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Influence of the treatment schedule on the physicians’ decisions to refer bone metastases patients for palliative radiotherapy : a questionnaire survey of physicians in various specialties
https://doi.org/10.18999/nagjms.78.3.275
https://doi.org/10.18999/nagjms.78.3.275b039e8aa-b577-4782-978c-64aba59bba8b
名前 / ファイル | ライセンス | アクション |
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15_Saito.pdf (164.0 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-09-09 | |||||
タイトル | ||||||
タイトル | Influence of the treatment schedule on the physicians’ decisions to refer bone metastases patients for palliative radiotherapy : a questionnaire survey of physicians in various specialties | |||||
言語 | en | |||||
著者 |
Saito, Tetsuo
× Saito, Tetsuo× Toya, Ryo× Semba, Akiko× Matsuyama, Tomohiko× Oya, Natsuo |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | radiotherapy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | bone metastasis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | palliative care | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | pain | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | questionnaire | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We investigated whether the treatment schedule influences physicians’ decisions to refer their patients for radiotherapy. We presented a questionnaire to 104 physicians in various specialties at three hospitals. It included three hypothetical patients with uncomplicated painful bone metastasis: patients with an expected life span of one year (case 1), 6 months (case 2), and 2 months (case 3). The physicians were asked whether they would refer their patients for radiotherapy when a radiation oncologist presented three different treatment schedules: a short (8 Gy/1 fraction/1 day)-, a medium (20 Gy/5 fractions/1 week)-, and a long (30 Gy/10 fractions/2 weeks) schedule. We used Cochran’s Q-test to compare the percentage of physicians across the three schedules and a mixed-effect logistic model to identify predictors of the selection of only the one-day schedule. Of the 104 physicians, 68 (65%) responded. Of these, 37 (54%), 27 (40%), and 26 (38%) chose to refer patients for radiotherapy when the short-, medium-, and long schedules, respectively, were proposed in case 1 (p = 0.14). These numbers were 44 (65%), 29 (43%), and 15 (22%) for case 2 (p < 0.001), and 59 (87%), 12 (18%), and 1 (1%) for case 3 (p < 0.001). Hypothetical patient and the physicians’ years of practice and perspective regarding side effects were independently predictive of the selection of only the one-day schedule. In conclusion, the treatment schedule influenced the physicians’ decisions to refer patients for radiotherapy. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.78.3.275 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/783.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 78, 号 3, p. 275-284, 発行日 2016-08 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/24813 | |||||
識別子タイプ | HDL |