FullText URL | fulltext.pdf |
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Author | Hotta, Yoshifumi| Nishida, Keiichiro| Yoshida, Aki| Nasu, Yoshihisa| Nakahara, Ryuichi| Naniwa, Shuichi| Shimizu, Noriyuki| Ichikawa, Chinatsu| Lin, Deting| Fujiwara, Tomohiro| Ozaki, Toshifumi| |
Keywords | osteoarthritis chondrocyte mechanical stress tankyrases XAV939 SOX9 ADAMTS-5 MMP-13 IL-1β NF-κB β-catenin |
Published Date | 2024-01-24 |
Publication Title | International Journal of Molecular Sciences |
Volume | volume25 |
Issue | issue3 |
Publisher | MDPI |
Start Page | 1443 |
ISSN | 1661-6596 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2024 by the authors. |
File Version | publisher |
PubMed ID | 38338721 |
DOI | 10.3390/ijms25031443 |
Web of Science KeyUT | 001161430700001 |
Related Url | isVersionOf https://doi.org/10.3390/ijms25031443 |
JaLCDOI | 10.18926/AMO/66673 |
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FullText URL | 78_1_071.pdf |
Author | Kaneda, Daisuke| Nishida, Keiichiro| Nasu, Yoshihisa| Nakahara, Ryuichi| Harada, Ryozo| Hotta, Yoshifumi| Naniwa, Shuichi| Ozaki, Toshifumi| |
Abstract | We retrospectively investigated the mid-term outcomes of arthroplasty using the AVANTA silicone implant for thumb metacarpophalangeal (MCP) joints with boutonniere deformity in patients with rheumatoid arthritis (RA). This study involved 36 thumbs of 33 RA patients with a mean follow-up period of 5.1 years (range, 2.0-13.3). Postoperatively, the mean extension was significantly increased and the mean flexion was significantly decreased (p<0.001, p<0.001, respectively), resulting in the mean arc of range of motion (ROM) shifting in the direction of extension after surgery. Implant fracture was observed in 10 thumbs (28%), and 4 of these (11%) underwent revision surgery. The survivorship with implant fracture and revision surgery as endpoints were 73.4% and 91.8% at 5 years, respectively. The preoperative arc of ROM and the postoperative flexion range of the implant-fracture group were significantly greater than those in the no-implant-fracture group (p=0.039, 0.034, respectively). These results suggest the importance of patient education and careful rehabilitation to prevent excessive flexion. Overall, the AVANTA silicone implant showed a relatively high rate of implant fracture at our institute. |
Keywords | AVANTA silicone implant boutonniere deformity implant fracture thumb metacarpophalangeal joint arthroplasty rheumatoid arthritis |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2024-02 |
Volume | volume78 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 71 |
End Page | 78 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2024 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
FullText URL | fulltext.pdf |
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Author | Saito, Taichi| Nakamichi, Ryo| Nakahara, Ryuichi| Nishida, Keiichiro| Ozaki, Toshifumi| |
Keywords | hand surgery rehabilitation open surgical release trigger finger |
Published Date | 2023-11-20 |
Publication Title | Journal of Clinical Medicine |
Volume | volume12 |
Issue | issue22 |
Publisher | MDPI |
Start Page | 7187 |
ISSN | 2077-0383 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 by the authors. |
File Version | publisher |
PubMed ID | 38002801 |
DOI | 10.3390/jcm12227187 |
Web of Science KeyUT | 001123419500001 |
Related Url | isVersionOf https://doi.org/10.3390/jcm12227187 |
FullText URL | fulltext20230817-03.pdf |
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Author | Nishida, Keiichiro| Nasu, Yoshihisa| Hashizume, Kenzo| Okita, Shunji| Nakahara, Ryuichi| Saito, Taichi| Ozaki, Toshifumi| Inoue, Hajime| |
Keywords | Total elbow arthroplasty Rheumatoid arthritis Unlinked elbow Less than fifty years old |
Published Date | 2023-01-13 |
Publication Title | Bone & Joint Open |
Volume | volume4 |
Issue | issue1 |
Publisher | British Editorial Society of Bone & Joint Surgery |
Start Page | 19 |
End Page | 26 |
ISSN | 2633-1462 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 Author(s) et al. |
File Version | publisher |
PubMed ID | 36636881 |
DOI | 10.1302/2633-1462.41.bjo-2022-0151.r1 |
Web of Science KeyUT | 001042052200001 |
Related Url | isVersionOf https://doi.org/10.1302/2633-1462.41.BJO-2022-0151.R1 |
FullText URL | fulltext.pdf |
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Author | Tsuji, Hironori| Tetsunaga, Tomoko| Tetsunaga, Tomonori| Misawa, Haruo| Oda, Yoshiaki| Takao, Shinichiro| Nishida, Keiichiro| Ozaki, Toshifumi| |
Keywords | caregiver burden chronic pain fear-avoidance model self-efficacy Zarit Burden Interview |
Published Date | 2022-09-30 |
Publication Title | Medicine |
Volume | volume101 |
Issue | issue39 |
Publisher | Lippincott Williams & Wilkins |
Start Page | e30802 |
ISSN | 0025-7974 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2022 the Author(s). |
File Version | publisher |
PubMed ID | 36181114 |
DOI | 10.1097/MD.0000000000030802 |
Web of Science KeyUT | 000862039900121 |
Related Url | isVersionOf https://doi.org/10.1097/MD.0000000000030802 |
FullText URL | fulltext.pdf |
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Author | Horita, Masahiro| Nishida, Keiichiro| Nasu, Yoshihisa| Nakahara, Ryuichi| Saiga, Kenta| Hamada, Masanori| Ozaki, Toshifumi| |
Keywords | forefoot surgery arthrodesis shortening oblique osteotomy patient-reported outcome rheumatoid arthritis |
Published Date | 2022-08-07 |
Publication Title | Journal Of Orthopaedic Surgery |
Volume | volume30 |
Issue | issue2 |
Publisher | Sage Publications Ltd. |
Start Page | 10225536221117903 |
ISSN | 1022-5536 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2022 |
File Version | publisher |
PubMed ID | 35938600 |
DOI | 10.1177/10225536221117903 |
Web of Science KeyUT | 000839038400001 |
Related Url | isVersionOf https://doi.org/10.1177/10225536221117903 |
FullText URL | fulltext.pdf |
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Author | Tabuchi, Masako| Inoue, Katsumi| Usui-Kataoka, Hitomi| Kobayashi, Kazuko| Teramoto, Misako| Takasugi, Koji| Shikata, Kenichi| Yamamura, Masahiro| Ando, Kenji| Nishida, Keiichiro| Kasahara, Junko| Kume, Noriaki| Lopez, Luis R.| Mitsudo, Kazuaki| Nobuyoshi, Masakiyo| Yasuda, Tatsuji| Kita, Toru| Makino, Hirofumi| Matsuura, Eiji| |
Keywords | beta 2-glycoprotein I oxidized LDL/beta 2-glycoprotein I complexes diabetes mellitus oxidized LDL |
Published Date | 2007-04 |
Publication Title | Journal Of Lipid Research |
Volume | volume48 |
Issue | issue4 |
Publisher | ELSEVIER |
Start Page | 768 |
End Page | 781 |
ISSN | 0022-2275 |
NCID | AA00701215 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2007 by the American Society for Biochemistry and Molecular Biology, Inc. |
File Version | publisher |
PubMed ID | 17261875 |
DOI | 10.1194/jlr.M600414-JLR200 |
Web of Science KeyUT | 000245627100003 |
Related Url | isVersionOf https://doi.org/10.1194/jlr.M600414-JLR200 |
FullText URL | fulltext.pdf |
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Author | Inai, Ryota| Nakahara, Ryuichi| Morimitsu, Yusuke| Akagi, Noriaki| Marukawa, Youhei| Matsushita, Toshi| Tanaka, Takashi| Tada, Akihiro| Hiraki, Takao| Nasu, Yoshihisa| Nishida, Keiichiro| Ozaki, Toshifumi| Kanazawa, Susumu| |
Keywords | Osteoporosis Bone density Tomography (x-ray computed) X-ray microtomography |
Published Date | 2021-01-28 |
Publication Title | European Radiology Experimental |
Volume | volume4 |
Issue | issue1 |
Publisher | Springer nature |
Start Page | 4 |
ISSN | 2509-9280 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s). 2020 |
File Version | publisher |
PubMed ID | 31993864 |
DOI | 10.1186/s41747-019-0135-0 |
Web of Science KeyUT | 000705622700001 |
Related Url | isVersionOf https://doi.org/10.1186/s41747-019-0135-0 |
FullText URL | fulltext.pdf |
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Author | Takeshita, Ayumu| Nishida, Keiichiro| Yoshida, Aki| Nasu, Yoshihisa| Nakahara, Ryuichi| Kaneda, Daisuke| Ohashi, Hideki| Ozaki, Toshifumi| |
Published Date | 2021-07-07 |
Publication Title | PLOS ONE |
Volume | volume16 |
Issue | issue7 |
Publisher | Public Library Science |
Start Page | e0254268 |
ISSN | 1932-6203 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2021 Takeshita et al. |
File Version | publisher |
PubMed ID | 34234380 |
DOI | 10.1371/journal.pone.0254268 |
Web of Science KeyUT | 000674294100020 |
Related Url | isVersionOf https://doi.org/10.1371/journal.pone.0254268 |
FullText URL | fulltext.pdf |
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Author | Ohashi, Hideki| Nishida, Keiichiro| Nasu, Yoshihisa| Saiga, Kenta| Nakahara, Ryuichi| Horita, Masahiro| Okita, Shunji| Ozaki, Toshifumi| |
Keywords | lesser toe metatarsophalangeal joint rheumatoid arthritis radiographic measurement grading system |
Published Date | 2021-07-15 |
Publication Title | International Journal of Environmental Research and Public Health |
Volume | volume18 |
Issue | issue14 |
Publisher | MDPI |
Start Page | 7520 |
ISSN | 1660-4601 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2021 by the authors. |
File Version | publisher |
PubMed ID | 34299970 |
DOI | 10.3390/ijerph18147520 |
Web of Science KeyUT | 000676598200001 |
Related Url | isVersionOf https://doi.org/10.3390/ijerph18147520 |
FullText URL | fulltext.pdf |
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Author | Tetsunaga, Tomoko| Tetsunaga, Tomonori| Nishida, Keiichiro| Misawa, Haruo| Takigawa, Tomoyuki| Yamane, Kentaro| Tsuji, Hironori| Takei, Yoshitaka| Ozaki, Toshifumi| |
Keywords | Peripheral neuropathic pain Mirogabalin Pregabalin Adverse event |
Published Date | 2020-05-26 |
Publication Title | Journal of Orthopaedic Surgery and Research |
Volume | volume15 |
Issue | issue1 |
Publisher | Springer |
Start Page | 191 |
ISSN | 1749-799X |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | publisher |
PubMed ID | 32456647 |
DOI | 10.1186/s13018-020-01709-3 |
Web of Science KeyUT | 000538017400002 |
Related Url | isVersionOf https://doi.org/10.1186/s13018-020-01709-3 |
FullText URL | fulltext.pdf |
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Author | Ohtsuki, Takashi| Hatipoglu, Omer F.| Asano, Keiichi| Inagaki, Junko| Nishida, Keiichiro| Hirohata, Satoshi| |
Keywords | cell migration-inducing hyaluronidase 1 (CEMIP) chondrocyte hyaluronan mechanical strain nuclear factor kappa B (NF-kappa B) osteoarthritis |
Published Date | 2020-04-29 |
Publication Title | International Journal of Molecular Sciences |
Volume | volume21 |
Issue | issue9 |
Publisher | MDPI |
Start Page | 3140 |
ISSN | 1422-0067 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2020 by the authors. |
File Version | publisher |
PubMed ID | 32365591 |
DOI | 10.3390/ijms21093140 |
Web of Science KeyUT | 000535581700111 |
Related Url | isVersionOf https://doi.org/10.3390/ijms21093140 |
FullText URL | JOS_015_Fulltext.pdf JOS_015_Figures.pptx |
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Author | Okazaki, Yuki| Furumatsu, Takayuki| Kamatsuki, Yusuke| Nishida, Keiichiro| Nasu, Yoshihisa| Nakahara, Ryuichi| Saito, Taichi| Ozaki, Toshifumi| |
Published Date | 2020-03-26 |
Publication Title | Journal of Orthopaedic Science |
Volume | volume26 |
Issue | issue2 |
Publisher | Elsevier |
Start Page | 230 |
End Page | 236 |
ISSN | 09492658 |
NCID | AA11052566 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2020 The Japanese Orthopaedic Association. |
File Version | author |
PubMed ID | 32223991 |
DOI | 10.1016/j.jos.2020.02.015 |
Related Url | isVersionOf https://doi.org/10.1016/j.jos.2020.02.015 |
JaLCDOI | 10.18926/AMO/57957 |
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FullText URL | 74_1_77.pdf |
Author | Endo, Hirosuke| Akazawa, Hirofumi| Yashiro, Masato| Yamada, Kazuki| Sanki, Tomoaki| Tetsunaga, Tomonori| Nishida, Keiichiro| Furumatsu, Takayuki| Ozaki, Toshifumi| |
Abstract | Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. The femoral deformity appeared gradually, like a cam-type femoroacetabular impingement. She was treated with intensive rehabilitation and immunosuppressive drug. We later performed an arthroscopic bumpectomy for residual symptoms. She achieved a favorable outcome as a 15-year-old at the latest follow-up. |
Keywords | idiopathic chondrolysis hip joint medication bump arthroscopy |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2020-02 |
Volume | volume74 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 77 |
End Page | 81 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32099253 |
Web of Science KeyUT | 000516606200012 |
NAID | 120006795624 |
JaLCDOI | 10.18926/AMO/57720 |
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FullText URL | 73_6_537.pdf |
Author | Takahara, Yasuhiro| Nishida, Keiichiro| Nakashima, Hirotaka| Ochi, Nobuaki| Uchida, Yoichiro| Kato, Hisayoshi| Itani, Satoru| Nakamura, Makoto| Iwasaki, Yuichi| Tsujimura, Yoshitaka| |
Abstract | High tibial osteotomy (HTO) procedure is generally contraindicated in rheumatoid arthritis (RA) patients because synovial inflammation may exacerbate joint damage post-surgery. The natural course of joint destruction in RA changed dramatically with new treatment strategies and the introduction of biologic disease-modifying anti-rheumatic drugs (bDMARDs). We report the cases of two RA patients who underwent HTO and whose disease activities were well controlled by bDMARDs. Despite their short follow-up periods, they showed acceptable objective and subjective clinical results. We believe that the combination of bDMARDs and HTO can be indicated for selected RA patients before total knee arthroplasty. |
Keywords | high tibial osteotomy rheumatoid arthritis biologic DMARD knee surgery |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 537 |
End Page | 542 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871338 |
Web of Science KeyUT | 000503431400011 |
FullText URL | fulltext.pdf |
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Author | Ohtsuki, Takashi| Shinaoka, Akira| Kumagishi-Shinaoka, Kanae| Asano, Keiichi| Hatipoglu, Omer Faruk| Inagaki, Junko| Takahashi, Ken| Oohashi, Toshitaka| Nishida, Keiichiro| Naruse, Keiji| Hirohata, Satoshi| |
Published Date | 2019-10-15 |
Publication Title | Experimental Cell Research |
Volume | volume383 |
Issue | issue2 |
Publisher | Elsevier |
Start Page | 111556 |
ISSN | 00144827 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2019 The Authors. Published by Elsevier Inc. |
File Version | publisher |
PubMed ID | 31415758 |
DOI | 10.1016/j.yexcr.2019.111556 |
Web of Science KeyUT | 000488145400017 |
Related Url | isVersionOf https://doi.org/10.1016/j.yexcr.2019.111556 |
Author | Nishida, Keiichiro| Hashizume, Kenzo| Ozawa, Masatsugu| Takeshita, Ayumu| Kaneda, Daisuke| Nakahara, Ryuichi| Nasu, Yoshihisa| Shimamura, Yasunori| Inoue, Hajime| Ozaki, Toshifumi| |
---|---|
Published Date | 2017-02 |
Publication Title | Acta Medica Okayama |
Volume | volume71 |
Issue | issue1 |
Content Type | Journal Article |
JaLCDOI | 10.18926/AMO/54824 |
JaLCDOI | 10.18926/AMO/54811 |
---|---|
FullText URL | 70_6_477.pdf |
Author | Nishida, Keiichiro| Machida, Takahiro| Horita, Masahiro| Hashizume, Kenzo| Nakahara, Ryuichi| Nasu, Yoshihisa| Ohashi, Hideki| Saiga, Kenta| Ozaki, Toshifumi| |
Abstract | The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the shortening oblique osteotomy for the correction of deformity at the lesser MTP joints. The average Japanese Society of Surgery of the Foot (JSSF) standard rating system for the RA foot and ankle scale improved significantly from 59.6 points preoperatively to 88.3 points postoperatively (p<0.001). Twenty-four feet (89 ) were free from metatarsalgia and symptomatic callosities at the lesser MTP joint after surgery. Our present findings showed satisfactory early clinical outcomes of the shortening oblique osteotomy of the metatarsal bone with screw fixation for RA forefoot. |
Keywords | shortening oblique osteotomy rheumatoid arthritis forefoot screw fixation |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2016-12 |
Volume | volume70 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 477 |
End Page | 483 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 28003673 |
JaLCDOI | 10.18926/AMO/53119 |
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FullText URL | 69_1_29.pdf |
Author | Nakahara, Ryuichi| Nishida, Keiichiro| Hashizume, Kenzo| Harada, Ryouzou| Machida, Takahiro| Horita, Masahiro| Ohtsuka, Aiji| Ozaki, Toshifumi| |
Abstract | The outcome measures in rheumatology clinical trials (OMERACT) scores are the most mature quantitation system for rheumatoid arthritis (RA) on magnetic resonance imaging (MRI). Direct measuring techniques of synovial volume have been reported with good reproducibility, although few reports have demonstrated the changes of these measures in response to treatment. To assess these clinical responses, we evaluated the correlation of the changes of clinical activity score 28-joints disease activity score (DAS28-CRP) with the changes of OMERACT scores and with synovial volume measurements. Eight RA patients who were treated by biologic agents were examined with MRI of the dominant affected wrist and finger joints before and one year after the treatment. The total OMERACT score was reduced from 48.0 to 41.3, and synovial volume was reduced from 15.4 to 8.8 milliliters. Positive correlations were seen between the changes of DAS28-CRP and the changes of OMERACT synovitis score (r=0.27), OMERACT total score (r=0.43) and synovial volume (r=0.30). Limited to synovium assessment, synovial volume showed a better correlation with DAS28-CRP than the OMERACT synovitis score. On the other hand, the OMERACT total score showed a higher correlation with DAS28-CRP than synovial volume, probably because the OMERACT total score includes scores for bone erosion and bone edema as well. |
Keywords | magnetic resonance imaging rheumatoid arthritis outcome measures in rheumatology clinical trials scoring system direct volume measuring medical work station |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2015-02 |
Volume | volume69 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 29 |
End Page | 35 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2015 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 25703168 |
Web of Science KeyUT | 000349740300003 |
Related Url | http://ousar.lib.okayama-u.ac.jp/metadata/53113 |
Title Alternative | Hospital and clinic cooperation for the treatment of rheumatoid arthritis in Okayama Prefecture, Japan |
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FullText URL | 126_209.pdf |
Author | Sada, Ken-ei| Nishida, Keiichiro| Yamanaka, Takao| Misaki, Kenta| Wakabayashi, Hiroshi| Shinoda, Junko| Takagi, Toru| Yano, Ryusuke| Nakamura, Akihiko| Nanba, Yoshifumi| Morita, Yoshitaka| Koyama, Yoshinobu| Yamamoto, Keiji| Ezawa, Kazuhiko| Ota, Yusuke| Yoshihara, Yoshiki| Miyoshi, Shinya| Natsumeda, Masamitsu| Usui, Masaaki| Yoshinaga, Yasuhiko| Hayashi, Takashi| Yamamura, Masahiro| Hashizume, Hiroyuki| |
Abstract | Objective: To survey the current status and problems of cooperation between clinics and hospitals in Okayama Prefecture, Japan for the treatment of rheumatoid arthritis (RA). Methods: We distributed a questionnaire to 300 of the 983 Okayama Prefecture clinics that had either an internal medicine or orthopedic surgery department, from December 2013 to February 2014. The questionnaire covered practice pattern for RA treatment in clinics, current status of the hospital and clinic cooperation, and acceptance of the biologic therapy. Results: One hundred clinics responded to the questionnaire. Seventy percent of the clinics reported making referrals to rheumatologists before the initiation of RA treatment, and half of the other 30% of the clinics administered methotrexate as the first-line treatment for RA by their own decision. Sixty-six clinics cooperated with flagship hospitals, conducting medical and laboratory examinations, providing prescriptions, and treating common diseases of patients. These clinics expected the cooperating rheumatologists to follow-up patients every 3 to 6 months and to make the diagnosis, make decisions regarding RA treatment changes, and perform surgery. Seventy-one percent of the clinics responded that cooperation with a hospital is possible even for patients who are administered biologics. As reasons for no cooperation with the flagship hospitals, clinics noted the lack of information about rheumatologists in the area and recent trends in the management of RA. Conclusion: The current study reported, for the first time, the actual conditions of management of RA in clinics, as well as future problems of hospital and clinic cooperation in Okayama Prefecture. |
Keywords | 病診連携(hospital and clinic cooperation) 関節リウマチ(rheumatoid arthritis) 生物学的製剤(biologics) メトトレキサート(methotrexate) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2014-12-01 |
Volume | volume126 |
Issue | issue3 |
Start Page | 209 |
End Page | 215 |
ISSN | 0030-1558 |
language | Japanese |
Copyright Holders | Copyright (c) 2014 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.126.209 |
NAID | 130004903246 |