Multidisciplinary team management for prevention of pneumonia and long-term weight loss after esophagectomy: a single-center retrospective study

• Material Type: 博士論文
• ISSN: 1612-9059
• Title: Multidisciplinary team management for prevention of pneumonia and long-term weight loss after esophagectomy: a single-center retrospective study
• Volume: 17 3
• Author/Editor: 川田, 三四郎
• Author Heading: 川田, 三四郎
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2020-02-06
• Publication Date (W3CDTF): 2020-02-06
• Alternative Title: 食道切除術後の肺炎と体重減少を予防する多職種チーム医療: 単施設後方視的研究
• Periodical title: Esophagus
• Degree grantor/type: 浜松医科大学
• Date Granted: 2021-03-16
• Date Granted (W3CDTF): 2021-03-16
• Dissertation Number: 甲第869号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第869号
• Text Language Code: eng
• Subject Heading: Esophagectomy; Pneumonia; Weight loss; Perioperative care; Medical care team
• Target Audience: 一般
• Note (General): doctoral; 医学系研究科; Background In April 2017, we launched the multidisciplinary Hamamatsu Perioperative Care Team (HOPE) for all surgical patients. We developed a reinforced intervention strategy, particularly for esophagectomy. We herein report the outcomes of the HOPE at 2 years after commencement.Methods A total 125 patients underwent esophagectomy and gastric conduit reconstruction for esophageal or esophagogastric junction cancer between January 2014 and December 2018 at the Department of Surgery in Hamamatsu University School of Medicine. The patients were divided into the pre-HOPE group including 62 patients who underwent esophagectomy before the introduction of the HOPE and the HOPE group including 63 patients who underwent esophagectomy after the introduction of the HOPE. The outcomes of surgery were compared between the two groups.Results There were no significant differences in the clinicopathological characteristics between the two groups. The incidence rates of atrial fibrillation and pneumonia were significantly lower in the HOPE group than in the pre-HOPE group (6% vs. 19%, p=0.027 and 14% vs. 29%, p=0.037, respectively). The estimated calorie doses at the time of discharge were approximately 750 and 1500 kcal/day in the pre-HOPE group and the HOPE group, respectively. The body weight loss was significantly less in the HOPE group than the pre-HOPE group at 1, 3, 6, and 12 months postoperatively than that before the surgery (p<0.001).Conclusions The introduction of the multidisciplinary HOPE was associated with a significant reduction in the incidence of postoperative pneumonia and significantly less weight loss.
• DOI: info:doi/10.1007/s10388-020-00721-0; https://doi.org/info:doi/10.1007/s10388-020-00721-0
• Persistent ID (NDL): info:ndljp/pid/11720312; https://dl.ndl.go.jp/pid/11720312
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2021-09-06T03:11:00+09:00
• Date Created (W3CDTF): 2021-07-20
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10271/00003875; https://hama-med.repo.nii.ac.jp/records/3749
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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