Comprehensive Geriatric Assessment of Pre-surgical Patients

• Project/Area Number: 24791252
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Psychiatric science
• Research Institution: National 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: ¥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.

Research Products

• [Journal Article] Symptoms overlooked in hospitalized cancer patients : Impacts of concurrent symptoms on overlooking by nurses (2013)
  • 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
  • Peer Reviewed
• [Journal Article] Suicide intervention skills among Japanese medical residents (2013)
  • 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
  • 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
  • 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 population (2013)
  • 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
• [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
• [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
• [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
• [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
  • Peer Reviewed
• [Journal Article] Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan (2013)
  • Author(s): Wakako Umene-Nakano
  • Journal Title: PLoS One Volume: 8 Issue: 2 Pages: e55189-e55189
  • DOI: 10.1371/journal.pone.0055189
  • 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
  • Peer Reviewed
• [Journal Article] Incidence and risk factors of postoperative delirium in patients with esophageal cancer (2012)
  • 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
  • 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
  • Peer Reviewed
• [Journal Article] Brief measure for screening complicated grief : Reliability and discriminant validity (2012)
  • 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
  • Peer Reviewed
• [Journal Article] Psychological adjustment and psychosocial stress among Japanese couples with a history of recurrent pregnancy loss (2012)
  • 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
  • Peer Reviewed
• [Journal Article] Clinical biopsychosocial risk factors for depression in lung cancer patients: a comprehensive analysis using data from the Lung Cancer Database Project (2012)
  • 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
  • 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
  • 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
• [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
• [Journal Article] Availability of Psychiatric Consultation-Liaison Services as an Integral Component of Palliative Care Programs at Japanese Cancer Hospitals (2011)
  • 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
  • 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)
• [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
• [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
• [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
• [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
• [Book] 今日の治療指針 (2012)
  • Author(s): 藤澤大介
  • Publisher: 医学書院