Palliative care in Japan: a review focusing on care delivery system.

Abstract:

PURPOSE OF REVIEW:Providing palliative care in Japan is one of the most important health issues. Understanding palliative care delivery systems of other countries is useful when developing and modifying palliative care systems worldwide. This review summarizes the current status of palliative care in Japan, focusing on the structure and process development. RECENT FINDINGS:Palliative care units and hospital palliative care consultation teams are the two main specialized palliative care services in Japan. The number of palliative care units is 215 (involved in 8.4% of all cancer deaths), and there are approximately 500 hospital palliative care teams. Conversely, specialized home care services are one of the most undeveloped areas in Japan. However, the government has been trying to develop more efficient home care services through modifying laws, healthcare systems, and multiple educational and cooperative projects. The numbers of palliative care specialists are increasing across all disciplines: cancer pain nurses (1365), palliative care nurses (1100), palliative care physicians (646), and palliative care pharmacists (238). Postgraduate education for physicians is performed via the special nationwide efforts of the Palliative care Emphasis program on symptom management and Assessment for Continuous medical Education (PEACE) project - a 2-day program adopting a trainer-trainee strategy. Over 30,000 physicians have participated in the PEACE program. A total of 1298 and 544 physicians have completed a trainer course for palliative medicine and psycho-oncology, respectively. Multiple structure and process evaluation, bereaved family surveys in palliative care units, and patient and family evaluation in the regional palliative care program indicate many improvements. SUMMARY:Palliative care in Japan has progressed rapidly, and the Cancer Control Act has played a very important role in developing palliative medicine. Challenges include developing a structure for palliative care in the community or regional palliative care programs, establishing a method to measure and improve the quality of palliative care at a national level, developing evidence-based medicine and policy making, and palliative care for the noncancerous population.

authors

Morita T,Kizawa Y

doi

10.1097/SPC.0b013e3283612241

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

207-15

issue

2

eissn

1751-4258

issn

1751-4266

pii

01263393-201306000-00014

journal_volume

7

pub_type

杂志文章,评审
  • Use of radionuclides in metastatic prostate cancer: pain relief and beyond.

    abstract:PURPOSE OF REVIEW:Bone metastases in prostate cancer are often the cause of significant morbidity in patients with castrate-resistant disease, and several studies have shown significant pain palliation with systemic radionuclide treatment. The purpose of this review is to discuss the place of radionuclides in the dynam...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328355e082

    authors: Vengalil S,O'Sullivan JM,Parker CC

    更新日期:2012-09-01 00:00:00

  • The last days of life: symptom burden and impact on nutrition and hydration in cancer patients.

    abstract:PURPOSE OF REVIEW:To examine the symptom burden in cancer patients during the last days of life, its impact on nutrition and hydration, and the role of artificial nutrition and hydration in the final days. RECENT FINDINGS:During the last days of life, cancer patients often experience progressive functional decline and...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000171

    authors: Hui D,Dev R,Bruera E

    更新日期:2015-12-01 00:00:00

  • Serotonin, 5HT1 agonists, and migraine: new data, but old questions still not answered.

    abstract:PURPOSE OF REVIEW:The serotonergic system has long been linked to migraine but recent studies highlight how much is still unclear about this link. And recent data add to the uncertainty of where/how triptans act and why they are headache specific. RECENT FINDINGS:Markers of 5HT levels in the brains of migraine patient...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000044

    authors: Dussor G

    更新日期:2014-06-01 00:00:00

  • Targeting the host immune system: PD-1 and PD-L1 antibodies and breast cancer.

    abstract:PURPOSE OF REVIEW:This article describes the role of the PD-1 axis and reviews current data and future directions inhibiting PD-1 and PD-L1 in breast cancer. RECENT FINDINGS:Four phase I monotherapy expansion trials in patients with metastatic breast cancer have demonstrated low but durable single agent responses to P...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000243

    authors: Dawood S,Rugo HS

    更新日期:2016-12-01 00:00:00

  • Urogenital/pelvic pain in men.

    abstract:PURPOSE OF REVIEW:The review is based on a Medline literature search using key words relating to male urogenital/pelvic pain for the years 2009-2011. RECENT FINDINGS:The review covers those studies relating to cause, ongoing mechanisms and treatments. SUMMARY:The review highlights that the patients are often polysymp...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283523f19

    authors: Baranowski AP

    更新日期:2012-06-01 00:00:00

  • Emerging targets and therapeutic approaches for the treatment of osteoarthritis pain.

    abstract:PURPOSE OF REVIEW:Osteoarthritis is a complex and often painful disease that is inadequately controlled with current analgesics. This review discusses emerging targets and therapeutic approaches that may lead to the development of better analgesics. RECENT FINDINGS:Aberrant excitability in peripheral and central pain ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000125

    authors: Rahman W,Dickenson AH

    更新日期:2015-06-01 00:00:00

  • Breakthrough cancer pain in 2020.

    abstract:PURPOSE OF REVIEW:An overview on breakthrough cancer pain (BTCP), including inherent limitations of the terminology, assessment, clinical presentation, and treatment options. RECENT FINDINGS:The estimated prevalence of BTCP is dependent on the defined cutoffs for controlled background pain and the magnitude of the pai...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章

    doi:10.1097/SPC.0000000000000494

    authors: Løhre ET,Thronæs M,Klepstad P

    更新日期:2020-06-01 00:00:00

  • Denosumab: benefits of RANK ligand inhibition in cancer patients.

    abstract:PURPOSE OF REVIEW:RANK ligand (RANKL) plays a central role in the cancer-induced bone destruction that results from bone metastasis. The RANKL inhibitor denosumab was recently approved for the prevention of skeletal-related events (SREs) in patients with bone metastases from solid tumors. This review summarizes recent ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328349731c

    authors: Lipton A,Jacobs I

    更新日期:2011-09-01 00:00:00

  • Wound management in patients with advanced illness.

    abstract:PURPOSE OF REVIEW:To emphasize that the management of wounds represents a significant component within the overall supportive and palliative care of patients with advanced illness. It is also intended to clarify the linguistics that are commonly used around patients with wounds. RECENT FINDINGS:New paradigms for wound...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32835c48e5

    authors: Maida V

    更新日期:2013-03-01 00:00:00

  • Options in metastatic urothelial cancer after first-line therapy.

    abstract:PURPOSE OF REVIEW:The treatment of patients with metastatic urothelial carcinoma is evolving with recent advances holding promise for improved outcomes. Historically, patients with metastatic urothelial carcinoma had a poor prognosis with no standard treatment options in the second-line setting. Currently, with an incr...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000158

    authors: Alimohamed NS,Sridhar SS

    更新日期:2015-09-01 00:00:00

  • Updates in opioid and nonopioid treatment for chronic breathlessness.

    abstract:PURPOSE OF REVIEW:Chronic breathlessness is a troublesome symptom experienced by people with advanced malignant and nonmalignant disease. Disease-directed therapies are often insufficient in the management of chronic breathlessness. Therefore, pharmacological and nonpharmacological breathlessness-specific interventions...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000449

    authors: Abdallah SJ,Jensen D,Lewthwaite H

    更新日期:2019-09-01 00:00:00

  • Applicability and generalizability of palliative interventions for dyspnoea: one size fits all, some or none?

    abstract:PURPOSE OF REVIEW:Determining which palliative interventions are appropriate within and between groups remains difficult because of the lack of prospective studies and heterogeneity in dyspnoea context, assessment and reporting. This review presents an evolution of dyspnoea theories, summarizes literature published dur...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328345d4a1

    authors: Williams M

    更新日期:2011-06-01 00:00:00

  • Cancer-related cognitive impairment in children.

    abstract:PURPOSE OF REVIEW:To review recent research on cancer-related cognitive impairment (CRCI) in children, including correlational studies and interventions in which outcomes have included cognitive test performance, neuroimaging or academic performance. RECENT FINDINGS:Impairments in processing speed, working memory, exe...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000258

    authors: Hutchinson AD,Pfeiffer SM,Wilson C

    更新日期:2017-03-01 00:00:00

  • The emotional aspects of cancer anorexia.

    abstract:PURPOSE OF REVIEW:To discuss the psychosocial support of people affected by cancer anorexia, drawing on recent publications. RECENT FINDINGS:Recent studies describe the problem of distress in response to cancer anorexia. There are propositions of appropriate support and calls for the development of psychosocial interv...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32833ef813

    authors: Hopkinson JB

    更新日期:2010-12-01 00:00:00

  • Management of dyspnea in interstitial lung disease.

    abstract:PURPOSE OF REVIEW:Dyspnea is the most common symptom in interstitial lung disease, yet little is known about its management. This review summarizes the available evidence for the treatment of dyspnea in interstitial lung disease. RECENT FINDINGS:The management of dyspnea in interstitial lung disease remains a challeng...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283392b51

    authors: Ryerson CJ,Collard HR,Pantilat SZ

    更新日期:2010-06-01 00:00:00

  • Bone effects of cancer therapies: pros and cons.

    abstract:PURPOSE OF REVIEW:Agents used for systemic chemotherapy can alter normal bone homeostasis through mechanisms that affect both osteoblast and osteoclast function. The identification of those agents that influence maintenance of the bone-remodeling compartment is an important component of the drug development and testing...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328349c524

    authors: Silbermann R,Roodman GD

    更新日期:2011-09-01 00:00:00

  • Lung volume reduction surgery for the management of refractory dyspnea in chronic obstructive pulmonary disease.

    abstract:PURPOSE OF REVIEW:This review describes the role of lung volume reduction surgery (LVRS) for the management of refractory dyspnea and other debilitating conditions in patients with chronic obstructive pulmonary disease. Recent studies, including a randomized trial comparing LVRS to medical therapy, are analyzed. RECEN...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32832ad5e1

    authors: Shah AA,D'Amico TA

    更新日期:2009-06-01 00:00:00

  • Use of corticosteroids for pain control in cancer patients with bone metastases: a comprehensive literature review.

    abstract:PURPOSE OF REVIEW:Despite a limited understanding of the exact mechanism, corticosteroids are commonly employed for pain control in patients with bone metastases. The aim of this review was to evaluate the efficacy of corticosteroid-mediated pain control in patients with bone metastases associated with solid cancers. ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000263

    authors: Lim FMY,Bobrowski A,Agarwal A,Silva MF

    更新日期:2017-06-01 00:00:00

  • Transitional care of a childhood cancer survivor to adult services: facilitating the process of individual access to different models.

    abstract:PURPOSE OF REVIEW:In the past 20 years, several papers have been published concerning healthcare transition from pediatric after-care to long-term follow-up in adult health service for childhood cancer survivors. Initially, the papers were optimistic and included guidelines and models of care. However, after this optim...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32836484bb

    authors: Frey E,van der Pal H

    更新日期:2013-09-01 00:00:00

  • Oncologists communicating with patients about assisted dying.

    abstract:PURPOSE OF REVIEW:Across all jurisdictions in which assisted dying is legally permissible, cancer is the primary reported underlying diagnosis. Therefore, oncologists are likely to be asked about assisted dying and should be equipped to respond to inquiries or requests for assisted dying. Because Medical Assistance in ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000411

    authors: Selby D,Bean S

    更新日期:2019-03-01 00:00:00

  • Update on complex nonpharmacological interventions for breathlessness.

    abstract:PURPOSE OF REVIEW:The study provides a review of current evidence about the role of complex nonpharmacological strategies in managing the multidimensional components of the breathlessness experience for individuals with life-limiting conditions. RECENT FINDINGS:Evidence continues to demonstrate the significant impact ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3283536413

    authors: Yates P,Zhao I

    更新日期:2012-06-01 00:00:00

  • Brain metastases: what's new with an old problem?

    abstract:PURPOSE OF REVIEW:To summarize developments in the management of brain metastases over the past decade. RECENT FINDINGS:A few randomized trials have been published during the past decade examining the use of whole brain radiotherapy (WBRT) and radiosurgery (SRS) boost versus WBRT alone. Other recent trials have been p...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32834de714

    authors: Tsao MN,Khuntia D,Mehta MP

    更新日期:2012-03-01 00:00:00

  • The challenge of international consensus: defining an opioid essential prescription package.

    abstract:PURPOSE OF REVIEW:To describe a new strategy that aimed to facilitate opioid prescription for better pain management. RECENT FINDINGS:The International Association of Hospice and Palliative Care recently develop a single prescription package (drugs and dosing) with one opioid, one laxative, and one antiemetic for the ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e328356ab36

    authors: Vignaroli E,Wenk R

    更新日期:2012-09-01 00:00:00

  • Central mechanisms controlling appetite and food intake in a cancer setting: an update.

    abstract:PURPOSE OF REVIEW:Cachexia, also known as disease-associated wasting, is an important factor in the mortality of many patients with diseases such as cancer, as well as renal and congestive heart failure. Yet the syndrome is not yet well defined, making diagnosis difficult and often subjective on the part of the physici...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3282f14c4e

    authors: Fletcher AL,Marks DL

    更新日期:2007-12-01 00:00:00

  • Nausea and vomiting induced by gastrointestinal radiation therapy: current status and future directions.

    abstract:PURPOSE OF REVIEW:Radiation therapy-induced nausea and vomiting (RINV) are common and troublesome symptoms among patients receiving radiation therapy for gastrointestinal cancers. Their impact on function, quality of life and, ultimately, cancer control warrant a review of their incidence, underlying mechanisms, treatm...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000130

    authors: Dennis K,Poon M,Chow E

    更新日期:2015-06-01 00:00:00

  • Assessment and management of pain in older adults with dementia: a review of current practice and future directions.

    abstract:PURPOSE OF REVIEW:The purpose of this paper is to consolidate the literature around pain assessment and management in older adults with dementia and to make recommendations for future research and practice developments. This review is provided following the introduction of guidelines for the assessment of pain that wer...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e3282ffb406

    authors: Schofield P

    更新日期:2008-06-01 00:00:00

  • Managing premature menopause and sexual dysfunction.

    abstract:PURPOSE OF REVIEW:Young women (<45 years of age) diagnosed with breast cancer face increased risk of sexual dysfunction as a result of their cancer-directed treatment. We will review the recent literature examining this critical challenge and discuss current efforts to address sexual dysfunction. RECENT FINDINGS:In th...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000156

    authors: Zhou ES,Falk SJ,Bober SL

    更新日期:2015-09-01 00:00:00

  • Gastrointestinal symptoms in cancer patients with advanced disease: new methodologies, insights, and a proposed approach.

    abstract:PURPOSE OF REVIEW:This review summarizes recent developments in the management of gastrointestinal symptoms experienced by cancer patients and provides a framework for education, assessment and monitoring, and treatment. RECENT FINDINGS:Although many viable treatment options exist, gastrointestinal symptoms - particul...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32834f689d

    authors: Rangwala F,Zafar SY,Abernethy AP

    更新日期:2012-03-01 00:00:00

  • Role of immunotherapy in kidney cancer.

    abstract:PURPOSE OF REVIEW:To summarize current knowledge on promising immunotherapeutic agents and to provide a brief outline of current use of immunotherapeutic agents in patients with locally advanced or metastatic renal cell carcinoma (RCC). RECENT FINDINGS:Immunotherapy with mAbs directed against programed death cell prot...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0000000000000363

    authors: Nazzani S,Bazinet A,Karakiewicz PI

    更新日期:2018-09-01 00:00:00

  • Topics in research: structuring studies in palliative care.

    abstract:PURPOSE OF REVIEW:This review describes the advances in trial methodology and presents new methodologies to meet some of the challenges of conducting trials in a palliative care setting. To describe why this review is timely and relevant. RECENT FINDINGS:This review discusses the process required to conduct trials of ...

    journal_title:Current opinion in supportive and palliative care

    pub_type: 杂志文章,评审

    doi:10.1097/SPC.0b013e32835843d7

    authors: Davis MP,Mitchell GK

    更新日期:2012-12-01 00:00:00