Introduction: SEIQoL-DW is a method of measuring the subjective QOL by focusing on five areas considered important by the patient in a semi-structured counseling session. The objective of this study was to evaluate areas considered important by patients undergoing anti-cancer therapy and the subjective QOL. Methods: SEIQoL-DW was carried out consecutively on patients who met the inclusion criteria such as pain STAS-J 1 or lower at palliative care outpatient service. Results: The study was implemented on 68 subjects (35 anti-cancer therapy patients, and 33 palliative care patients). Commonly selected areas by anti-cancer therapy patients were “family” at 94%, “cancer treatment” at 69%, “health” at 43%, “friends” at 43%, “hobbies” at 40%. The mean subjective QOL of anti-cancer therapy patients was significantly lower than that of palliative care patients (61.5 vs 74.4). Conclusion: The area “family” makes great impact on the QOL. On the other hand, putting high importance on “cancer treatment” may have a negative impact on the QOL.

Purpose: We examined the safety and efficacy of cataract surgery and postoperative management in our hospital and at the homes of the patients who live on medically underserved remote.
Patients and methods: A total of 27 patients (54 eyes), who were followed in our hospital or at their homes were enrolled in this study. Cataract surgery was performed on them between January 2009 and January 2010 and we could follow up six months postoperatively. We divided these patients into two groups:group I (GI) consisted of 13 patients who could come to our hospital regularly during both preoperative and postoperative periods, and group II (GII) consisted of 14 patients who could not come to our hospital regularly during either preoperative or postoperative periods. Cataract surgeries were performed on all the patients in GI and GII in our hospital. The patients in GI were hospitalized for three days and those in GII were for seven days. After cataract surgery, the patients in GI had their eyes checked regularly in our hospital and those in GII were in their homes where the doctor visited. Postoperative ophthalmic clinical tests were conducted to examine visual acuity, intraocular pressure and fundus.
Results: GI comprised three males and 10 females. Their age averaged 79.3. GII comprised four males and 10 females. Their age averaged 82.6. Preoperative ophthalmic examinations found that preoperative average visual acuity (LogMAR and decimal visual acuity in parentheses) and spherical equivalent in GI and GII were 0.69 (0.41), 0.80 (0.33) and -0.43 dioptors, -0.42 dioptors respectively, showing no significant differences between the two groups. Postoperative ophthalmic examinations found that, best corrected visual acuity (LogMAR) was significantly increased to 0.36 (0.66) and 0.44 (0.53) in GI and GII respectively, showing no significant differences either.
Conclusions: We concluded that we could get safe and efficient cataract surgery and postoperative management combined with prolonged hospitalization and house calls on the patients who live in the isolated islands.