{"created":"2023-05-15T09:04:55.419371+00:00","id":10440,"links":{},"metadata":{"_buckets":{"deposit":"5eff7aa0-df9b-4ff7-9f92-df416a21eee5"},"_deposit":{"created_by":14,"id":"10440","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"10440"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010440","sets":["1875:1885:1936"]},"author_link":["13447","13448","13449","13450","13451","13452","13453","13454","13455"],"control_number":"10440","item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"12","bibliographicPageStart":"5","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"市立室蘭総合病院医誌 = Journal of Muroran City General Hospital"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"市立室蘭総合病院における膵癌診療の現況について、retrospectiveに調査し、その治療成績を検討した。対象は2001年1月から2007年9月までに診断・治療した膵癌92例（術後再発例を含む）とし、背景因子、初回治療とその後の経過、遠隔成績等について検証した。全対象92例の背景は、男性/女性：59/33例、平均年齢69.6歳、初診時PS（performance status）0-1/2/3/4；68/17/5/2例、stageⅠ/Ⅱ/Ⅲ/ⅣＡ/ⅣＢ：4/2/7/23/56例であった。初回治療は、手術（切除/姑息/単開腹）/放射線化学療法/化学療法/BSC（Best Supportive Care）：34（14/17/3）/3/22/33例であり、全経過中、なんらかの抗腫瘍治療を行った、抗腫瘍治療群は55例、BSC のみの群は37例であった。全例における生存期間中央値（MST:Median Survival Time）は259日、1年生存率38.4％、2年生存率10.4％、5年生存率8.7％であり、抗腫瘍治療群/BSC 群では、MST 338/129日、1年生存率38.4/24.3％、2年生存率19.2/-％、5年生存率8.0/-％であった。独立した予後予測因子は、多変量解析にて、初診時のPS、Stage、抗腫瘍治療の有無があげられた。また、化学療法群での検討では、Gemcitabine（GEM）投与群35例のTTP（time to progression）中央値は88日、GEM 開始後のMST は216日であった。また、GEM 投与後にS-1を投与した7例については、TTP 中央値は69日、S-1開始後MST は144日であった。","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"市立室蘭総合病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0289-2774","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"斉藤, 真由子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金戸, 宏行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 佳世"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小野寺, 馨"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 英章"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 修司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石井, 卓"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清水, 晴夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"坂本, 裕史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤,哲夫"}]},{"creatorNames":[{"creatorName":"佐々木,賢一"}]},{"creatorNames":[{"creatorName":"渋谷,均"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n028927743315.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n028927743315.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10440/files/n028927743315.pdf"},"version_id":"d0711a35-802e-417f-a3f1-20d11ad86dc3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"膵癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"治療成績","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"化学療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院における膵癌診療の現況 : 膵癌化学療法の文献的考察を加えて","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における膵癌診療の現況 : 膵癌化学療法の文献的考察を加えて","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1936"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-09-03"},"publish_date":"2009-09-03","publish_status":"0","recid":"10440","relation_version_is_last":true,"title":["当院における膵癌診療の現況 : 膵癌化学療法の文献的考察を加えて"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:12:33.219426+00:00"}