著者 |
Kikuchi, Yoshinori
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Kikuchi, Yoshinori
Department of Clinical Oncology, Faculty of Medicine, Toho University
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Yamaguchi, Kazuhisa
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Yamaguchi, Kazuhisa
Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), Toho University
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Funahashi, Kimihiko
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Funahashi, Kimihiko
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University
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Arita, Yoshiki
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Arita, Yoshiki
Department of Pharmacy, Toho University Omori Medical Center
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Shimojo, Nami
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Shimojo, Nami
Department of Nursing, Toho University Omori Medical Center
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Watanabe, Kazumi
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Watanabe, Kazumi
Department of Pharmacy, Toho University Omori Medical Center
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Koshikawa, Issei
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Koshikawa, Issei
Department of Pharmacy, Toho University Omori Medical Center
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Wakabayashi, Munehiro
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Wakabayashi, Munehiro
Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), Toho University
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Izawa, Atsuko
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Izawa, Atsuko
Department of Nursing, Toho University Omori Medical Center
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Kagami, Satoru
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Kagami, Satoru
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University
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Kaneko, Tomoaki
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Kaneko, Tomoaki
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University
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Ushigome, Mitsunori
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Ushigome, Mitsunori
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University
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Shimada, Hideaki
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Shimada, Hideaki
Department of Clinical Oncology, Faculty of Medicine, Toho University / Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University
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内容記述 |
Introduction: Outpatient chemotherapy patients have a lot of anxiety about treatment-related adverse events. There have been several reports suggesting that a telephone support system could reduce hand-foot syndrome with XELOX therapy. In this study, we investigated whether information and communication technology (ICT) tools could reduce patients' anxiety and adverse events. Methods: Twenty patients with postoperative stage III colorectal cancer who were eligible for XELOX therapy were divided into two groups: 10 patients in the symptom-monitoring group using the ICT tool and 10 patients in the control group. The treatment completion rate, relative dose intensity, psychological distress and adjustment, and adverse events in each group were assessed. The study protocol was approved by the Ethics Committee of Toho University Omori Medical Center (M18124). This clinical trial is registered in the University Hospital Medical Information Network (UMIN) registry system (UMIN ID: 000035475) (https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040380). Results: There was no significant difference in the treatment completion rate, treatment duration, and relative dose intensity between the two groups, and there was a trend toward less anxiety in the symptom-monitoring group compared to that in the control group. Moreover, the symptom-monitoring group showed a trend toward lower diarrhea and peripheral neuropathy compared to that in the control group. Conclusions: Our findings indicate that symptom-monitoring using ICT tools for outpatient chemotherapy could relieve patient anxiety and reduce adverse events. |