VigiPallia : Résultats

ANZAI, Toshihisa

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Quality indicators of palliative care for acute cardiovascular diseases

MIZUNO, Atsushi ; MIYASHITA, Mitsunori ; KOHNO, Takashi ; TOKUDA, Yasuharu ; FUJIMOTO, Shuhei ; NAKAMURA, Masato ; TAKAYAMA, Morimasa ; NIWA, Koichiro ; FUKUDA, Terunobu ; ISHIMATSU, Shinichi ; KINOSHITA, Satomi ; OISHI, Shogo ; MOCHIZUKI, Hiroki ; UTSUNOMIYA, Akemi ; TAKADA, Yasuko ; OCHIAI, Ryota ; MOCHIZUKI, Toshiaki ; NAGAO, Ken ; YOSHIDA, Saran ; HAYASHI, Akitoshi ; SEKINE, Ryuichi ; ANZAI, Toshihisa
Journal of cardiology, 18/03/2020, Pagination inconnue

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Thème : Recherche - Evaluation - Méthodologie.

INDICATEUR SANTE ; DEMARCHE PALLIATIVE ; CARDIOLOGIE ; JAPON

Background: Although recent attention to palliative care for patients with cardiovascular diseases has been increasing, there are no specific recommendations on detailed palliative care practices. We proceed on a discussion of the appropriateness and applicability of potential quality indicators for acute cardiovascular diseases according to our previous systematic review.
Methods: We created a multidisciplinary panel of 20 team members and 7 external validation clinicians composed of clinical cardiologists, a nutritionist, a physiotherapist, a clinical psychologist, a critical and emergent care specialist, a catheterization specialist, a primary care specialist, a palliative care specialist, and nurses. After crafting potential indicators, we performed a Delphi rating, ranging from “1 = minimum” to “9 = maximum”. The criterion for the adoption of candidate indicators was set at a total mean score of seven or more. Finally, we subcategorized these indicators into several domains by using exploratory factor analysis.
Results: Sixteen of the panel members (80%) were men (age, 49.5 ± 13.7 years old). Among the initial 32 indicators, consensus was initially reached on total 23 indicators (71.8%), which were then summarized into 21 measures by selecting relatively feasible time variations. The major domains were “symptom palliation” and “supporting the decision-making process”. Factor analysis could not find optimal model. Narratively-developed seven sub-categories included “presence of palliative care team”, “patient-family relationship”, “multidisciplinary team approach”, “policy of approaching patients”, “symptom screening and management”, “presence of ethical review board”, “collecting and providing information for decision-maker”, and “determination of treatment strategy and the sharing of the care team’s decision”.
Conclusion: In this study we developed 21 quality indicators, which were categorized into 2 major domains and 7 sub-categories. These indicators might be useful for many healthcare providers in the initiation and enhancement of palliative care practices for acute cardiovascular diseases in Japan.

Origine : PubMed

Development and practical test of quality indicators for palliative care in patients with chronic heart failure

HAMATANI, Yasuhiro ; TAKADA, Yasuko ; MIYAMOTO, Yoshihiro ; KAWANO, Yukie ; ANCHI, Yuta ; SHIBATA, Tatsuhiro ; SUZUKI, Atsushi ; NISHIKAWA, Mitsunori ; ITO, Hiroto ; KATO, Masashi ; SHIGA, Tsuyoshi ; FUKUMOTO, Yoshihiro ; IZUMI, Chisato ; YASUDA, Satoshi ; OGAWA, Hisao ; SUGANO, Yasuo ; ANZAI, Toshihisa
Circulation journal, 25/01/2020, p. 1-8

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Development and validation of support tools for advance care planning in patients with chronic heart failure

TAKADA, Yasuko ; HAMATANI, Yasuhiro ; KAWANO, Yukie ; ANCHI, Yuta ; NAKAI, Michikazu ; IZUMI, Chisato ; YASUDA, Satoshi ; OGAWA, Hisao ; SUGANO, Yasuo ; ANZAI, Toshihisa ; SHIBATA, Tatsuhiro ; SUZUKI, Atsushi ; NISHIKAWA, Mitsunori ; ITO, Hiroto ; KATO, Masashi ; SHIGA, Tsuyoshi ; FUKUMOTO, Yoshihiro
International Journal of Palliative Nursing, 10/2019, vol.25, n°10, p. 494-502

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Survey of palliative sedation at end of life in terminally ill heart failure patients - a single-center experience of 5-year follow-up

HAMATANI, Yasuhiro ; NAKAI, Eri ; NAKAMURA, Emi ; MIYATA, Michi ; KAWANO, Yukie ; TAKADA, Yasuko ; ANCHI, Yuta ; FUNABASHI, Sayaka ; HIRAYAMA, Atsushi ; KURODA, Kensuke ; AMANO, Masashi ; SUGANO, Yasuo ; ANZAI, Toshihisa ; IZUMI, Chisato
Circulation journal, 05/06/2019, p. 1607-1611

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Potential palliative care quality indicators in heart disease patients - a review of the literature

MIZUNO, Atsushi ; MIYASHITA, Mitsunori ; HAYASHI, Akitoshi ; KAWAI, Fujimi ; NIWA, Koichiro ; UTSUNOMIYA, Akemi ; KOHSAKA, Shun ; KOHNO, Takashi ; YAMAMOTO, Takeshi ; TAKAYAMA, Morimasa ; ANZAI, Toshihisa
Journal of cardiology, 01/10/2017, vol.70, n°4, p. 335-341

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