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Survey on the management of physical risks induced by psychotropic agents in Japan
http://hdl.handle.net/10191/50432
http://hdl.handle.net/10191/50432e2b5bd1d-654a-4cbf-911c-4742c0af4cac
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本文 (71.8 kB)
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要旨 (676.3 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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| 公開日 | 2018-07-26 | |||||
| タイトル | ||||||
| タイトル | Survey on the management of physical risks induced by psychotropic agents in Japan | |||||
| タイトル | ||||||
| タイトル | Survey on the management of physical risks induced by psychotropic agents in Japan | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | monitoring | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | pharmacotherapy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | psychotropic agents | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | retrospective study | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | side-effect | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_46ec | |||||
| 資源タイプ | thesis | |||||
| その他のタイトル | ||||||
| その他のタイトル | 日本における向精神薬による身体リスク管理の調査研究 | |||||
| 著者 |
Orime, Naoki
× Orime, Naoki |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 51242 | |||||
| 姓名 | 折目, 直樹 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Purpose: Several treatment guidelines recommend periodic monitoring (i.e., once per year) of side-effects in patients taking psychotropic agents. However, the actual frequency of side-effects monitoring is unclear. Accordingly, we investigated the frequency of side-effects monitoring in Japanese patients. Methods: We used the national insurance claim database to identify patients prescribed with psychotropic agents for more than 3 years. Among these patients, we identified those who had undergone electrocardiogram, liver or kidney function, serum lipid level, blood glucose level, and serum prolactin level assessment at least once per year for 3 years of treatment. We classified these patients into adults and children and compared the frequency of each examination between the two groups. Results: A total of 8822 patients were included in the analysis. The frequencies of electrocardiogram, blood glucose level, serum lipid level, liver or kidney function, and serum prolactin level monitoring were <0.1%, 16.4%, 16.5%, 20.6%, and 1.1%, respectively. In patients taking antipsychotic agents, children were significantly less frequently screened for blood glucose level, serum lipid level, and liver or kidney function compared with adults (p < 0.01). Conclusion: Our data suggest that the frequency of side-effects monitoring in persistent users of psychotropic agents in Japan was lower than that recommended by several guidelines. | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 学位の種類: 博士（医学）. 報告番号: 甲第4410号. 学位記番号: 新大院博（医）甲第809号. 学位授与年月日: 平成30年3月23日 | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Clinical Neuropsychopharmacology and Therapeutics. 2017. 8, 42-46. | |||||
| 書誌情報 | 発行日 2018-03-23 | |||||
| 出版者 | ||||||
| 出版者 | 新潟大学 | |||||
| DOI | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | info:doi/10.5234/cnpt.8.42 | |||||
| 著者版フラグ | ||||||
| 値 | ETD | |||||
| 学位名 | ||||||
| 学位名 | 博士（医学） | |||||
| 学位授与機関 | ||||||
| 学位授与機関名 | 新潟大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2018-03-23 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 13101甲第4410号 | |||||
| 学位記番号 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 新大院博（医）甲第809号 | |||||
