{"id":1542,"date":"2018-08-01T14:34:17","date_gmt":"2018-08-01T05:34:17","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1542"},"modified":"2018-08-01T14:34:38","modified_gmt":"2018-08-01T05:34:38","slug":"%e3%83%9b%e3%82%b9%e3%83%94%e3%82%b9%e3%82%b1%e3%82%a2%e3%81%ae%e5%b9%b3%e5%9d%87%e4%bd%99%e5%91%bd","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1542","title":{"rendered":"\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u306e\u5e73\u5747\u4f59\u547d"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nTodd Eichelberger. Life Expectancy with Hospice Care. Am Fam Physician. 2018 Mar 1;97(5)<\/p>\n

\u2015\u8981\u7d04\u2015
\n-Evidenve-Based Answer-
\n\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u308b\u80ba\u764c\u3001\u81b5\u81d3\u764c\u3001\u8ee2\u79fb\u6027\u9ed2\u8272\u816b\u306e\u7d42\u672b\u671f\u60a3\u8005\u306f\u3001\u5bff\u547d\u304c\u6700\u5c0f\u9650\u306b\u5ef6\u9577\u3055\u308c\u308b\u3002\u5c11\u306a\u304f\u3068\u30821\u65e5\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u308b\u3068\u3001\u5e73\u5747\u4f59\u547d\u306f3\u30f6\u6708\u307e\u3067\u5ef6\u9577\u3055\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\uff08Recommendation\uff1aB\uff09<\/p>\n

\u25b62007\u5e74\u306e\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\uff08n = 4,493\uff09\u306f\u3001\u672b\u671f\u8a3a\u65ad\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u751f\u5b58\u671f\u9593\u3092\u6e2c\u5b9a\u3057\u305f\u3002\u3059\u3079\u3066\u306e\u60a3\u8005\u306f\u3001\u8a3a\u65ad\u304b\u30893\u5e74\u4ee5\u5185\u306b\u6b7b\u4ea1\u3057\u305f\u3002\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u306e\u306f\u304a\u3088\u305d2\u5206\u306e1\uff082,095\u4eba\uff09\u3060\u3063\u305f\u3002\u7814\u7a76\u306f\u3001\u4e73\u764c\u3001\u7d50\u8178\u764c\u3001\u80ba\u764c\u3001\u81b5\u81d3\u764c\u3001\u524d\u7acb\u817a\u764c\u7d42\u672b\u671f\u306e\u8a3a\u65ad\u306e\u60a3\u8005\u3092\u542b\u3080\u3001\u75be\u60a3\u7279\u7570\u7684\u30b3\u30db\u30fc\u30c8\u304b\u3089\u69cb\u6210\u3055\u308c\u305f\u3002\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u5206\u6790\u3067\u306f\u3001\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u80ba\u764c\u304a\u3088\u3073\u81b5\u81d3\u764c\u306e\u60a3\u8005\u306f\u3001\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\u3068\u6bd4\u8f03\u3057\u3066\u5e73\u5747\u4f59\u547d\u304c\u5ef6\u9577\u3057\u305f\u3002\uff08\u80ba\u764c\u60a3\u8005\u3067\u306f279\u65e5\u5bfe240\u65e5\u3001P 1. Connor SR, Pyenson B, Fitch K, et al. Comparing hospice and nonhospice patient survival among patients who die within a three-year window. J Pain Symptom Manage. 2007;33(3):238\u2013246.<\/p>\n

\"JC\u795e\u753020180801\"<\/a><\/p>\n

\uff08\u539f\u8457\uff08\u4e0a\u8a18\u6dfb\u4ed8\uff09\u3092\u53c2\u7167\u3059\u308b\u3068\u3001\u5e73\u6c17\u4f59\u547d\u3092\u6700\u3082\u5ef6\u9577\u3057\u305f\u306e\u306f\u6162\u6027\u5fc3\u4e0d\u5168\u60a3\u8005\u7fa4\u3002\u7814\u7a76\u306e\u9650\u754c\u3068\u3057\u3066\u3001\u30db\u30b9\u30d4\u30b9\u5165\u9662\u306e\u6c7a\u5b9a\u306b\u95a2\u9023\u3059\u308b\u8981\u56e0\u304c\u7d50\u679c\u306b\u5f71\u97ff\u3059\u308b\u304b\u306f\u6b63\u78ba\u306b\u306f\u308f\u304b\u3089\u306a\u3044\u3068\u8a18\u8f09\u3042\u308a\u3002\u3053\u306e\u7814\u7a76\u306b\u3088\u308a\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u304c\u6b7b\u3092\u65e9\u3081\u308b\u3068\u3044\u3046\u8aa4\u89e3\u3092\u6255\u62ed\u3059\u308b\u60c5\u5831\u3092\u63d0\u4f9b\u3057\u305f\u3044\u3089\u3057\u3044\u3002\uff09<\/p>\n

\u25b62015\u5e74\u306e\u53f0\u6e7e\u306e\u672b\u671f\u80ba\u764c\u60a3\u8005\u306b\u95a2\u3059\u308b\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306f\u3001\u5c11\u306a\u304f\u3068\u30821\u65e5\u3067\u3082\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\uff08n = 566\uff09\u3068\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\uff08n = 2,833\uff09\u306e\u751f\u5b58\u7387\u3092\u6bd4\u8f03\u3057\u305f\u3002\uff0820\u6b73\u672a\u6e80\u306e\u60a3\u8005\u306f\u9664\u5916\uff09\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u306f\u8a3a\u65ad\u5f8c\u306e\u751f\u5b58\u671f\u9593\u3092\u5ef6\u9577\u3057\u305f\u3002\uff08\u4e2d\u592e\u5024= 0.86\u5e74\u5bfe0.61\u5e74\u3001P <.001\uff09
\n2. Chiang JK, Kao YH, Lai NS. The impact of hospice care on survival and health care costs for patients with lung cancer: a national longitudinal population-based study in Taiwan. PLoS One. 2015;10(9):e0138773.
\nhttps:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4583292\/<\/p>\n

\u25b62014\u5e74\u306e\u5f8c\u308d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u306f\u3001\u8ee2\u79fb\u6027\u9ed2\u8272\u816b\u3092\u6709\u3059\u308b65\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\uff08n = 862\uff09\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u306e\u751f\u5b58\u52b9\u679c\u304a\u3088\u3073\u30b3\u30b9\u30c8\u52b9\u679c\u3092\u8abf\u3079\u305f\u3002\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\uff08n =225\u4f8b\uff09\u30013\u65e5\u4ee5\u5185\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\uff08n =523\u4f8b\uff09\u30013\u65e5\u4ee5\u4e0a\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\uff08n =114\u4f8b\uff09\u304c\u3044\u305f\u3002\u7d42\u672b\u671f\u306e\u8a3a\u65ad\u304b\u3089\u6b7b\u4ea1\u307e\u3067\u306e\u5e73\u5747\u751f\u5b58\u671f\u9593\u306f\u3001\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\u3067\u306f6.1\u30f6\u6708\u30013\u65e5\u4ee5\u5185\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\u3067\u306f6.5\u30f6\u6708\u30013\u65e5\u4ee5\u4e0a\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\u3067\u306f10.2\u30f6\u6708\u3067\u3042\u3063\u305f\uff08P <.001\uff09\u30024\u65e5\u4ee5\u4e0a\u306e\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u3092\u53d7\u3051\u305f\u60a3\u8005\u306f\u30013\u65e5\u4ee5\u5185\u306e\u60a3\u8005\u3088\u308a\u3082\u5e73\u5747\u751f\u5b58\u671f\u9593\u304c3.3\u30ab\u6708\u9577\u3044\uff08\u30cf\u30b6\u30fc\u30c9\u6bd4= 0.66; 95\uff05\u4fe1\u983c\u533a\u95930.54\u301c0.81\uff09
\n3. Huo J, Lairson DR, Du XL, et al. Survival and cost-effectiveness of hospice care for metastatic melanoma patients. Am J Manag Care. 2014;20(5):366\u2013373.
\nhttps:\/\/www.ajmc.com\/journals\/issue\/2014\/2014-vol20-n5\/survival-and-cost-effectiveness-of-hospice-care-for-metastatic-melanoma-patients<\/p>\n

 <\/p>\n

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\u2015\u6587\u732e\u540d\u2015 Todd Eichelberger. Life Expectancy with Hospice Care. Am Fam Physician. 2018 Mar 1;97(5) \u2015\u8981\u7d04\u2015 -Evidenve- … \u7d9a\u304d\u3092\u8aad\u3080 \u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u306e\u5e73\u5747\u4f59\u547d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-1542","post","type-post","status-publish","format-standard","hentry","category-12"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1542"}],"version-history":[{"count":4,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1542\/revisions"}],"predecessor-version":[{"id":1546,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1542\/revisions\/1546"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}