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Prospective Evaluation of Health-Related Quality of Life in Patients Undergoing Anterolateral Craniofacial Resection with Orbital Exenteration
http://hdl.handle.net/2237/00033494
http://hdl.handle.net/2237/00033494332ed189-a7a5-47e1-a5d5-a09a576233cf
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-02-09 | |||||
タイトル | ||||||
タイトル | Prospective Evaluation of Health-Related Quality of Life in Patients Undergoing Anterolateral Craniofacial Resection with Orbital Exenteration | |||||
言語 | en | |||||
著者 |
Mukoyama, Nobuaki
× Mukoyama, Nobuaki× Nishio, Naoki× Kimura, Hiroyuki× Kishi, Shinichi× Tokura, Tatsuya× Kimura, Hiroki× Hiramatsu, Mariko× Maruo, Takashi× Tsuzuki, Hidenori× Fujii, Masazumi× Iwami, Kenichiro× Takanari, Keisuke× Kamei, Yuzuru× Ozaki, Norio× Sone, Michihiko× Fujimoto, Yasushi |
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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 | anterolateral craniofacial resection | |||||
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主題Scheme | Other | |||||
主題 | orbital exenteration | |||||
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主題Scheme | Other | |||||
主題 | quality of life | |||||
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主題Scheme | Other | |||||
主題 | skull base malignant tumor | |||||
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主題Scheme | Other | |||||
主題 | early psychiatric intervention | |||||
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主題Scheme | Other | |||||
主題 | hospital anxiety and depression scale | |||||
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主題Scheme | Other | |||||
主題 | medical outcomes study 8-items short form health survey | |||||
抄録 | ||||||
内容記述 | Objective: This study was aimed to evaluate health-related quality of life in patients undergoing anterolateral craniofacial resection (AL-CFR) with orbital exenteration (OE) for malignant skull base tumors and to investigate the effects of early psychiatric intervention. Design: Present study is a prospective, observational study. Setting: The study took place at the hospital department. Participants: Twenty-six consecutive patients were selected who underwent AL-CFR with OE at our hospital between 2005 and 2015. Main Outcome Measures: Health-related quality of life was assessed preoperatively and 3, 6, 12, and 24 months after surgery using the Hospital Anxiety and Depression Scale (HADS) and medical outcomes study 8-items Short Form health survey (SF-8). In all cases, psychiatric intervention was organized by the consultation liaison psychiatry team preoperatively and postoperatively. Results: Ten (38.0%) of the 26 patients died and 16 (62.0%) were alive and disease-free at the end of the study. The 3-year overall and disease-free survival rates were 64.9% and 53.3%, respectively. Twenty-one patients (80.8%) developed psychiatric complications after surgery and needed treatment with psychotropic medication. Before surgery, 28% of patients had HADS scores ≥8 for anxiety and 20% had scores ≥8 for depression. Seven of the eight items in the SF-8 were significantly lower than those for the general Japanese population. However, scores for all the SF-8 items gradually improved during postoperative follow-up, reaching approximately 50 points, which is the national standard value, at 2 years after surgery. Conclusions: Craniofacial resection with OE was feasible and well tolerated in patients with malignant skull base tumors who received early psychiatric intervention to decrease the considerable psychological impact of this procedure. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | 24 July 2019 (online) | |||||
言語 | en | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Georg Thieme Verlag | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1055/s-0039-1694010 | |||||
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収録物識別子タイプ | PISSN | |||||
収録物識別子 | 2193-6331 | |||||
書誌情報 |
en : Journal of Neurological Surgery Part B: Skull Base 巻 81, 号 05, p. 585-593, 発行日 2020-10 |
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値 | author |