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1,267 results on '"Miyashita, Mitsunori"'

2. Bereaved family members’ perspectives on quality of death in deceased acute cardiovascular disease patients compared with cancer patients – a comparison of the J-HOPE3 study and the quality of palliative care in heart disease (Q-PACH) study

Author

Suzuki, Takahiro, Miyashita, Mitsunori, Kohno, Takashi, Rewley, Jeffrey, Igarashi, Naoko, Aoyama, Maho, Higashitani, Michiaki, Kawamatsu, Naoto, Kitai, Takeshi, Shibata, Tatsuhiro, Takei, Makoto, Nochioka, Kotaro, Nakazawa, Gaku, Shiomi, Hiroki, Tateno, Shigeru, Anzai, Toshihisa, and Mizuno, Atsushi

Published
2024
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8. Prevalence of opioid-induced adverse events across opioids commonly used for analgesic treatment in Japan: a multicenter prospective longitudinal study

Author

Hiratsuka, Yusuke, Tagami, Keita, Inoue, Akira, Sato, Mamiko, Matsuda, Yasufumi, Kosugi, Kazuhiro, Kubo, Emi, Natsume, Maika, Ishiki, Hiroto, Arakawa, Sayaka, Shimizu, Masaki, Yokomichi, Naosuke, Chiu, Shih-Wei, Shimoda, Mayu, Hirayama, Hideyuki, Nishijima, Kaoru, Ouchi, Kota, Shimoi, Tatsunori, Shigeno, Tomoko, Yamaguchi, Takuhiro, Miyashita, Mitsunori, Morita, Tatsuya, and Satomi, Eriko

Published
2023
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9. Cancer Pain Management in Patients Receiving Inpatient Specialized Palliative Care Services

Author

Tagami, Keita, Chiu, Shih-Wei, Kosugi, Kazuhiro, Ishiki, Hiroto, Hiratsuka, Yusuke, Shimizu, Masaki, Mori, Masanori, Kubo, Emi, Ikari, Tomoo, Arakawa, Sayaka, Eto, Tetsuya, Shimoda, Mayu, Hirayama, Hideyuki, Nishijima, Kaoru, Ouchi, Kota, Shimoi, Tatsunori, Shigeno, Tomoko, Yamaguchi, Takuhiro, Miyashita, Mitsunori, Morita, Tatsuya, Inoue, Akira, and Satomi, Eriko

Published
2024
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29. Cross-cultural conceptualization of a good end of life with dementia: a qualitative study

Author

Nishimura, Mayumi, Dening, Karen Harrison, Sampson, Elizabeth L., de Oliveira Vidal, Edison Iglesias, de Abreu, Wilson Correia, Kaasalainen, Sharon, Eisenmann, Yvonne, Dempsey, Laura, Moore, Kirsten J., Davies, Nathan, Bolt, Sascha R., Meijers, Judith M. M., Dekker, Natashe Lemos, Miyashita, Mitsunori, Nakanishi, Miharu, Nakayama, Takeo, and van der Steen, Jenny T.

Published
2022
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31. Dying Patients' Quality of Care for Five Common Causes of Death: A Nationwide Mortality Follow-Back Survey.

Author

Nakazawa, Yoko, Miyashita, Mitsunori, Morita, Tatsuya, Okumura, Yasuyuki, Kizawa, Yoshiyuki, Kawagoe, Shohei, Yamamoto, Hiroshi, Takeuchi, Emi, Yamazaki, Risa, and Ogawa, Asao

Subjects
*STROKE-related mortality, *HEART disease related mortality, *PNEUMONIA-related mortality, *KIDNEY failure, *CROSS-sectional method, *MEDICAL quality control, *DEATH, *T-test (Statistics), *RESEARCH funding, *CAUSES of death, *POPULATION geography, *FAMILIES, *TREATMENT effectiveness, *CHI-squared test, *DEATH certificates, *ANALYSIS of variance, *TERMINAL care, *TERMINALLY ill, *TUMORS, *CONFIDENCE intervals
Abstract

Background: The importance of high-quality care for terminal patients is being increasingly recognized; however, quality of care (QOC) and quality of death and dying (QOD) for noncancer patients remain unclear. Objectives: To clarify QOC and QOD according to places and causes of death. Design, Subjects: A nationwide mortality follow-back survey was conducted using death certificate data for cancer, heart disease, stroke syndrome, pneumonia, and kidney failure in Japan. The questionnaire was distributed to 115,816 bereaved family members between February 2019 and February 2020. Measurements included QOC, QOD, and symptoms during the last week of life. Analyses used generalized estimating equations adjusting for age, sex, and region. Results: Valid responses were returned by 62,576 (54.0%). Family-reported QOC and QOD by the place of death were significantly higher at home than in other places across all causes of death (for all combinations with hospital p < 0.01). In stroke syndrome and pneumonia, QOD significantly differed between hospital and home (stroke syndrome: 57.1 vs. 72.4, p < 0.001, effect size 0.77; pneumonia: 57.3 vs. 71.1, p < 0.001, effect size 0.78). No significant differences were observed in QOC and QOD between cancer and noncancer. The prevalence of symptoms was higher for cancer than for other causes of death. Conclusions: QOC and QOD were higher at home than in other places of death across all causes of death. The further expansion of end-of-life care options is crucial for improving QOC and QOD for all terminal patients. [ABSTRACT FROM AUTHOR]

Published
2024
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35. The Association of Family Functioning With Possible Major Depressive Disorders and Complicated Grief Among Bereaved Family Members of Patients With Cancer: Results From the J-HOPE4 Study, a Nationwide Cross-Sectional Follow-Up Survey in Japan

Author

Hiratsuka, Ryoko, Aoyama, Maho, Masukawa, Kento, Shimizu, Yoichi, Hamano, Jun, Sakaguchi, Yukihiro, Watanabe, Miwa, Morita, Tatsuya, Kizawa, Yoshiyuki, Tsuneto, Satoru, Shima, Yasuo, and Miyashita, Mitsunori

Published
2021
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36. Phase of Illness at the time of being referred to the hospital palliative care team and changes after the intervention

Author

Ohinata, Hironori, primary, Hirayama, Hideyuki, additional, Aoyama, Maho, additional, Satomi, Eriko, additional, Kizawa, Yoshiyuki, additional, Miyazaki, Mayuko, additional, Tagami, Keita, additional, Sekine, Ryuichi, additional, Suzuki, Kozue, additional, Yotani, Nobuyuki, additional, Sugano, Koji, additional, Abo, Hirofumi, additional, Sakashita, Akihiro, additional, Sato, Kazuki, additional, Nakagawa, Sari, additional, Nakazawa, Yoko, additional, Hamano, Jun, additional, and Miyashita, Mitsunori, additional

Published
2024
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39. How Successful Is Parenteral Oxycodone for Relieving Terminal Cancer Dyspnea Compared With Morphine? A Multicenter Prospective Observational Study

Author

Inoue, Satoshi, Yokomichi, Naosuke, Imai, Kengo, Morita, Tatsuya, Mori, Masanori, Tsukuura, Hiroaki, Yamauchi, Toshihiro, Naito, Akemi Shirado, Uneno, Yu, Yoshioka, Akira, Hiramoto, Shuji, Kikuchi, Ayako, Hori, Tetsuo, Matsuda, Yosuke, Kohara, Hiroyuki, Fanaki, Hiromi, Tanaka, Keiko, Suzuki, Kozue, Kamei, Tina, Azuma, Yukari, Amano, Koji, Uno, Teruaki, Miyamoto, Jiro, Katayama, Hirofumi, Kashiwagi, Hideyuki, Matsumoto, Eri, Oya, Kiyofumi, Yamaguchi, Takeya, Okamura, Tomonao, Hashimoto, Hoshu, Kosugi, Shunsuke, Ikuta, Nao, Matsumoto, Yaichiro, Ohmori, Takashi, Nakai, Takehiro, Ikee, Takashi, Unoki, Yuto, Kitade, Kazuki, Koito, Shu, Ishibashi, Nanao, Ehara, Masaya, Kuwahara, Kosuke, Ueno, Shohei, Nakashima, Shunsuke, Ishiyama, Yuta, Sakashita, Akihiro, Matsunuma, Ryo, Takatsu, Hana, Yamaguchi, Takashi, Ito, Satoko, Terabayashi, Toru, Nakagawa, Jun, Yamagiwa, Tetsuya, Inoue, Akira, Yamaguchi, Takuhiro, Miyashita, Mitsunori, Yoshida, Saran, Hiratsuka, Yusuke, Tagami, Keita, Watanabe, Hiroaki, Odagiri, Takuya, Ito, Tetsuya, Ikenaga, Masayuki, Shimizu, Keiji, Hayakawa, Akira, Kamura, Rena, Okoshi, Takeru, Maeda, Isseki, Nishi, Tomohiro, Kosugi, Kazuhiro, Shibata, Yasuhiro, Hisanaga, Takayuki, Higashibata, Takahiro, Yabuki, Ritsuko, Hagiwara, Shingo, Shimokawa, Miho, Miyake, Satoshi, Nozato, Junko, Ishiki, Hiroto, Iriyama, Tetsuji, Kaneishi, Keisuke, Baba, Mika, Miura, Tomofumi, Matsumoto, Yoshihisa, Okizaki, Ayumi, Watanabe, Yuki Sumazaki, uehara, Yuko, Satomi, Eriko, Nishijima, Kaoru, Shimoinaba, Junichi, Nakahori, Ryoichi, Hirohashi, Takeshi, Hamano, Jun, Kawashima, Natsuki, Kawaguchi, Takashi, Uchida, Megumi, Sato, Ko, Matsuda, Yoichi, Hatano, Yutaka, Tsuneto, Satoru, Maeda, Sayaka, Kizawa, Yoshiyuki, Otani, Hiroyuki, and Uehara, Yuko

Published
2021
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44. Aggressive End-of-Life Treatments Among Inpatients With Cancer and Non-cancer Diseases Using a Japanese National Claims Database.

Author

Togashi, Shintaro, Masukawa, Kento, Aoyama, Maho, Sato, Kazuki, and Miyashita, Mitsunori

Abstract

To describe aggressive treatments at end‐of‐life among inpatients with cancer and non-cancer diseases and to evaluate factors associated with these treatments using the Japanese national database (NDB). We conducted a retrospective cohort study among inpatients aged ≥ 20 years who died between 2012 and 2015 using a sampling dataset of NDB. The outcome was the proportion of aggressive treatments in the last 14 days of life. We considered the underlying causes of death as cancer, dementia/senility, and heart, cerebrovascular, renal, liver, respiratory, and neurodegenerative diseases. We analyzed 54,105 inpatients, with underlying cause of death distributed as follows: cancer, 24.9%; heart disease, 16.5%; respiratory disease, 12.3%; and cerebrovascular disease, 9.7%. The proportion of intensive care unit (ICU) admission was 9.7%, being the highest in heart disease (20.5%), followed by cerebrovascular diseases (12.6%), and least in dementia/senility (.6%). The proportion of cardiopulmonary resuscitation was 19.6%, being the highest in heart disease (38.1%), followed by renal diseases (19.5%), and least in cancer (6.2%). Multivariate logistic regression analysis revealed that having heart diseases, cerebrovascular diseases, younger age, less comorbidities, and shorter length of stay were associated with an increasing risk of aggressive treatments in the last 14 days of life. The proportion of aggressive treatments at the end-of-life varies depending on the disease; additionally, these treatments were associated with having heart diseases, younger age, less comorbidity, and shorter length of stay. Our findings may help develop and set benchmarks for quality indicators at the end‐of‐life for patients with non-cancer diseases. [ABSTRACT FROM AUTHOR]

Published
2024
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45. Continuous Electrocardiographic Monitoring for 24 Hours Before Death in Patients with Terminal Cancer.

Author

Sato, Ko, Baba, Mika, Morita, Tatsuya, Masukawa, Kento, Shima, Yasuo, Tsuneto, Satoru, Kizawa, Yoshiyuki, and Miyashita, Mitsunori

Abstract

Background: Purposeless physiological monitoring at the end-of-life is not recommended. However, studies on how families feel regarding the death of patients with terminal cancer without continuous electrocardiographic monitoring (CEM) are lacking. Objectives: To explore the impact on the quality of care and the feelings and psychological distress experienced by families when CEM is not used during the 24 hours preceding a patient's death. Methods: In this multicenter cross-sectional, self-report questionnaires were distributed to 1087 bereaved families at Japanese specialized palliative care units in 2018. Results: Out of 671 responses, 394 valid responses were analyzed. Families of nonmonitored patients (NM-group) accounted for 79.2%, while those with bedside electrocardiogram monitoring (MB-group) and remote nurse station monitoring (MC-group) comprised 11.9% and 8.9%, respectively. In the NM-group, 85.5% expressed satisfaction without CEM, which was more than 10% lower than other groups. While 14% in the NM-group desired patient monitoring, families who received adequate explanations about CEM had lower proportions compared to the MB-group (P =.021). Univariate analyses showed no significant differences in evaluations of the quality of care and families' psychological distress (mean scores of Overall Care Satisfaction, Care Evaluation Scale, Good Death Inventory, Brief Grief Questionnaires) across all groups. Conclusion: While the majority of NM-group were satisfied with their patient's care without CEM, the proportion of dissatisfied families was higher than in other groups. Although not using CEM is not a major hindrance to end-of-life care for patients with terminal cancer, providing sufficient explanations may be important for satisfactory care. [ABSTRACT FROM AUTHOR]

Published
2024
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48. A palliative care goals model for people with dementia and their family: Consensus achieved in an international Delphi study.

Author

Nishimura, Mayumi, Harrison Dening, Karen, Sampson, Elizabeth L, Vidal, Edison Iglesias de Oliveira, Nakanishi, Miharu, Davies, Nathan, Abreu, Wilson, Kaasalainen, Sharon, Eisenmann, Yvonne, Dempsey, Laura, Moore, Kirsten J, Bolt, Sascha R, Meijers, Judith MM, Dekker, Natashe Lemos, Miyashita, Mitsunori, Nakayama, Takeo, and van der Steen, Jenny T

Subjects
CONSENSUS (Social sciences), MEDICAL protocols, INTERDISCIPLINARY education, PALLIATIVE treatment, HUMAN services programs, QUALITATIVE research, RESEARCH funding, GOAL (Psychology), FAMILIES, PATIENT care, SURVEYS, COGNITION disorders, DELPHI method, DEMENTIA patients, ADVANCE directives (Medical care), BIOPSYCHOSOCIAL model
Abstract

Background: Advance care planning in dementia includes supporting the person and their family to consider important goals of care. International research reports the importance of psycho-social-spiritual aspects towards end of life. Aim: To develop a multidimensional international palliative care goals model in dementia for use in practice. Design: International Delphi study integrating consensus and evidence from a meta-qualitative study. The Delphi panel rated statements about the model on a 5-point agreement scale. The criteria for consensus were pre-specified. Setting/participants: Seventeen researchers from eight countries developed an initial model, and 169 candidate panellists were invited to the international online Delphi study. Results: Panellists (107; response 63.3%) resided in 33 countries. The model comprised four main care goals: (1) Comfort ensured; (2) Control over function maintained; (3) Identity protected and personhood respected and (4) Coping with grief and loss−person and caregiver supported. The model reflects how needs and care goals change over time with the progression of dementia, concluding with bereavement support. The first version of the model achieved a consensus after which it was slightly refined based on feedback. We did not achieve a consensus on adding a goal of life prolongation, and on use of the model by people with dementia and family themselves. Conclusion: A new palliative care goals model for people with dementia and their families includes relationship aspects for use by professionals and achieved a consensus among a panel with diverse cultural background. The position of life prolongation in relation to palliative care goals needs further research. [ABSTRACT FROM AUTHOR]

Published
2024
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