Usefulness of Palliative Care Screening by Means of Seirei Mikatahara Hospital’s Support Team Assessment Schedule (STAS)
Palliative care screening is important in ensuring that palliative treatment is timely and appropriate.Thinking that the Seirei Mikatahara Hospital’s Support Team Assessment Schedule (STAS),which is mainly used for evaluating physical discomfort,could be useful in palliative care screening,we survey...
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| Published in | Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences) Vol. 35; no. 11; pp. 806 - 817 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japanese Society of Pharmaceutical Health Care and Sciences
2009
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1346-342X 1882-1499 1882-1499 |
| DOI | 10.5649/jjphcs.35.806 |
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| Abstract | Palliative care screening is important in ensuring that palliative treatment is timely and appropriate.Thinking that the Seirei Mikatahara Hospital’s Support Team Assessment Schedule (STAS),which is mainly used for evaluating physical discomfort,could be useful in palliative care screening,we surveyed the need for palliative care at Toyama University Hospital to verify the usefulness of the STAS for this purpose.Our subjects were cancer patients in the gastroenterological surgery,gastroenterology/hematology and respiratory medicine departments and the Outpatient Chemotherapy Center at Toyama University Hospital who had not undergone any surgery within the previous two weeks.In our study which was conducted in May and June 2008,patients were scored using STAS twice,with a week between the scorings.Patients for whom the score in both STAS screenings were 2 or more were considered as positive.There were 15 positive patients (18.3 %) among 82 hospitalized patients and 6 (31.6%) among 19 outpatients.Among the positive patients,46.7% (7/15)of those hospitalized and 50.0% (3/6)of those being treated as outpatients required referral for other palliative treatment.Our palliative care team has had 2.1 patients per month on average since 2007,but this study showed that there are many more patients with a potential need for palliative care. In conclusion,we found that 21 of (20.8%) of 101 patients were positive in the screenings and 47.6% (10/21 cases) of them needed other treatments,demonstrating the usefulness of Seirei Mikatahara Hospital’s STAS as a palliative care screening system. |
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| AbstractList | Palliative care screening is important in ensuring that palliative treatment is timely and appropriate.Thinking that the Seirei Mikatahara Hospital’s Support Team Assessment Schedule (STAS),which is mainly used for evaluating physical discomfort,could be useful in palliative care screening,we surveyed the need for palliative care at Toyama University Hospital to verify the usefulness of the STAS for this purpose.Our subjects were cancer patients in the gastroenterological surgery,gastroenterology/hematology and respiratory medicine departments and the Outpatient Chemotherapy Center at Toyama University Hospital who had not undergone any surgery within the previous two weeks.In our study which was conducted in May and June 2008,patients were scored using STAS twice,with a week between the scorings.Patients for whom the score in both STAS screenings were 2 or more were considered as positive.There were 15 positive patients (18.3 %) among 82 hospitalized patients and 6 (31.6%) among 19 outpatients.Among the positive patients,46.7% (7/15)of those hospitalized and 50.0% (3/6)of those being treated as outpatients required referral for other palliative treatment.Our palliative care team has had 2.1 patients per month on average since 2007,but this study showed that there are many more patients with a potential need for palliative care. In conclusion,we found that 21 of (20.8%) of 101 patients were positive in the screenings and 47.6% (10/21 cases) of them needed other treatments,demonstrating the usefulness of Seirei Mikatahara Hospital’s STAS as a palliative care screening system. |
| Author | Takaki, Akiyoshi Ikezaki, Tomoaki Murakami, Nozomu Nunotani, Masako Mimura, Yasuhiko Tanabe, Kouichi Takahata, Hidenobu Yoshida, Tomohiro Kitazawa, Hidenori Takeuchi, Miyako Adachi, Isao Murasaki, Yoshiyuki |
| Author_xml | – sequence: 1 fullname: Takahata, Hidenobu organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Mimura, Yasuhiko organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Kitazawa, Hidenori organization: Palliative Care Team,Saiseikai Takaoka Hospital – sequence: 1 fullname: Murakami, Nozomu organization: Palliative Care Team,Saiseikai Takaoka Hospital – sequence: 1 fullname: Murasaki, Yoshiyuki organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Nunotani, Masako organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Takaki, Akiyoshi organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Ikezaki, Tomoaki organization: Palliative Care Team,Saiseikai Takaoka Hospital – sequence: 1 fullname: Yoshida, Tomohiro organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Tanabe, Kouichi organization: Department of Pharmacy,Toyama University Hospital – sequence: 1 fullname: Takeuchi, Miyako organization: Palliative Care Team,Saiseikai Takaoka Hospital – sequence: 1 fullname: Adachi, Isao organization: Department of Pharmacy,Toyama University Hospital |
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| Cites_doi | 10.1056/NEJM199607183350306 10.1080/09581599308406900 10.1017/S1478951504040507 10.1016/j.jpainsymman.2007.05.013 10.1200/JCO.1999.17.11.3621 10.1191/0269216302pm588oa 10.1200/JCO.2005.12.107 10.1177/026921639701100404 10.1191/026921600677786382 10.1177/026921639300700309 |
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| References_xml | – reference: 9)T.Morita,K.Fujimoto,M.Namba,E.Kiyohara,S.Takada,R.Yamazaki,K.Taguchi,Screening for discomfort as the fifth vital sign using an electronic medical recording system : a feasibility study,J.Pain Symptom Manage .,35,430-436 (2008). – reference: 12)C.M.Heaven,P.Maguire,Disclosure of concerns by hospice patients and their identification by nurses,Palliat.Med .,11,283-290 (1997). – reference: 15)N.A.Christakis,J.J.Escarce,Survival of Medicare patients after enrollment in hospice programs,N.Engl.J.Med .,335,172-178 (1996). – reference: 3)Y.Shima,“STAS-J scoring manual,3 rd ed.,”STAS Working group,Koubunsha,2007. – reference: 5)M.Miyashita,K.Matoba,T.Sasahara,Y.Kizawa,M.Maruguchi,M.Abe,M.Kawa,Y.Shima,Reliability and validity of Japanese version STAS (STAS-J),Palliat.Support Care ,2,379-384 (2004). – reference: 4)T.Morita,K.Fujimoto,Y.Tei,Palliative care team : the first year audit in Japan,J.Pain Symptom Manage .,29,458-465 (2004). – reference: 1)T.Morita,K.Fujimoto,M.Namba,E.Kiyohara,S.Takada,R.Yamazaki,K.Taguchi,Screening system for discomfort with STAS-J,Jpn.J.Palliat.Med .,9,159-162 (2007)(Japanese). – reference: 6)I.Higginson,M.McCarthy,Validity of the support team assessment schedule : Do staffs’rating reflect those made by patients or their families?,Palliat.Med .,7,219-228 (1993). – reference: 10)S.Nishida,A survey of the palliative care teams in Japan,White paper on hospice palliative care 2005 ,43-50 (2005). – reference: 18)M.Ichimaru,S.Hinohara,A psychological approach at a palliative care unit,Jpn.J.Psychosom.Med .,41,108 (2001). – reference: 13)C.L.Nekolaichuk,T.O.Maguire,M.S.Almazor,W.T.Rogers,E.Bruera,Assessing the reliability of patient,nurse,and family caregiver symptom ratings in hospitalized advanced cancer patients,J.Clin.Oncol .,17,3621-3630 (1999). – reference: 7)M.G.Carson,M.I.Fitch,M.L.Vachon,Measuring patient outcomes in palliative care : a reliability and validity study of the support team assessment schedule,Palliat.Med .,14,25-36 (2000). – reference: 8)M.Miyashita,M.Yasuda,R.Baba,S.Iwase,R.Teramoto,K.Nakagawa,Y.Kizawa,Y.Shima.Inter-rater reliability of proxy simple symptom assessment scale between physician and nurse : A hospital-based palliative care team setting,Eur.J.Cancer Care (in press). – reference: 14)R.Horton,Differences in assessment of symptoms and quality of life between patients with advanced cancer and their specialist palliative care nurses in a home care setting,Palliat.Med .,16,488-494 (2002). – reference: 21)Japanese translation of common terminology criteria for adverse events (CTCAE),and instructions and guidelines,Int.J.Clin.Oncol .,9,1-82 (2004). – reference: 16)M.Costantini,F.Toscani,M.Gallucci,C.Brunelli,G.Miccinesi,M.Tamburini,E.Paci,P.Di Giulio,C.Peruselli,I.Higginson,J.Addington-Hall,Terminal cancer patients and timing of referral to palliative care : a multicenter prospective cohort study,J.Pain Symptom Manage .,18,243-252 (1999). – reference: 11)M.A.G.Sprangers,N.K.Aaronson,The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease : a review,J.Clin.Epidemiol .,45,743-760 (1992). – reference: 19)H.Hayashi,H.Kumagai,M.Hagiwara,Y.Matsumoto,M.Fukuoka,M.Matsumoto,A factor affecting morphine dose for cancer patients,Chronic.pain ,20,32-38 (2001). – reference: 2)I.Higginson,“Clinical audit in palliative care”,Radcliffe Medical Press,New York 1993. – reference: 20)S.Sunada,T.Nishiura,S.Higasa,M.Wada,M.Masuda,S.Matsubara,S.Okamoto,M.Koseki,W.Kamiike,Present status of palliative care team,Jpn.J.Cancer Clin .,53,177-180 (2007). – reference: 17)T.Morita,T.Akechi,M.Ikenaga,Y.Kizawa,H.Kohara,T.Mukaiyama,T.Nakaho,N.Nakashima,Y.Shima,T,Matsubara,Y.Uchitomi,Late referrals to specialized palliative care service in Japan,J.Clin.Oncol .,23,2637-2644 (2005). – ident: 3 – ident: 18 – ident: 4 – ident: 15 doi: 10.1056/NEJM199607183350306 – ident: 1 – ident: 11 – ident: 2 doi: 10.1080/09581599308406900 – ident: 5 doi: 10.1017/S1478951504040507 – ident: 9 doi: 10.1016/j.jpainsymman.2007.05.013 – ident: 10 – ident: 19 – ident: 16 – volume: 17 start-page: 3621 issn: 0732-183X issue: 11 year: 1999 ident: 13 doi: 10.1200/JCO.1999.17.11.3621 – ident: 14 doi: 10.1191/0269216302pm588oa – ident: 17 doi: 10.1200/JCO.2005.12.107 – ident: 12 doi: 10.1177/026921639701100404 – ident: 7 doi: 10.1191/026921600677786382 – volume: 53 start-page: 177 issn: 0021-4949 issue: 3 year: 2007 ident: 20 – ident: 8 – ident: 21 – ident: 6 doi: 10.1177/026921639300700309 |
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| Title | Usefulness of Palliative Care Screening by Means of Seirei Mikatahara Hospital’s Support Team Assessment Schedule (STAS) |
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