整形外科外来における高齢患者のがん罹患歴の有無とフレイルとの関係
【目的】整形外科外来通院中の高齢患者を対象に、がん罹患歴の有無とフレイルおよびフレイルに関連する問題点の有無との関係を明らかにすること。 【方法】当院で外来リハビリテーションが処方された 65歳以上の患者 1,339名を対象とした。リハビリテーション開始時に基本チェックリストを用いて評価を行った。がん罹患歴の有無を独立変数、基本チェックリストのフレイル、複数の項目の支障、運動器、低栄養状態、口腔機能、閉じこもり、認知機能、抑うつ気分の該当の有無をそれぞれ目的変数として二項ロジスティック解析を行った。 【結果】がん罹患歴があることと、基本チェックリストのフレイルおよび低栄養状態、閉じこもり、抑う...
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| Published in | 日本がん・リンパ浮腫理学療法学会誌 Vol. 2; pp. 1 - 10 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本がん・リンパ浮腫理学療法学会
2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2759-0984 |
| DOI | 10.60366/jjptol.JJPTOL-R5-A6 |
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| Abstract | 【目的】整形外科外来通院中の高齢患者を対象に、がん罹患歴の有無とフレイルおよびフレイルに関連する問題点の有無との関係を明らかにすること。 【方法】当院で外来リハビリテーションが処方された 65歳以上の患者 1,339名を対象とした。リハビリテーション開始時に基本チェックリストを用いて評価を行った。がん罹患歴の有無を独立変数、基本チェックリストのフレイル、複数の項目の支障、運動器、低栄養状態、口腔機能、閉じこもり、認知機能、抑うつ気分の該当の有無をそれぞれ目的変数として二項ロジスティック解析を行った。 【結果】がん罹患歴があることと、基本チェックリストのフレイルおよび低栄養状態、閉じこもり、抑うつ気分に該当することが関連していた。その中でも特に、閉じこもりに該当することが、がんの罹患歴の有無と関連していた。 【結論】整形外科外来通院高齢患者の中でも、がん罹患歴のある高齢患者に対しては、閉じこもりに関する評価や介入を行い、フレイル予防を行う重要性が示唆された。 |
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| AbstractList | 【目的】整形外科外来通院中の高齢患者を対象に、がん罹患歴の有無とフレイルおよびフレイルに関連する問題点の有無との関係を明らかにすること。 【方法】当院で外来リハビリテーションが処方された 65歳以上の患者 1,339名を対象とした。リハビリテーション開始時に基本チェックリストを用いて評価を行った。がん罹患歴の有無を独立変数、基本チェックリストのフレイル、複数の項目の支障、運動器、低栄養状態、口腔機能、閉じこもり、認知機能、抑うつ気分の該当の有無をそれぞれ目的変数として二項ロジスティック解析を行った。 【結果】がん罹患歴があることと、基本チェックリストのフレイルおよび低栄養状態、閉じこもり、抑うつ気分に該当することが関連していた。その中でも特に、閉じこもりに該当することが、がんの罹患歴の有無と関連していた。 【結論】整形外科外来通院高齢患者の中でも、がん罹患歴のある高齢患者に対しては、閉じこもりに関する評価や介入を行い、フレイル予防を行う重要性が示唆された。 |
| Author | 石井, 瞬 小森, 峻 神津, 玲 辻田, みはる 川村, 征大 宮田, 倫明 中野, 治郎 森岡, 銀平 小山, 将史 大鑄, 俊博 |
| Author_xml | – sequence: 1 fullname: 小山, 将史 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 大鑄, 俊博 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 川村, 征大 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 中野, 治郎 organization: 関西医科大学リハビリテーション学部 – sequence: 1 fullname: 神津, 玲 organization: 長崎大学大学院医歯薬学総合研究科理学療法学分野 – sequence: 1 fullname: 石井, 瞬 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 小森, 峻 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 辻田, みはる organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 宮田, 倫明 organization: 道ノ尾みやた整形外科リハビリテーション科 – sequence: 1 fullname: 森岡, 銀平 organization: 道ノ尾みやた整形外科リハビリテーション科 |
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Lancet Oncol. 2011; 12: 160-174. 32) Wong ML, Shi Y, et al.: Changes in older adults’ life space during lung cancer treatment: A mixed methods cohort study. J Am Geriatr Soc. 2022; 70: 136-149. 2) Handforth C, Clegg A, et al.: The prevalence and outcomes of frailty in older cancer patients: a systematic review. Ann Oncol. 2015; 26: 1091-1101. 28) Eytan DF, Blackford AL, et al.: Prevalence of Comorbidities among Older Head and Neck Cancer Survivors in the United States. Otolaryngol Head Neck Surg. 2019; 160: 85-92. 27) Ravasco P: Nutritional approaches in cancer: relevance of individualized counseling and supplementation. Nutrition. 2015; 31: 603-604. 12) 「介護予防のための生活機能評価に関するマニュアル」分担研究班（主任研究者鈴木隆雄）．介護予防のための生活機能評価に関するマニュアル（改訂版）．2009．https:// www.mhlw.go.jp/topics/2009/05/dl/tp0501-1c.pdf（2023年 6月 20日アクセス可能） 42) Yamada M, Arai H: Predictive value of frailty scores for healthy life expectancy in community-dwelling older Japanese adults. J Am Med Dir Assoc 2015; 16: 1002.e7-e11. 5) Lin T, Zhao Y, et al.: Association between frailty and chronic pain among older adults: a systematic review and meta-analysis. Eur Geriatr Med. 2020; 11: 945-959. 36) Frazzetto P, Vacante M, et al.: Depression in older breast cancer survivors. BMC Surg. 2012; 12: doi: 10.1186/1471-2482-12-S1-S14. 20) Braun T, Thiel C, et al.: Prevalence of frailty in older adults in outpatient physiotherapy in an urban region in the western part of Germany: a cross-sectional study. BMJ Open. 2019; 9: e027768. doi: 10.1136/bmjopen-2018-027768. 22) Mohile SG, Xian Y, et al.: Association of a cancer diagnosis with vulnerability and frailty in older Medicare beneficiaries. J Natl Cancer Inst. 2009; 101: 1206-1215. 7) 大江隆史：がんとロコモティブシンドローム．がん罹患歴のある患者の運動器疾患の診かた．中外医学社，東京， 2019，pp. 2-5. 39) Brunet J, O'Loughlin JL, et al.: Physical activity and depressive symptoms after breast cancer: Cross-sectional and longitudinal relationships. Health Psychol. 2018; 37: 14-23. 34) Gattás-Vernaglia IF, Ramos PT, et al.: Impact of the COVID-19 pandemic on the life-space mobility of older adults with cancer. J Geriatr Oncol. 2021; 12: 956-959. 38) Sucuoglu Isleyen Z, Besiroglu M, et al.: The risk of malnutrition and its clinical implications in older patients with cancer. Aging Clin Exp Res. 2023; 29: doi: 10.1007/s40520-023-02538-0. 33) Efverman A: Physical, Leisure, and Daily Living Activities in Patients Before, During, and After Radiotherapy for Cancer: Which Patients Need Support in Activities? Cancer Nurs. 2023; doi: 10.1097/NCC.0000000000001187. 19) Shimada H, Makizako H, et al.: Combined prevalence of frailty and mild cognitive impairment in a population of elderly Japanese people. J Am Med Dir Assoc. 2013; 14: 518-524. 30) Lemij AA, Liefers GJ, et al.: Physical Function and Physical Activity in Older Breast Cancer Survivors: 5-Year Follow-Up from the Climb Every Mountain Study. Oncologist. 2023; 28: e317-e323. 4) Kim HJ, Park S, et al.: The prevalence and impact of frailty in patients with symptomatic lumbar spinal stenosis. Eur Spine J. 2019; 28: 46-54. 31) De Groef A, Geraerts I, et al.: Physical activity levels after treatment for breast cancer: Two-year follow-up. Breast. 2018; 40: 23-28. 44) Craig CL, Marshall AL, et al.: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35: 1381-1395. 8) Bakhsheshian J, Shahrestani S, et al.: The performance of frailty in predictive modeling of short-term outcomes in the surgical management of metastatic tumors to the spine. Spine J. 2022; 22: 605-615. 43) Morley JE, Malmstrom TK, et al.: A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012; 16: 601-608. |
| References_xml | – reference: 12) 「介護予防のための生活機能評価に関するマニュアル」分担研究班（主任研究者鈴木隆雄）．介護予防のための生活機能評価に関するマニュアル（改訂版）．2009．https:// www.mhlw.go.jp/topics/2009/05/dl/tp0501-1c.pdf（2023年 6月 20日アクセス可能）． – reference: 43) Morley JE, Malmstrom TK, et al.: A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012; 16: 601-608. – reference: 11) 中井雄貴，富岡一俊，他：地域在住高齢者における腰痛および膝痛と身体機能との関連─急性および慢性痛が歩行速度や握力に及ぼす影響─．理学療法学． 2020; 47: 146-152. – reference: 42) Yamada M, Arai H: Predictive value of frailty scores for healthy life expectancy in community-dwelling older Japanese adults. J Am Med Dir Assoc 2015; 16: 1002.e7-e11. – reference: 1) 国立がん研究センターがん情報サービス「がん登録・統計」https://ganjoho.jp/reg_stat/statistics/dl/index.html（2023年 6月 20日引用） – reference: 36) Frazzetto P, Vacante M, et al.: Depression in older breast cancer survivors. BMC Surg. 2012; 12: doi: 10.1186/1471-2482-12-S1-S14. – reference: 39) Brunet J, O'Loughlin JL, et al.: Physical activity and depressive symptoms after breast cancer: Cross-sectional and longitudinal relationships. Health Psychol. 2018; 37: 14-23. – reference: 20) Braun T, Thiel C, et al.: Prevalence of frailty in older adults in outpatient physiotherapy in an urban region in the western part of Germany: a cross-sectional study. BMJ Open. 2019; 9: e027768. doi: 10.1136/bmjopen-2018-027768. – reference: 27) Ravasco P: Nutritional approaches in cancer: relevance of individualized counseling and supplementation. Nutrition. 2015; 31: 603-604. – reference: 14) Satake S, Senda K, et al.: Validity of the Kihon Checklist for assessing frailty status. Geriatr Gerontol Int. 2016; 16: 709-715. – reference: 40) Kang H: Correlates of Frailty in Community-Dwelling Older Adults with Cancer: 2017 Survey of Living Condition of Elderly Study in South Korea. Asia Pac J Oncol Nurs. 2021; 8: 287-294. – reference: 3) Castell MV, van der Pas S, et al.: Osteoarthritis and frailty in elderly individuals across six European countries: results from the European Project on OSteoArthritis (EPOSA). BMC Musculoskelet Disord. 2015; 17: 359. – reference: 31) De Groef A, Geraerts I, et al.: Physical activity levels after treatment for breast cancer: Two-year follow-up. Breast. 2018; 40: 23-28. – reference: 7) 大江隆史：がんとロコモティブシンドローム．がん罹患歴のある患者の運動器疾患の診かた．中外医学社，東京， 2019，pp. 2-5. – reference: 34) Gattás-Vernaglia IF, Ramos PT, et al.: Impact of the COVID-19 pandemic on the life-space mobility of older adults with cancer. J Geriatr Oncol. 2021; 12: 956-959. – reference: 35) Mols F, Schoormans D, et al.: Symptoms of anxiety and depression among colorectal cancer survivors from the population-based, longitudinal PROFILES Registry: Prevalence, predictors, and impact on quality of life. Cancer. 2018; 124: 2621-2628. – reference: 18) Hirose T, Sawaya Y, et al.: Frailty under COVID-19 pandemic in Japan: Changes in prevalence of frailty from 2017 to 2021. J Am Geriatr Soc. 2023; 71: 1603-1609. – reference: 22) Mohile SG, Xian Y, et al.: Association of a cancer diagnosis with vulnerability and frailty in older Medicare beneficiaries. J Natl Cancer Inst. 2009; 101: 1206-1215. – reference: 24) Tanaka S, Ueno M, et al.: Preoperative assessment of frailty predicts age-related events after hepatic resection: a prospective multicenter study. J Hepatobiliary Pancreat Sci. 2018; 25: 377-387. – reference: 32) Wong ML, Shi Y, et al.: Changes in older adults’ life space during lung cancer treatment: A mixed methods cohort study. J Am Geriatr Soc. 2022; 70: 136-149. – reference: 45) 原田和宏，島田裕之，他：介護予防事業に参加した地域高齢者における生活空間（Life-space）と点数化評価の妥当性の検討．日本公衛誌．2010; 57: 526-537. – reference: 23) Tamura K, Matsuda K, et al.: Optimal Assessment of Frailty Predicts Postoperative Complications in Older Patients with Colorectal Cancer Surgery. World J Surg. 2021; 45: 1202-1209. – reference: 2) Handforth C, Clegg A, et al.: The prevalence and outcomes of frailty in older cancer patients: a systematic review. Ann Oncol. 2015; 26: 1091-1101. – reference: 30) Lemij AA, Liefers GJ, et al.: Physical Function and Physical Activity in Older Breast Cancer Survivors: 5-Year Follow-Up from the Climb Every Mountain Study. Oncologist. 2023; 28: e317-e323. – reference: 44) Craig CL, Marshall AL, et al.: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35: 1381-1395. – reference: 10) Shahrestani S, Bakhsheshian J, et al.: Inclusion of Frailty Improves Predictive Modeling for Postoperative Outcomes in Surgical Management of Primary and Secondary Lumbar Spine Tumors. World Neurosurg. 2021; 153: e454-e463. – reference: 15) Satake S, Shimada H, et al.: Prevalence of frailty among community-dwellers and outpatients in Japan as defined by the Japanese version of the Cardiovascular Health Study criteria. Geriatr Gerontol Int. 2017; 17: 2629-2634. – reference: 17) Kanda Y: Investigation of the freely available easy-to-use soft-ware ‘EZR’ for medical statistics. Bone Marrow Transplantation. 2013; 48: 452-458. – reference: 37) Mitchell AJ, Chan M, et al.: Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011; 12: 160-174. – reference: 46) Nagai K, Miyamato T, et al.: Physical activity combined with resistance training reduces symptoms of frailty in older adults: A randomized controlled trial. Arch Gerontol Geriatr. 2018; 76: 41-47. – reference: 8) Bakhsheshian J, Shahrestani S, et al.: The performance of frailty in predictive modeling of short-term outcomes in the surgical management of metastatic tumors to the spine. Spine J. 2022; 22: 605-615. – reference: 33) Efverman A: Physical, Leisure, and Daily Living Activities in Patients Before, During, and After Radiotherapy for Cancer: Which Patients Need Support in Activities? Cancer Nurs. 2023; doi: 10.1097/NCC.0000000000001187. – reference: 25) Cederholm T, Jensen GL, et al.: GLIM Core Leadership Committee; GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr. 2019; 38: 1-9. – reference: 5) Lin T, Zhao Y, et al.: Association between frailty and chronic pain among older adults: a systematic review and meta-analysis. Eur Geriatr Med. 2020; 11: 945-959. – reference: 29) Fassier P, Zelek L, et al.: Variations of physical activity and sedentary behavior between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort. Medicine (Baltimore). 2016; 95: e4629. doi: 10.1097/MD.0000000000004629. – reference: 13) Fried LP, Tangen CM, et al.: Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56: M146-M156. – reference: 26) De Groot LM, Lee G, et al.: Malnutrition Screening and Assessment in the Cancer Care Ambulatory Setting: Mortality Predictability and Validity of the Patient-Generated Subjective Global Assessment Short form (PG-SGA SF) and the GLIM Criteria. 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| Snippet | 【目的】整形外科外来通院中の高齢患者を対象に、がん罹患歴の有無とフレイルおよびフレイルに関連する問題点の有無との関係を明らかにすること。 【方法】当院で外来リハビリテーションが処方された 65歳以上の患者... |
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| SubjectTerms | フレイル 基本チェックリスト 整形外科外来 高齢がん |
| Title | 整形外科外来における高齢患者のがん罹患歴の有無とフレイルとの関係 |
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| ispartofPNX | 日本がん・リンパ浮腫理学療法学会誌, 2024, Vol.2, pp.1-10 |
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