{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205221147776.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.5981/jjhnc.42.382"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jjhnc/42/4/42_382/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005395149"}}],"dc:title":[{"@language":"ja","@value":"後期高齢者頭頸部癌に対する外科治療"},{"@language":"en","@value":"Surgery for elderly patients aged over seventy-five with head and neck cancer"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Three hundred ninety patients with head and neck cancer aged over 75 years old were referred to our center between April 2011 and December 2015. Of these, 208 patients with oral, oropharyngeal, hypopharyngeal and laryngeal cancer were enrolled and evaluated for operative indications based on comorbidity and postoperative complications. It is important to decide operative indications based on performance status, degree of general comorbidity and adequate informed consent; elderly patients should not be denied treatment because of their age. Moreover, the treatment strategy and overall survival rate were both similar to those of younger counterparts. Finally, we examined whether operative extent decreased or not in elderly patients, and found no difference between near-elderly patients and younger patients."},{"@language":"ja","@value":"2011年4月から2015年12月までに当科を受診した新患患者2,796例のうち75歳以上の後期高齢者の悪性腫瘍患者は390例（13.9％）であった。そのうちの口腔癌，中咽頭癌，下咽頭癌，喉頭癌患者208例について，治療前の全身合併症と術後合併症から手術適応を検討した。患者の体力や既往症，併存合併症の程度の評価および患者の希望を含めた十分なインフォームドコンセントが手術適応の決定には重要で，高齢者というだけで手術適応を狭めることはむしろ危険であると思われた。また，治療方針も成績も特に若年者や壮年者と比較して遜色のないものであった。さらに手術術式について，若年者や壮年層の患者と比べ，縮小の傾向があるかどうかについても検討したが，ほとんどの症例は，治療方針も手術術式もそれほど変わらず施行することが可能であった。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205221147778","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375274"}],"foaf:name":[{"@language":"ja","@value":"別府 武"},{"@language":"en","@value":"Beppu Takeshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204951282182","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019141435"}],"foaf:name":[{"@language":"ja","@value":"得丸 貴夫"},{"@language":"en","@value":"Tokumaru Takao"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147776","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375278"}],"foaf:name":[{"@language":"ja","@value":"千田 邦明"},{"@language":"en","@value":"Chida Kuniaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147785","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375279"}],"foaf:name":[{"@language":"ja","@value":"河邊 浩明"},{"@language":"en","@value":"Kawabe Hiroaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147786","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375280"}],"foaf:name":[{"@language":"ja","@value":"山田 雅人"},{"@language":"en","@value":"Yamada Masato"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147783","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375281"}],"foaf:name":[{"@language":"ja","@value":"杉山 智宣"},{"@language":"en","@value":"Sugiyama Tomonori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147784","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375282"}],"foaf:name":[{"@language":"ja","@value":"小出 暢章"},{"@language":"en","@value":"Koide Nobuaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Head and Neck Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター頭頸部外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147777","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375283"}],"foaf:name":[{"@language":"ja","@value":"濱畑 淳盛"},{"@language":"en","@value":"Hamahata Atsumori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Plastic Surgery, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター形成外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147782","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375284"}],"foaf:name":[{"@language":"ja","@value":"山田 祐"},{"@language":"en","@value":"Yamada Yu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Psychiatry, Saitama Psychiatric Medical Center"},{"@language":"ja","@value":"埼玉県立精神医療センター精神科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147781","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375275"}],"foaf:name":[{"@language":"ja","@value":"大久保 悠"},{"@language":"en","@value":"Ohkubo Yu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Radiation Oncology, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター放射線治療科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205221147780","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345375276"}],"foaf:name":[{"@language":"ja","@value":"齋藤 吉弘"},{"@language":"en","@value":"Saitou Yoshihiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Radiation Oncology, Saitama Cancer Center"},{"@language":"ja","@value":"埼玉県立がんセンター放射線治療科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13495747"},{"@type":"EISSN","@value":"18818382"}],"prism:publicationName":[{"@language":"en","@value":"Toukeibu Gan"},{"@language":"ja","@value":"頭頸部癌"},{"@language":"en","@value":"Toukeibu Gan"},{"@language":"ja","@value":"頭頸部癌"}],"dc:publisher":[{"@language":"en","@value":"Japan Society for Head and Neck Cancer"},{"@language":"ja","@value":"日本頭頸部癌学会"}],"prism:publicationDate":"2016","prism:volume":"42","prism:number":"4","prism:startingPage":"382","prism:endingPage":"389"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/jjhnc/42/4/42_382/_pdf"}],"availableAt":"2016","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%A0%AD%E9%A0%B8%E9%83%A8%E7%99%8C","dc:title":"頭頸部癌"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%BE%8C%E6%9C%9F%E9%AB%98%E9%BD%A2%E8%80%85","dc:title":"後期高齢者"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%89%8B%E8%A1%93%E9%81%A9%E5%BF%9C","dc:title":"手術適応"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%97%A2%E5%BE%80%E7%97%87%E3%81%A8%E6%89%8B%E8%A1%93%E5%90%88%E4%BD%B5%E7%97%87","dc:title":"既往症と手術合併症"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%89%8B%E8%A1%93%E8%A1%93%E5%BC%8F","dc:title":"手術術式"},{"@id":"https://cir.nii.ac.jp/all?q=Head%20and%20neck%20cancer","dc:title":"Head and neck cancer"},{"@id":"https://cir.nii.ac.jp/all?q=Elderly%20patients","dc:title":"Elderly patients"},{"@id":"https://cir.nii.ac.jp/all?q=Operative%20indications","dc:title":"Operative indications"},{"@id":"https://cir.nii.ac.jp/all?q=Comorbidity%20and%20postoperative%20complications","dc:title":"Comorbidity and postoperative complications"},{"@id":"https://cir.nii.ac.jp/all?q=Operative%20contents","dc:title":"Operative contents"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360855569896575872","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Free Flaps in Head and Neck Reconstruction after Oncologic Surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699995209515520","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Surgical outcomes in the elderly patient after osteocutaneous free flap 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cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205014226816","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Surgical Treatment for Elderly Patients with Head and Neck Cancer—Larynx Preservation Surgery for Elderly Patients—"},{"@language":"ja","@value":"高齢者に対する外科治療—頭頸部—"},{"@value":"高齢者に対する外科治療 : 頭頸部"},{"@language":"ja-Kana","@value":"コウレイシャ ニ タイスル ゲカ チリョウ : アタマ ケイブ"},{"@value":"Surgical Treatment for Elderly Patients with Head and Neck Cancer^|^mdash;Larynx Preservation Surgery for Elderly Patients^|^mdash;"}]},{"@id":"https://cir.nii.ac.jp/crid/1390018518956111616","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Study on Hypopharyngeal Carcinomas in Advanced Elderly Patients"},{"@language":"ja","@value":"後期高齢者下咽頭癌症例の検討"},{"@language":"ja-Kana","@value":"コウキ コウレイシャ カ イントウガン ショウレイ ノ ケントウ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679990937216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Chemotherapy and Radiotherapy for Elderly Head and Neck Cancer Patients"},{"@language":"ja","@value":"高齢者の放射線・化学療法—頭頸部—"},{"@value":"高齢者の放射線・化学療法 : 頭頸部"},{"@language":"ja-Kana","@value":"コウレイシャ ノ ホウシャセン ・ カガク リョウホウ : アタマ ケイブ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679991569280","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Head and Neck Cancer Treatment in the Elderly"},{"@language":"ja","@value":"高齢者の頭頸部癌治療"},{"@language":"ja-Kana","@value":"コウレイシャ ノ アタマ ケイブガン チリョウ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680259472384","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"高齢者頭頸部癌手術の治療成績と術後合併症"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001846704"},{"@type":"CROSSREF","@value":"10.5981/jjhnc.42.382"},{"@type":"CIA","@value":"130005395149"},{"@type":"OPENAIRE","@value":"doi_dedup___::ab34ad04f45d8c0a3aec6ec810073130"},{"@type":"CROSSREF","@value":"10.5631/jibirin.117.425_references_DOI_MQRD0hd0Z6J8hYAeo15GEog3mGx"}]}