日本緩和医療学会 NL Vol.21　May 2016● 16 ●

No.71 MAY 2016

ジャーナルウォッチ　緩和ケアに関する論文レビュー（2015 年 12‌月～ 2016 年 2月刊行分）

対象雑誌： N Engl J Med, Lancet, Lancet Oncol, JAMA, JAMA Intern Med, BMJ, Ann Intern Med, J Clin Oncol, Ann Oncol, Eur J Cancer, Br J Cancer, Cancer

東北大学大学院緩和ケア看護学分野　　佐藤　一樹

いわゆる“トップジャーナル”に掲載された緩和ケアに関する最新論文を広く紹介します。

【N Engl J Med. 2015;373(23-27), 2016;374(1-8)】1. ホジキンリンパ腫治療後 40 年間の二次発がんリスク

Schaapveld M, Aleman BM, van Eggermond AM, Janus CP, Krol AD, van der Maazen RW, et al. Second Cancer Risk Up to 40 Years after Treatment for Hodgkin's Lymphoma. N Engl J Med. 2015;373(26):2499-511.

2. 病院での臨死期ケアの総説Blinderman CD, Billings JA. Comfort Care for Patients Dying in the Hospital. N Engl J Med. 2015;373(26):2549-61.

3. オピオイド乱用とヘロイン乱用の疫学的関係（総説）Compton WM, Jones CM, Baldwin GT. Relationship between Nonmedical Prescription-Opioid Use and Heroin Use. N Engl J Med. 2016;374(2):154-63.

4. 高齢者の認知症発生率（地域住民の 30 年間のコホート研究）Satizabal CL, Beiser AS, Chouraki V, Chene G, Dufouil C, Seshadri S. Incidence of Dementia over Three Decades in the Framingham Heart Study. N Engl J Med. 2016;374(6):523-32.

【Lancet. 2015;386(10010-10012), 2016;387(10013-10021)】5. 救急外来での小児患者の疼痛管理

Krauss BS, Calligaris L, Green SM, Barbi E. Current concepts in management of pain in children in the emergency department. Lancet. 2016;387(10013):83-92.

6. 中国の死因別死亡率Zhou M, Wang H, Zhu J, Chen W, Wang L, Liu S, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet. 2016;387(10015):251-72.

7. 英国の平均余命の 1991 年と2011 年の比較Jagger C, Matthews FE, Wohland P, Fouweather T, Stephan BC, Robinson L, et al. A comparison of health ex-pectancies over two decades in England: results of the Cognitive Function and Ageing Study I and II. Lancet. 2016;387(10020):779-86.

8. 女性の幸福感のその後の予後への影響Liu B, Floud S, Pirie K, Green J, Peto R, Beral V, et al. Does happiness itself directly affect mortality? The prospec-tive UK Million Women Study. Lancet. 2016;387(10021):874-81.

【Lancet Oncol. 2015;16(16), 2016;17(1-2)】9. 持続的鎮静の予後への影響（J-Proval 研究）

Maeda I, Morita T, Yamaguchi T, Inoue S, Ikenaga M, Matsumoto Y, et al. Effect of continuous deep sedation on sur-vival in patients with advanced cancer (J-Proval): a propensity score-weighted analysis of a prospective cohort study. Lancet Oncol. 2016;17(1):115-22.

10. オピオイド鎮痛薬のバリア：中東欧 11カ国の法律と規制のレビューVranken MJ, Lisman JA, Mantel-Teeuwisse AK, Junger S, Scholten W, Radbruch L, et al. Barriers to access to opi-oid medicines: a review of national legislation and regulations of 11 central and eastern European countries. Lancet Oncol. 2016;17(1):e13-22.

【JAMA. 2015;314(21-24), 2016;315(1-8)】11. 乳がん化学療法中の LHRH アナログ製剤 Triptorelin による卵巣機能抑制の長期効果：第Ⅲ相試験

Lambertini M, Boni L, Michelotti A, Gamucci T, Scotto T, Gori S, et al. Ovarian Suppression With Triptorelin During Adjuvant Breast Cancer Chemotherapy and Long-term Ovarian Function, Pregnancies, and Disease-Free Survival: A

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Randomized Clinical Trial. JAMA. 2015;314(24):2632-40.12 胸腔ドレーンのサイズと鎮痛薬の第Ⅲ相試験：悪性胸水の胸膜癒着術での痛みと有効性

Rahman NM, Pepperell J, Rehal S, Saba T, Tang A, Ali N, et al. Effect of Opioids vs NSAIDs and Larger vs Smaller Chest Tube Size on Pain Control and Pleurodesis Efficacy Among Patients With Malignant Pleural Effusion: The TIME1 Randomized Clinical Trial. JAMA. 2015;314(24):2641-53.

13. 就業中の大腸がん患者の有給病気休暇と経済的負担感の関係（短報）Veenstra CM, Regenbogen SE, Hawley ST, Abrahamse P, Banerjee M, Morris AM. Association of Paid Sick Leave With Job Retention and Financial Burden Among Working Patients With Colorectal Cancer. JAMA. 2015;314(24):2688-90.

14. 慢性便秘の診断・治療のレビューWald A. Constipation: Advances in Diagnosis and Treatment. JAMA. 2016;315(2):185-91.

15. 終末期がん患者の死亡場所・医療利用・医療費の欧米 7カ国での比較Bekelman JE, Halpern SD, Blankart CR, Bynum JP, Cohen J, Fowler R, et al. Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries. JAMA. 2016;315(3):272-83.

16. がん終末期の積極治療の指標と遺族による終末期医療評価との関連Wright AA, Keating NL, Ayanian JZ, Chrischilles EA, Kahn KL, Ritchie CS, et al. Family Perspectives on Aggres-sive Cancer Care Near the End of Life. JAMA. 2016;315(3):284-92.

17. 死亡者の職業・学歴と死亡場所の関連（短報）Blecker S, Johnson NJ, Altekruse S, Horwitz LI. Association of Occupation as a Physician With Likelihood of Dying in a Hospital. JAMA. 2016;315(3):301-3.

18. 医師、弁護士、その他の市民での終末期医療の比較（短報）Weissman JS, Cooper Z, Hyder JA, Lipsitz S, Jiang W, Zinner MJ, et al. End-of-Life Care Intensity for Physicians, Lawyers, and the General Population. JAMA. 2016;315(3):303-5.

19. 成人の抑うつスクリーニング：米国予防医学作業部会の推奨Siu AL, Force USPST, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, et al. Screening for Depres-sion in Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(4):380-7.

20. 代謝性アルカローシスを伴うCOPD 患者の人工呼吸管理に対するアセタゾラミドの RCT（DIABOLO study）Faisy C, Meziani F, Planquette B, Clavel M, Gacouin A, Bornstain C, et al. Effect of Acetazolamide vs Placebo on Du-ration of Invasive Mechanical Ventilation Among Patients With Chronic Obstructive Pulmonary Disease: A Random-ized Clinical Trial. JAMA. 2016;315(5):480-8.

21. 急性筋骨格痛への局所 NSAIDs の総説Derry S, Wiffen P, Moore A. Topical Nonsteroidal Anti-inflammatory Drugs for Acute Musculoskeletal Pain. JAMA. 2016;315(8):813-4.

【JAMA Intern Med. 2015;175(12), 2016;176(1-2)】22. 栄養不良の入院患者に対する栄養サポートとアウトカム：系統レビューとメタ分析

Bally MR, Blaser Yildirim PZ, Bounoure L, Gloy VL, Mueller B, Briel M, et al. Nutritional Support and Outcomes in Malnourished Medical Inpatients: A Systematic Review and Meta-analysis. JAMA Intern Med. 2016;176(1):43-53.

23. 肺炎患者の DNR 指示と病院死亡の関連Walkey AJ, Weinberg J, Wiener RS, Cooke CR, Lindenauer PK. Association of Do-Not-Resuscitate Orders and Hospi-tal Mortality Rate Among Patients With Pneumonia. JAMA Intern Med. 2016;176(1):97-104.

24. 一般病棟での看護師による尿道留置カテーテル抜去アルゴリズムの効果検証（短報）Leis JA, Corpus C, Rahmani A, Catt B, Wong BM, Callery S, et al. Medical Directive for Urinary Catheter Removal by Nurses on General Medical Wards. JAMA Intern Med. 2016;176(1):113-5.

25. 腰痛予防の系統レビューとメタ分析Steffens D, Maher CG, Pereira LS, Stevens ML, Oliveira VC, Chapple M, et al. Prevention of Low Back Pain: A Sys-tematic Review and Meta-analysis. JAMA Intern Med. 2016;176(2):199-208.

26.プロトンポンプ阻害薬 ) の使用と慢性腎臓病との関連Lazarus B, Chen Y, Wilson FP, Sang Y, Chang AR, Coresh J, et al. Proton Pump Inhibitor Use and the Risk of Chronic Kidney Disease. JAMA Intern Med. 2016;176(2):238-46.

27. 血液腫瘍医の EOL discussion のタイミング：全国医師調査（短報）Odejide OO, Cronin AM, Condron N, Earle CC, Wolfe J, Abel GA. Timeliness of End-of-Life Discussions for Blood Cancers: A National Survey of Hematologic Oncologists. JAMA Intern Med. 2016;176(2):263-5.

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No.71 MAY 2016

【BMJ. 2015;351(8036-8038), 2016;352(8039-8046)】28. 緩和ケアでの悪心・嘔吐の診断・治療のレビュー

Collis E, Mather H. Nausea and vomiting in palliative care. BMJ. 2015;351:h6249.29. 大うつ病の初期治療としての第二世代抗うつ薬と認知行動療法の比較：レビューとメタ分析

Amick HR, Gartlehner G, Gaynes BN, Forneris C, Asher GN, Morgan LC, et al. Comparative benefits and harms of second generation antidepressants and cognitive behavioral therapies in initial treatment of major depressive disor-der: systematic review and meta-analysis. BMJ. 2015;351:h6019.

30.NICE による臨死期ケアのガイドラインの紹介Ruegger J, Hodgkinson S, Field-Smith A, Ahmedzai SH, guideline c. Care of adults in the last days of life: summary of NICE guidance. BMJ. 2015;351:h6631.

31. 転倒予防の複合介入 6-PACKプログラムの効果（RCT）Barker AL, Morello RT, Wolfe R, Brand CA, Haines TP, Hill KD, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781.

32. 抗うつ治療での自殺傾向と攻撃性：レビューとメタ分析Sharma T, Guski LS, Freund N, Gotzsche PC. Suicidality and aggression during antidepressant treatment: systematic review and meta-analyses based on clinical study reports. BMJ. 2016;352:i65.

33. 高齢者の運動療法による転倒予防効果の RCT（LIFE Study）Gill TM, Pahor M, Guralnik JM, McDermott MM, King AC, Buford TW, et al. Effect of structured physical activity on prevention of serious fall injuries in adults aged 70-89: randomized clinical trial (LIFE Study). BMJ. 2016;352:i245.

【Ann Intern Med.2015:136(11-12), 2016;164(1-4)】34. 非がん性疼痛でのオピオイド過量摂取の既往と過量摂取の再発

Larochelle MR, Liebschutz JM, Zhang F, Ross-Degnan D, Wharam JF. Opioid Prescribing After Nonfatal Overdose and Association With Repeated Overdose: A Cohort Study. Ann Intern Med. 2016;164(1):1-9.

35. 小児がんサバイバーの長期的な心機能Mulrooney DA, Armstrong GT, Huang S, Ness KK, Ehrhardt MJ, Joshi VM, et al. Cardiac Outcomes in Adult Survi-vors of Childhood Cancer Exposed to Cardiotoxic Therapy: A Cross-sectional Study. Ann Intern Med. 2016;164(2):93-101.

36. 閉経後のほてりに対する鍼治療の RCT（非がん）Ee C, Xue C, Chondros P, Myers SP, French SD, Teede H, et al. Acupuncture for Menopausal Hot Flashes: A Ran-domized Trial. Ann Intern Med. 2016;164(3):146-54.

【J Clin Oncol. 2015;33(34-36), 2016;34(1-6)】37. 大腸がんでの化学療法と認知機能の関係

Vardy JL, Dhillon HM, Pond GR, Rourke SB, Bekele T, Renton C, et al. Cognitive Function in Patients With Colorec-tal Cancer Who Do and Do Not Receive Chemotherapy: A Prospective, Longitudinal, Controlled Study. J Clin Oncol. 2015;33(34):4085-92.

38. 発展途上国での緩和ケア提供のバリアの総説Hannon B, Zimmermann C, Knaul FM, Powell RA, Mwangi-Powell FN, Rodin G. Provision of Palliative Care in Low- and Middle-Income Countries: Overcoming Obstacles for Effective Treatment Delivery. J Clin Oncol. 2016;34(1):62-8.

39. がん性疼痛に対する低用量モルヒネと弱オピオイドの RCTBandieri E, Romero M, Ripamonti CI, Artioli F, Sichetti D, Fanizza C, et al. Randomized Trial of Low-Dose Morphine Versus Weak Opioids in Moderate Cancer Pain. J Clin Oncol. 2016;34(5):436-42.

【Ann Oncol. 2015;26(12), 2016;27(1-2)】40. 分子標的治療薬での脱毛のレビューとメタ分析

Belum VR, Marulanda K, Ensslin C, Gorcey L, Parikh T, Wu S, et al. Alopecia in patients treated with molecularly targeted anticancer therapies. Ann Oncol. 2015;26(12):2496-502.

41. 進行期胆道がんの予後因子Bridgewater J, Lopes A, Wasan H, Malka D, Jensen L, Okusaka T, et al. Prognostic factors for progression-free and overall survival in advanced biliary tract cancer. Ann Oncol. 2016;27(1):134-40.

42. 中等度催吐性化学療法の悪心・嘔吐に対するホスアプレピタントの第Ⅲ相試験Weinstein C, Jordan K, Green SA, Camacho E, Khanani S, Beckford-Brathwaite E, et al. Single-dose fosaprepitant for the prevention of chemotherapy-induced nausea and vomiting associated with moderately emetogenic chemotherapy:

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results of a randomized, double-blind phase III trialdagger. Ann Oncol. 2016;27(1):172-8.43. 外来化学療法受診前のタブレットによる症状等の自己評価の第Ⅲ相試験

Strasser F, Blum D, von Moos R, Cathomas R, Ribi K, Aebi S, et al. The effect of real-time electronic monitoring of patient-reported symptoms and clinical syndromes in outpatient workflow of medical oncologists: E-MOSAIC, a mul-ticenter cluster-randomized phase III study (SAKK 95/06). Ann Oncol. 2016;27(2):324-32.

【Eur J Cancer. 2015;51(18), 2016;52-54】44. がん患者と一般市民の QOL の比較での年齢の影響

Quinten C, Coens C, Ghislain I, Zikos E, Sprangers MA, Ringash J, et al. The effects of age on health-related quality of life in cancer populations: A pooled analysis of randomized controlled trials using the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 involving 6024 cancer patients. Eur J Cancer. 2015;51(18):2808-19.

45.nab- パクリタキセル / ゲムシタビン療法での末梢神経障害Goldstein D, Von Hoff DD, Moore M, Greeno E, Tortora G, Ramanathan RK, et al. Development of peripheral neurop-athy and its association with survival during treatment with nab-paclitaxel plus gemcitabine for patients with meta-static adenocarcinoma of the pancreas: A subset analysis from a randomised phase III trial (MPACT). Eur J Cancer. 2016;52:85-91.

46. 骨転移患者でのデノスマブとゾレドロン酸による骨関連有害事象リスクの比較Lipton A, Fizazi K, Stopeck AT, Henry DH, Smith MR, Shore N, et al. Effect of denosumab versus zoledronic acid in preventing skeletal-related events in patients with bone metastases by baseline characteristics. Eur J Cancer. 2016;53:75-83.

【Br J Cancer. 2015;113(11-12), 2016;114(1-4)】47. 小児がんの予後と社会経済的因子の関係

Mogensen H, Modig K, Tettamanti G, Talback M, Feychting M. Socioeconomic differences in cancer survival among Swedish children. Br J Cancer. 2016;114(1):118-24.

48.HER2 陰性の転移性乳がんでのカペシタビン / ベバシズマブ併用の一次治療で手足症候群が治療効果の予測因子になるZielinski C, Lang I, Beslija S, Kahan Z, Inbar MJ, Stemmer SM, et al. Predictive role of hand-foot syndrome in pa-tients receiving first-line capecitabine plus bevacizumab for HER2-negative metastatic breast cancer. Br J Cancer. 2016;114(2):163-70.

【Cancer. 2015;121(23-24), 2016;122(1-4)】49. 抗がん治療中止のコミュニケーションに進行がん患者が望むこと

Umezawa S, Fujimori M, Matsushima E, Kinoshita H, Uchitomi Y. Preferences of advanced cancer patients for com-munication on anticancer treatment cessation and the transition to palliative care. Cancer. 2015;121(23):4240-9.

50. 若年がん患者の治療意思決定に望むことWeaver MS, Baker JN, Gattuso JS, Gibson DV, Sykes AD, Hinds PS. Adolescents' preferences for treatment deci-sional involvement during their cancer. Cancer. 2015;121(24):4416-24.

51. がんサバイバーの雇用と収入減少Zajacova A, Dowd JB, Schoeni RF, Wallace RB. Employment and income losses among cancer survivors: Estimates from a national longitudinal survey of American families. Cancer. 2015;121(24):4425-32.

52. 頭頸部がんでの治療開始前の抑うつと治療後の予後や栄養状態との関連Kim SA, Roh JL, Lee SA, Lee SW, Kim SB, Choi SH, et al. Pretreatment depression as a prognostic indicator of sur-vival and nutritional status in patients with head and neck cancer. Cancer. 2016;122(1):131-40.

53. 強オピオイド鎮痛薬からフェンタニル貼付薬への換算比Reddy A, Tayjasanant S, Haider A, Heung Y, Wu J, Liu D, et al. The opioid rotation ratio of strong opioids to trans-dermal fentanyl in cancer patients. Cancer. 2016;122(1):149-56.

54. 進行期腎臓がんでの手足症候群と粘膜炎による生活の障害の評価尺度の妥当性検証Lai JS, Beaumont JL, Diaz J, Khan S, Cella D. Validation of a short questionnaire to measure symptoms and func-tional limitations associated with hand-foot syndrome and mucositis in patients with metastatic renal cell carcinoma. Cancer. 2016;122(2):287-95.

55. 家族介護者の QOLと社会的因子との関連（CanCORS 研究）Litzelman K, Kent EE, Rowland JH. Social factors in informal cancer caregivers: The interrelationships among social

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stressors, relationship quality, and family functioning in the CanCORS data set. Cancer. 2016;122(2):278-86.56. 骨髄増殖性腫瘍での倦怠感

Scherber RM, Kosiorek HE, Senyak Z, Dueck AC, Clark MM, Boxer MA, et al. Comprehensively understanding fa-tigue in patients with myeloproliferative neoplasms. Cancer. 2016;122(3):477-85.

57. オランダでの小児がんの支持療法の現状調査Loeffen EA, Mulder RL, van de Wetering MD, Font-Gonzalez A, Abbink FC, Ball LM, et al. Current variations in childhood cancer supportive care in the Netherlands. Cancer. 2016;122(4):642-50.