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Affiliation |
Hospital Orthopedic Surgery |
Graduating School 【 display / non-display 】
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-2011.03
Akita University Faculty of Medicine Graduated
Graduate School 【 display / non-display 】
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-2018.03
Akita University Graduate School, Division of Medicine Doctor's Course Completed
Campus Career 【 display / non-display 】
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2023.09-Now
Akita University Hospital Orthopedic Surgery Assistant Professor
Research Achievements 【 display / non-display 】
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Effectiveness of a Specialized Outpatient Clinic on Bone Metastasis for Spine Surgeons Based on a Long-Term Follow-Up Evaluation
Tsuchie Hiroyuki, Ono Yuichi, Murata Shohei, Hongo Michio, Kasukawa Yuji, Kudo Daisuke, Kimura Ryota, Miyakoshi Naohisa
Spine Surgery and Related Research ( 一般社団法人 日本脊椎脊髄病学会 ) advpub ( 0 ) 2026
<p><b>Introduction: </b>Advances in cancer treatment have improved the prognosis of patients with advanced cancer, and the number of patients with bone metastases is increasing. Early interventions, such as a multidisciplinary approach and a specialized outpatient clinic for bone metastasis (SOCBM), are important to prevent fractures and nerve disorders. However, few studies have directly compared the effectiveness of these measures before and after their initiation. We aimed to analyze the usefulness of SOCBM and its impact on spine surgeons in a larger number of cases.</p><p><b>Methods: </b>We included 70 patients with vertebral metastases of carcinoma who underwent surgical treatment performed by spine surgeons. We divided the patients into two groups: before and after the SOCBM was initiated (pre and post groups), and compared their clinical characteristics and surgical information.</p><p><b>Results: </b>In all patients and in those treated for primary tumors at our hospital, the post group demonstrated a longer period from spine surgeon consultation to surgery than the pre group (p = 0.0369 and p = 0.0111, respectively). Additionally, the proportion of patients leaving the operating room after 8 pm was significantly lower in the post group (p = 0.0471). Multivariate logistic regression analysis revealed that the period from spine surgeon consultation to surgery and leaving the operating room after 8 pm were significantly associated with SOCBM visits (p = 0.0118 and p<i></i>= 0.0270, respectively).</p><p><b>Conclusions: </b>SOCBM reduces the burden on spine surgeons by providing a margin before surgery for patients with spinal metastasis and by reducing delays for surgical management.</p>
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Kasukawa Yuji, Miyakoshi Naohisa, Hongo Michio, Ishikawa Yoshinori, Kudo Daisuke, Kimura Ryota, Ono Yuichi, Shimada Yoichi
Progress in Rehabilitation Medicine ( 公益社団法人 日本リハビリテーション医学会 ) 5 ( 0 ) n/a 2020
<p><b>Objectives: </b>The extent to which locomotive syndrome is associated with low back pain (LBP), health-related quality of life (HRQOL), and impairment of activities of daily living among elderly men and women remains poorly documented. This study evaluated associations between locomotive syndrome and both HRQOL and LBP as assessed using a questionnaire completed by elderly individuals, including some >80 years old.</p><p><b>Methods: </b>We conducted a survey assessing locomotive syndrome using the loco-check, HRQOL using the Short-Form 36 questionnaire (SF-36), and LBP using the Roland-Morris Disability Questionnaire (RDQ) among individuals >60 years old. SF-36 and RDQ scores were compared between 253 subjects with and without locomotive syndrome.</p><p><b>Results: </b>Fifty-seven men (48%) and 71 women (53%) were diagnosed with locomotive syndrome. Subjects of both sexes with locomotive syndrome scored significantly lower for eight items from SF-36. Physical and mental component summary scores were significantly worse in women with locomotive syndrome in their 60s and 70s. RDQ scores were significantly higher in participants with locomotive syndrome for men in their 60s and for both men and women in their 70s.</p><p><b>Conclusions: </b>Locomotive syndrome was associated with impaired HRQOL and worse LBP among men and women >60 years old. Differences in HRQOL and LBP between subjects with and without locomotive syndrome were significant for both men and women in their 60s and 70s, but not in their 80s. Locomotive syndrome should be prevented to maintain HRQOL, particularly for men and women in their 60s and 70s.</p>