Satisfaction in older patients by geriatric assessment using a novel tablet-based questionnaire system: A cluster-randomized, phase III trial of patients with non–small-cell lung cancer (ENSURE-GA study; NEJ041/CS-Lung001).
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- Sayo Soda
- Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University School of Medicine, Tochigi, Japan
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- Kie Mirokuji
- Department of Respiratory Medicine,Tokyo Metropolitan Komagome Hospital, Tokyo, Japan
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- Ryota Saito
- Department of Respiratory Medicine, Tohoku University, Sendai, Japan
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- Kei Takamura
- First Department of Internal Medicine, Obihiro Kosei General Hospital, Obihiro, Japan
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- Ryo Morita
- Department of Respiratory Medicine, Akita Kousei Medical Center, Akita, Japan
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- Naoki Furuya
- Department of Internal Medicine, Division of Respiratory Medicine, St. Marianna University School of Medicine, Kawasaki, Japan
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- Shoichi Kuyama
- Department of Respiratory Medicine, Iwakuni Clinical Center, Iwakuni, Japan
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- Ayako Shiono
- Department of Respiratory Medicine,Saitama Medical University International Medical Center, Saitama, Japan
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- Daisuke Arai
- Department of Pulmonary Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan
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- Shinobu Hosokawa
- Department of Respiratory Medicine, Japanese Red Cross Okayama Hospital, Okayama, Japan
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- Ken Masubuchi
- Department of Pulmonary Medicine, Gunma Prefectural Cancer Center, Ohta, Japan
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- Naoko Matsumoto
- Department of Respiratory Internal Medicine, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima, Japan
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- Hajime Asahina
- Department of Respiratory Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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- Haruka Kondo
- Department of Respiratory Medicine, Ehime Prefectural Central Hospital, Matsuyama, Japan
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- Ryoichi Honda
- Department of Respiratory Medicine, Asahi General Hospital, Asahi, Japan
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- Noboru Hattori
- Department of Respiratory Medicine, Hiroshima University Hospital, Hiroshima, Japan
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- Akihito Yokoyama
- Department of Respiratory Medicine and Allergology Kochi Medical School, Kochi University, Kochi, Japan
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- Kunihiko Kobayashi
- Department of Respiratory Medicine, Saitama Medical University International Medical Center, Hidaka-Gun, Japan
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- Takeshi Isobe
- Department of Internal Medicine, Division of Medical Oncology & Respiratory Medicine, Shimane University Faculty of Medicine, Izumo, Japan
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- Yukari Tsubata
- Department of Internal Medicine, Division of Medical Oncology & Respiratory Medicine, Shimane University Faculty of Medicine, Izumo, Japan
抄録
<jats:p> 12041 </jats:p><jats:p> Background: To provide optimal treatment for older cancer patients, it is necessary to carry out a geriatric assessment (GA) to evaluate geriatric syndrome. However, GA is not widely performed because it requires expertise. In this ENSURE-GA study, we evaluated if providing a GA summary and recommendations for GA-guided interventions using a novel tablet-based questionnaire system improved satisfaction about communication with physicians for older patients with non-small-cell lung cancer (NSCLC). Methods: Patients with NSCLC who were incapable of radical treatment aged 75 or older were enrolled. All patients underwent a standardized GA using a tablet before starting treatment. Participating institutions were cluster-randomized into the intervention group and the control group. In the intervention group, GA summary and recommendations for GA-guided interventions were immediately returned to guide physicians in selecting treatments and interventions. The control group did not provide a GA summary. The primary outcomes were difference in patient satisfaction pre-treatment and percent change pre- and post-treatment according to the HCCQ questionnaire. Results: A total of 1,021 patients from 78 institutions in Japan were enrolled between 2019–2022. There were no differences in patient backgrounds between the intervention group and the control group: mean age 80.1 yrs. vs. 80.0 yrs.; male 64.1% vs. 66.8%; adenocarcinoma 70.4% vs. 64.8%; and performance status 0-1, 82.4% vs. 79.0%, respectively. All GA domain evaluation results, such as ADL and cognitive function, also did not differ between the two groups. Pre-treatment satisfaction scores were significantly higher in the intervention group than in the control group (29.9 vs. 29.1, p = 0.003). There was no significant difference in the mean percent change between the two groups (-0.13 vs. 2.38, p = 0.165). Conclusions: Providing the oncologist with a GA summary and recommendations for GA-guided interventions improved patient satisfaction from the start of treatment. A novel system using a tablet may be effective at promoting GA more widely. Clinical trial information: UMIN0000037590 . </jats:p>
収録刊行物
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- Journal of Clinical Oncology
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Journal of Clinical Oncology 41 (16_suppl), 12041-12041, 2023-06-01
American Society of Clinical Oncology (ASCO)
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キーワード
詳細情報 詳細情報について
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- CRID
- 1360298345004902912
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- ISSN
- 15277755
- 0732183X
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- データソース種別
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- Crossref