{"created":"2022-09-05T02:35:39.407861+00:00","id":2003744,"links":{},"metadata":{"_buckets":{"deposit":"dfdd2032-e188-4bd1-8eea-bcc7afeb048e"},"_deposit":{"created_by":17,"id":"2003744","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"2003744"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:02003744","sets":["499:508:509:1662337921058"]},"author_link":[],"item_1615768549627":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_9_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"525","bibliographicPageStart":"516","bibliographicVolumeNumber":"84","bibliographic_titles":[{"bibliographic_title":"Nagoya Journal of Medical Science","bibliographic_titleLang":"en"}]}]},"item_9_description_4":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"The diagnosis of pediatric spinal cord tumor is frequently delayed due to the presence of non-specific symptoms. We investigated the factors influencing the delay between the first symptom presentation and the diagnosis for pediatric spinal cord tumor. We retrospectively analyzed 31 patients of age <20 years (18 men, 13 women) who underwent surgery for spinal cord tumor at a single center during 1998–2018. We extracted the relevant data on patients’ symptoms, affected spinal location (cervical: C1-7, thoracic: T1-T12, and lumbosacral: L1-S), and tumor anatomical location (extradural, intradural extramedullary, and intramedullary tumor) that could potentially affect the duration of symptom presentation prior to the diagnosis. The most common symptom presented in the patients was pain (n = 22, 71.0 %). Motor symptoms such as paralysis was associated with early diagnosis (P = 0.039). The duration of symptoms prior to diagnosis was found to be significantly longer in patients with spinal tumor in the lumbar-sacral region than in those with the involvement of the cervical and thoracic regions (2.1 ± 1.7 months vs 13.6 ± 12.1 months; P = 0.006 and 2.9 ± 2.2 months vs 13.6 ± 12.1 months; P = 0.012, respectively). Our study results demonstrated that pain was the most common symptom in the examined patients, although it did not affect the delay in diagnosis, whereas the presentation of motor symptoms was helpful in the diagnosis of pediatric spinal cord tumor and the diagnosis could be delayed in lumbar-sacral spinal tumors.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18999/nagjms.84.3.516","subitem_identifier_reg_type":"JaLC"}]},"item_9_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagoya University Graduate School of Medicine, School of Medicine","subitem_publisher_language":"en"}]},"item_9_relation_43":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/843.html","subitem_relation_type_select":"URI"}}]},"item_9_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International","subitem_rights_language":"en","subitem_rights_resource":"http://creativecommons.org/licenses/by-nc-nd/4.0/"}]},"item_9_source_id_7":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"0027-7622","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2186-3326","subitem_source_identifier_type":"EISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Koshimizu, Hiroyuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nakashima, Hiroaki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ando, Kei","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kobayashi, Kazuyoshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nishimura, Yusuke","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Machino, Masaaki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ito, Sadayuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kanbara, Shunsuke","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Inoue, Taro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Yamaguchi, Hidetoshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Segi, Naoki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Tomita, Hiroyuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Imagama, Shiro","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2022-09-05"}],"displaytype":"detail","filename":"04_Koshimizu.pdf","filesize":[{"value":"865 KB"}],"format":"application/pdf","licensetype":"license_5","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://nagoya.repo.nii.ac.jp/record/2003744/files/04_Koshimizu.pdf"},"version_id":"4f57a540-a318-40be-9767-74ac82e4d89a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"pediatrics spinal cord tumor","subitem_subject_scheme":"Other"},{"subitem_subject":"tumor characteristics","subitem_subject_scheme":"Other"},{"subitem_subject":"diagnostic delay","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Patient factors influencing a delay in diagnosis in pediatric spinal cord tumors","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Patient factors influencing a delay in diagnosis in pediatric spinal cord tumors","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"17","path":["1662337921058"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-09-05"},"publish_date":"2022-09-05","publish_status":"0","recid":"2003744","relation_version_is_last":true,"title":["Patient factors influencing a delay in diagnosis in pediatric spinal cord tumors"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-11-16T01:58:45.335033+00:00"}