ID | 65278 |
フルテキストURL | |
著者 |
Akezaki, Yoshiteru
Division of Physical Therapy, Kochi Professional University of Rehabilitation
Kikuuchi, Masato
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Sugihara, Shinsuke
Department of Rehabilitation Medicine, National Hospital Organization Shikoku Cancer Center
Katayama, Yoshimi
Department of Rehabilitation Medicine, Okayama University Hospital
Katayama, Haruyoshi
Department of Orthopaedic Surgery, Okayama University Hospital
Hamada, Masanori
Department of Rehabilitation Medicine, Okayama University Hospital
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
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抄録 | Objective: This study aimed to investigate the association between overall survival (OS) and activities of daily living (ADL) in patients with skeletal-related events. In this study, 265 patients whose clinical parameters were available before radiotherapy were investigated. Methods: Age, sex, ADL, pain, the primary site, spinal level of bone metastases, spinal instability, treatment strategy, including chemotherapy or palliative treatment, and OS were investigated. ADL patients with a Barthel index of >= 90 were classified as the high ADL group, while those with a score < 90 were classified as the low ADL group. For OS, patients surviving >= 160 days were classified as the non-poor prognosis group, and those who survived <160 days were classified as the poor prognosis group. Results: Age, sex, ADL, pain, the primary site, and treatment strategy for OS were different between the two groups (p < 0.1). Logistic regression analysis revealed that ADL, the primary site, and treatment strategy were significant predictors of OS (p < 0.05). High ADL, breast cancer, and chemotherapy had a positive effect on OS. Conclusions: It is suggested that improvements may be obtained by performing rehabilitation interventions to maintain and improve ADL, by constructing a system for monitoring spinal bone metastases with images before ADL decreases, and by performing interventions such as changes in treatment methods such as RT or surgery at appropriate times.
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キーワード | spinal bone metastases
radiotherapy
chemotherapy
activities of daily living
overall survival
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発行日 | 2022-02-11
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出版物タイトル |
Healthcare
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巻 | 10巻
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号 | 2号
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出版者 | MDPI
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開始ページ | 350
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ISSN | 2227-9032
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2022 by the authors.
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.3390/healthcare10020350
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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Citation | Akezaki, Y.; Nakata, E.; Kikuuchi, M.; Sugihara, S.; Katayama, Y.; Katayama, H.; Hamada, M.; Ozaki, T. Association between Overall Survival and Activities of Daily Living in Patients with Spinal Bone Metastases. Healthcare 2022, 10, 350. https://doi.org/10.3390/healthcare10020350
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