1.Quality of Life of Patients with Acute Myocardial Infarction Treated with Percutaneous Coronary Intervention: Comparison of Quality of Life at Discharge and 6 Months after Discharge
Kenzo Shibayama ; Yasuko Yoshikawa
Journal of Rural Medicine 2007;3(2):45-48
Objective: The present study investigated the health-related quality of life (QOL) of patients with acute myocardial infarction (AMI) who were treated with percutaneous coronary intervention (PCI). Methods: Forty-three patients were asked to complete the SF-36 questionnaire at discharge and 6 months after discharge. The SF-36 consists of 8 subscales: Physical Functioning (PF), Role Physical (RP), Bodily Pain (BP), General Health perception (GH), Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH). We calculated mean scores and standard deviations for these 8 subscales at discharge and 6 months after discharge. Values were compared using the paired student t-test. Results: The PF and BP scores after 6 months were significantly higher than those at discharge, but there were no significant differences in the other subscales. Conclusions: Some of the physical parameters of health-related QOL may improve 6 months after discharge in AMI patients treated with PCI. Since PCI may relieve symptoms such chest pain and chest discomfort, these patients can gradually extend their daily activities. While the physical state may improve, mental health-related QOL does not appear to improve 6 months after discharge.
month
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Discharge, Body Substance, Sample
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Perceived quality of life
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Myocardial Infarction
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SF Brand of Topical Fluoride
2.The Prognosis and Recurrence Pattern of Right- and Left-Sided Colon Cancer in Stage II, Stage III, and Liver Metastasis After Curative Resection
Yasuyuki NAKAMURA ; Daisuke HOKUTO ; Fumikazu KOYAMA ; Yasuko MATSUO ; Takeo NOMI ; Takahiro YOSHIKAWA ; Naoki KAMITANI ; Tomomi SADAMITSU ; Takeshi TAKEI ; Yayoi MATSUMOTO ; Yosuke IWASA ; Kohei FUKUOKA ; Shinsaku OBARA ; Takayuki NAKAMOTO ; Hiroyuki KUGE ; Masayuki SHO
Annals of Coloproctology 2021;37(5):326-336
Purpose:
Primary tumor location of colon cancer has been reported to affect the prognosis after curative resection. However, some reports suggested the impact was varied by tumor stage. This study analyzed the prognostic impact of the sidedness of colon cancer in stages II, III, and liver metastasis after curative resection using propensity-matched analysis.
Methods:
Right-sided colon cancer was defined as a tumor located from cecum to splenic flexure, while any more distal colon cancer was defined as left-sided colon cancer. Patients who underwent curative resection at Nara Medical University hospital between 2000 and 2016 were analyzed.
Results:
There were 110 patients with stage II, 100 patients with stage III, and 106 patients with liver metastasis. After propensity matching, 28 pairs with stage II and 32 pairs with stage III were identified. In the patients with stage II, overall survival (OS) and recurrence-free survival (RFS) were not significantly different for right- and left-sided colon cancers. In the patients with stage III, OS and RFS were significantly worse in right-sided colon cancer. In those with liver metastasis, OS of right-sided colon cancer was significantly worse than left-sided disease, while RFS was similar. Regarding metachronous liver metastasis, the difference was observed only in the patients whose primary colon cancer was stage III. In each stage, significantly higher rate of peritoneal recurrence was found in those with right-sided colon cancer.
Conclusion
Sidedness of colon cancer had a significant and varied prognostic impact in patients with stage II, III, and liver metastasis after curative resection.