participants had impairment in Activity of Daily Living (ADL) and Instrumental ADL (IDL) across various domains, with the rates ranging from 4% (using telephone), 5.5%(managing medication), 7% (using stairs), to 30% (preparing food).
These results call for systematic monitoring of impairment, involvement of case manager, promotion of self-care through educational materials, supervision by specialized team, and stepped-care approach according to severity.

Report

(3 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • Research Products

    (25 results)

All 2013 2012 2011 Other

All Journal Article (20 results) (of which Peer Reviewed: 13 results) Presentation (2 results) Book (3 results)

  • [Journal Article] Symptoms overlooked in hospitalized cancer patients : Impacts of concurrent symptoms on overlooking by nurses2013

    • Author(s)
      Miyajima K, Fujisawa D, Hashiguchi S, Shirahase J, Mimura M, Kashima H, Takeda J
    • Journal Title

      Palliative & Supportive Care

      Volume: 19 Pages: 1-6

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Suicide intervention skills among Japanese medical residents2013

    • Author(s)
      Fujisawa D, Suzuki Y, Kato T, Hashimoto N, Sato R, Aoyama-Uehara K, Fukasawa M, Tomita M, Watanabe K, Kashima H, Otsuka K
    • Journal Title

      Academic Psychiatry

      Volume: 37 Pages: 1-6

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Suicide Intervention Skills Among Japanese Medical Residents.2013

    • Author(s)
      Fujisawa D, Suzuki, Y., Kato, A.T., Hashimoto, N., Sato, R., Aoyama-Uehara, K., Fukasawa, M., Tomita, M., Watanabe, K., Kashima, H., Otsuka, K.
    • Journal Title

      Academic Psychiatry

      Volume: 37 Issue: 6 Pages: 402-407

    • DOI

      10.1176/appi.ap.10110154

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The influence of alexithymia on psychological distress with regard to the seriousness of complicated grief and the time since bereavement in the Japanese general population2013

    • Author(s)
      Deno M, Miyashita M, Fujisawa D, Nakajima S, Ito M.
    • Journal Title

      J Affect Disord

      Volume: 149 Issue: 1-3 Pages: 202-208

    • DOI

      10.1016/j.jad.2013.01.025

    • Related Report
      2013 Annual Research Report
  • [Journal Article] がん医療における認知行動療法2013

    • Author(s)
      上田淳子、藤澤大介
    • Journal Title

      最新精神医学

      Volume: 18 Pages: 147-151

    • Related Report
      2013 Annual Research Report
  • [Journal Article] プレゼンテーションの基本2013

    • Author(s)
      中前貴、藤澤大介
    • Journal Title

      精神科治療学

      Volume: 28 Pages: 121-123

    • Related Report
      2013 Annual Research Report
  • [Journal Article] うつ病の認知療法・認知行動療法2013

    • Author(s)
      大野裕、藤澤大介、中川敦夫、菊地俊暁、佐藤光洋
    • Journal Title

      精神神経学雑誌

      Volume: 115 Pages: 539-546

    • NAID

      10031195446

    • Related Report
      2013 Annual Research Report
  • [Journal Article] せん妄の病態生理に関する最近の知見2013

    • Author(s)
      横尾実乃里、藤澤大介
    • Journal Title

      総合病院精神医学

      Volume: 24 Pages: 171-176

    • NAID

      10031146142

    • Related Report
      2013 Annual Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan2013

    • Author(s)
      Wakako Umene-Nakano
    • Journal Title

      PLoS One

      Volume: 8 Issue: 2 Pages: e55189-e55189

    • DOI

      10.1371/journal.pone.0055189

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Symptoms overlooked in hospitalized cancer patients: Impact of concurrent symptoms on overlooked by nurses.2013

    • Author(s)
      Miyajima K, Fujisawa, D., Hashiguchi, S., Shirahase, J., Mimura, M., Kashima, H., Takeda, J.
    • Journal Title

      Palliat Support Care

      Volume: 11 Issue: 2 Pages: 1-6

    • DOI

      10.1017/s1478951512001009

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Incidence and risk factors of postoperative delirium in patients with esophageal cancer2012

    • Author(s)
      Takeuchi M, Takeuchi T, Fujisawa D, Miyajima K, Yoshimura K, Hashiguchi S, Ando N, Ozawa S, Shirahase J, Kitagawa Y, Mimura M
    • Journal Title

      Annals of Surgical Oncology

      Volume: 19(12) Pages: 3963-70

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] せん妄の病態生理に関する最近の知見2012

    • Author(s)
      横尾実乃里, 藤澤大介
    • Journal Title

      総合病院精神医学

      Volume: 24(2) Pages: 171-6

    • NAID

      10031146142

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Brief measure for screening complicated grief : Reliability and discriminant validity2012

    • Author(s)
      Masaya Ito, Satomi Nakajima, Daisuke Fujisawa, Mitsunori Miyashita, Yoshiharu Kim, Katherine M.Shear, Angela Ghesquiere, Melanie M.Wall
    • Journal Title

      PLoS ONE

      Volume: 7 Issue: 2 Pages: e31209-e31209

    • DOI

      10.1371/journal.pone.0031209

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Psychological adjustment and psychosocial stress among Japanese couples with a history of recurrent pregnancy loss2012

    • Author(s)
      M.Kagami, T.Maruyama, T.Koizumi, K.Miyazaki, S.Nishikawa-Uchida, H.Oda, H.Uchida, D.Fujisawa, N.Ozawa, L.Schmidt, Y.Yoshimura
    • Journal Title

      Human Reproduction

      Volume: 27 Issue: 3 Pages: 787-794

    • DOI

      10.1093/humrep/der441

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical biopsychosocial risk factors for depression in lung cancer patients: a comprehensive analysis using data from the Lung Cancer Database Project2012

    • Author(s)
      Shimizu K, Nakaya, N.,Saito-Nakaya, K.,Akechi, T.,Yamada, Y.,Fujimori, M.,Ogawa, A.,Fujisawa, D.,Goto, K.,Iwasaki, M.,Tsugane, S.,Uchitomi, Y
    • Journal Title

      Ann Oncol

      Volume: 23 Issue: 8 Pages: 1973-1979

    • DOI

      10.1093/annonc/mds061

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Incidence and risk factors of postoperative delirium in patients with esophageal cancer.2012

    • Author(s)
      Takeuchi M, Takeuchi, H.,Fujisawa, D.,Miyajima, K.,Yoshimura, K.,Hashiguchi, S.,Ozawa, S.,Ando, N.,Shirahase, J.,Kitagawa, Y.,Mimura, M.
    • Journal Title

      Ann Surg Oncol

      Volume: 19 Issue: 12 Pages: 3963-70

    • DOI

      10.1245/s10434-012-2432-1

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] ストレスとがん2012

    • Author(s)
      横尾実乃里、藤澤大介
    • Journal Title

      Current Therapy

      Volume: 30 Pages: 125-9

    • Related Report
      2012 Research-status Report
  • [Journal Article] がん患者・家族のストレスケア-病気に応じた対応と多面的ケア-2012

    • Author(s)
      藤澤大介
    • Journal Title

      ストレス科学

      Volume: 27 Pages: 1-9

    • Related Report
      2012 Research-status Report
  • [Journal Article] Availability of Psychiatric Consultation-Liaison Services as an Integral Component of Palliative Care Programs at Japanese Cancer Hospitals2011

    • Author(s)
      Ogawa, A., Nouno, J., Shirai, Y., Shibayama, O., Kondo, K., Yokoo, M., Takei, H., Koga, H., Fujisawa, D., Shimizu, K., and Uchitomi, Y.
    • Journal Title

      Jpn J Clin Oncol

      Volume: 42 Issue: 1 Pages: 42-52

    • DOI

      10.1093/jjco/hyr174

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 高齢者せん妄の発症機序

    • Author(s)
      藤澤大介
    • Journal Title

      日本老年医学会雑誌

      Volume: (印刷中)

    • Related Report
      2013 Final Research Report
  • [Presentation] 精神腫瘍科外来においてのテレフォンフォローの試み2012

    • Author(s)
      寺田千幸、小川朝生、藤澤大介、武井宣之、能野淳子、中林友美
    • Organizer
      日本サイコオンコロジー学会
    • Place of Presentation
      福岡
    • Related Report
      2012 Research-status Report
  • [Presentation] チーム医療にいかせる認知行動療法2012

    • Author(s)
      藤澤大介
    • Organizer
      第17回日本緩和医療学会学術大会
    • Place of Presentation
      神戸
    • Related Report
      2012 Research-status Report
  • [Book] 内科医のための不眠診療はじめの一歩2013

    • Author(s)
      古賀晴美、藤澤大介
    • Total Pages
      8
    • Publisher
      羊土社
    • Related Report
      2013 Annual Research Report
  • [Book] がん薬物療法の支持療法マニュアル2013

    • Author(s)
      藤澤大介
    • Publisher
      南江堂
    • Related Report
      2012 Research-status Report
  • [Book] 今日の治療指針2012

    • Author(s)
      藤澤大介
    • Publisher
      医学書院
    • Related Report
      2012 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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