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Development of the support on the End-of-Life discussion with pediatric cancer patients and their family members

Research Project

Project/Area Number 26780408
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Clinical psychology
Research InstitutionTohoku University (2016-2017)
National Cancer Center Japan (2014-2015)

Principal Investigator

Yoshida Saran  東北大学, 教育学研究科, 准教授 (70636331)

Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywordsがん / コミュニケーション / 終末期 / 思春期・若年成人 / AYA / 小児がん
Outline of Final Research Achievements

We explored the pediatricians’ practice and attitude on the end-of-life discussion with pediatric cancer patients. As a result, while pediatricians nearly reached consensus on the end-of-life discussion for the high school children, the discussion with the younger children remained a controversial subject.
In addition, we conducted an interview survey to the adolescents and young adult patients about having such discussion. As a result, the patients who wanted to discuss said that "the information about terminal condition is necessary for treatment selection" and "I want to think about how to use the remaining time". On the other hand, the patients who didn’t want to discuss said that "the information about terminal condition will make me hopeless ", and "I can understand my condition without being told".

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (8 results)

All 2016 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (6 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Barriers of healthcare providers against end-of-life discussions with pediatric cancer patients.2014

    • Author(s)
      Yoshida S, Shimizu K, Kobayashi M, Inoguchi H, Oshima Y, Dotani C, Nakahara R, Takahashi T, Kato M.
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 44 Pages: 279-35

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] A comprehensive study of the distressing experiences and support needs of parents of children with intractable cancer.2014

    • Author(s)
      Yoshida S, Amano K, Ohta H, Kusuki S, Morita T, Ogata A, Hirai K.
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 44 Pages: 1181-8

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] Japanese physicians’ attitude toward End-of-Life discussion with pediatric cancer patients.2016

    • Author(s)
      Yoshida S, Ogawa C, Shimizu K, Kobayashi M, Inoguchi H, Oshima Y, Dotani C, Nakahara R, Kato M
    • Organizer
      International Psycho-Oncology Society
    • Place of Presentation
      Dubrin(Ireland)
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] End-of-Life discussionに対する小児科医の態度の関連要因2015

    • Author(s)
      吉田沙蘭・小川千登世・清水研・小林真理子・猪口浩伸・大島淑夫・堂谷知香子・中原理佳・加藤雅志
    • Organizer
      日本小児血液・がん学会
    • Place of Presentation
      山梨
    • Year and Date
      2015-11-28
    • Related Report
      2015 Research-status Report
  • [Presentation] 意思決定をめぐって生じるジレンマ -特に年長児の場合-2015

    • Author(s)
      吉田沙蘭
    • Organizer
      日本緩和医療学会
    • Place of Presentation
      神奈川
    • Year and Date
      2015-06-19
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] End-of-Life discussion with pediatric cancer patients in Japan.2014

    • Author(s)
      Yoshida S, Ogawa C, Shimizu K, Kobayashi M, Inoguchi H, Ohshima Y, Dotani C, Nakahara R, Takahashi T, Kato M
    • Organizer
      日本小児血液・がん学会
    • Place of Presentation
      岡山
    • Year and Date
      2014-11-30
    • Related Report
      2014 Research-status Report
  • [Presentation] Barriers of healthcare providers against end-of-life discussions with pediatric cancer patients.2014

    • Author(s)
      Yoshida S, Shimizu K, Kobayashi M, Inoguchi H, Oshima Y, Dotani C, Nakahara R, Takahashi T, Kato M
    • Organizer
      International Psycho-oncology Society
    • Place of Presentation
      ポルトガル、リスボン
    • Year and Date
      2014-10-24
    • Related Report
      2014 Research-status Report
  • [Presentation] 小児がん患児とのEnd-of-Life discussion ー小児科医はどう捉えているのか?ー2014

    • Author(s)
      吉田沙蘭・小川千登世・清水研・小林真理子・猪口浩伸・大島淑夫・堂谷知香子・中原理佳・高橋知実・加藤雅志
    • Organizer
      日本サイコオンコロジー学会
    • Place of Presentation
      東京
    • Year and Date
      2014-10-03
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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