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1,594 results on '"Kawakami, Koji"'

11. Effects of thienopyridine class antiplatelets on bleeding outcomes following robot-assisted radical prostatectomy

Author

Kubota, Masashi, Kawakita, Mutsushi, Yoshida, Satomi, Kimura, Hiroko, Sumiyoshi, Takayuki, Yamasaki, Toshinari, Okumura, Kazuhiro, Yoshimura, Koji, Matsui, Yoshiyuki, Sugiyama, Kyohei, Okuno, Hiroshi, Segawa, Takehiko, Shimizu, Yosuke, Ito, Noriyuki, Onishi, Hiroyuki, Ishitoya, Satoshi, Soda, Takeshi, Yoshida, Toru, Uemura, Yuichi, Iwamura, Hiroshi, Okubo, Kazutoshi, Suzuki, Ryosuke, Fukuzawa, Shigeki, Akao, Toshiya, Kurahashi, Ryoma, Shimatani, Kimihiro, Sekine, Yuya, Negoro, Hiromitsu, Akamatsu, Shusuke, Kamoto, Toshiyuki, Ogawa, Osamu, Kawakami, Koji, Kobayashi, Takashi, and Goto, Takayuki

Published
2024
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16. Blog Posting After Lung Cancer Notification: Content Analysis of Blogs Written by Patients or Their Families

Author

Sato, Akira, Aramaki, Eiji, Shimamoto, Yumiko, Tanaka, Shiro, and Kawakami, Koji

Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

BackgroundThe advent and spread of the Internet has changed the way societies communicate. A portion of information on the Internet may constitute an important source of information concerning the experiences and thoughts of patients and their families. Patients and their families use blogs to obtain updated information, search for alternative treatments, facilitate communication with other patients, and receive emotional support. However, much of this information has yet to be actively utilized by health care professionals. ObjectiveWe analyzed health-related information in blogs from Japan, focusing on the feelings and satisfaction levels of lung cancer patients or their family members after being notified of their disease. MethodsWe collected 100 blogs written in Japanese by patients (or their families) who had been diagnosed with lung cancer by a physician. These 100 blogs posts were searchable between June 1 and June 30, 2013. We focused on blog posts that addressed the lung cancer notification event. We analyzed the data using two different approaches (Analysis A and Analysis B). Analysis A was blog content analysis in which we analyzed the content addressing the disease notification event in each blog. Analysis B was patient's dissatisfaction and anxiety analysis. Detailed blog content regarding patient's dissatisfaction and anxiety at the individual sentence level was coded and analyzed. ResultsThe 100 blog posts were written by 48 men, 46 women, and 6 persons whose sex was undisclosed. The average age of the blog authors was 52.4 years. With regard to cancer staging, there were 5 patients at Stage I, 3 patients at Stage II, 14 patients at Stage III, 21 patients at Stage IV, and 57 patients without a disclosed cancer stage. The results of Analysis A showed that the proportion of patients who were dissatisfied with the level of health care exceeded that of satisfied patients (22% vs 8%). From the 2499 sentences in the 100 blog posts analyzed, we identified expressions of dissatisfaction and anxiety in 495 sentences. Our results showed that there were substantially more posts concerning “Way of living, reasons for living, set of values” and “Relationships with medical staff (own hospital)” than in previous studies (Analysis B). ConclusionsThis study provides insight into the feelings of dissatisfaction and anxieties held by lung cancer patients and their families, including those regarding the “Way of living, reasons for living, set of values” and “Relationship with medical staff (own hospital),” which were inaccessible in previous survey analyses. When comparing information obtained from patients’ voluntary records and those from previous surveys conducted by health care institutions, it is likely that the former would be more indicative of patients’ actual opinions and feelings. Therefore, it is important to utilize such records as an information resource.

Published
2015
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50. Impact of Early Resumption of Oral Anticoagulation on Recurrence After Surgery for Chronic Subdural Hematoma in Patients With Atrial Fibrillation: A Target Trial Emulation.

Author

Anno, Takayuki, Fukasawa, Toshiki, Shinozaki, Tomohiro, Takeuchi, Masato, Yoshida, Satomi, and Kawakami, Koji

Abstract

Purpose: Clinicians treating patients with atrial fibrillation (AF) on oral anticoagulants who undergo surgery for chronic subdural hematoma (CSDH) face a dilemma: while early postoperative resumption of anticoagulation is necessary to prevent embolism, it may increase the risk of CSDH recurrence. To date, however, no study has evaluated this question while adequately addressing common biases in observational studies. Here, we assessed this issue using target trial emulation framework. Methods: We identified patients undergoing initial CSDH surgery who had received anticoagulation for AF preoperatively from two hospital‐based administrative databases (2014–2022). We compared two treatment strategies: resumption of anticoagulation within 14 days postoperatively versus no resumption during this period. Using a three‐step method of cloning, censoring, and weighting, we estimated the risk of CSDH recurrence, along with the risk ratio and risk difference at postoperative day 90. Results: 291 CSDH patients with AF were eligible, of whom 29 (10.0%) underwent CSDH reoperation. The weighted estimated 90‐day reoperation risk was 11.7% (95% confidence interval [CI], 6.0 to 14.3) for resuming anticoagulation within 14 days postoperatively and 9.4% (95% CI, 4.1 to 12.8) for not resuming within 14 days, corresponding to a risk ratio of 1.20 (95% CI, 0.67 to 2.36) and risk difference of 1.9% (95% CI, −4.0 to 6.6). Conclusions: 90‐day risk of CSDH recurrence may not differ between early and non‐early resumption of anticoagulation, although early resumption could modestly accelerate recurrence. Allowing for the imprecision of the estimates, these findings provide important insights for clinical decision‐making regarding anticoagulation resumption. [ABSTRACT FROM AUTHOR]

Published
2024
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