Terui Takeshi, Koike Kazuhiko, Hirayama Yasuo, Kusakabe Toshiro, Ono Kaoru, Mihara Hiroyoshi, Kobayashi Kenji, Takahashi Yuji, Nakajima Nobuhisa, Kato Junji, Ishitani Kunihiko
Department of internal medicine, Higashi Sapporo Hospital, Sapporo, Japan
Department of palliative medicine, Higashi Sapporo Hospital, Sapporo, Japan.
Am J Hosp Palliat Care. 2014 Nov;31(7):717-22. doi: 10.1177/1049909113502118. Epub 2013 Sep 10.
More than 30 years have passed since the introduction of the concept of palliative care in cancer care in Japan. However, the majority of the estimated three million cancer patients in Japan do not receive palliative care. Higashi Sapporo Hospital was established in 1983 as a hospital specialized in cancer care. The palliative care unit of our hospital currently consists of 58 beds. Our hospital is one of the largest hospitals in Japan in terms of the number of palliative care beds. On admission to our hospital, all patients are evaluated for palliative care by a multi-disciplinary team and some patients who undergo anticancer therapy receive palliative care when necessary. There are about 65 patients on average (28.3%) who are receiving only palliative care. In 2011, 793 patients died of cancer while admitted at our hospital. This number of cancer deaths accounted for 15% of the 5,324 cancer deaths in Sapporo City in the same year. Our hospital has played an active role according to the philosophy that "palliative cancer care is part of cancer medical care". We here report the current status of the contribution of our hospital to overcoming problems in palliative care and cancer care in Japan.
自姑息治疗概念引入日本癌症护理领域以来，已过去30多年。然而，据估计，日本约300万癌症患者中的大多数并未接受姑息治疗。东札幌医院成立于1983年，是一家专门从事癌症护理的医院。我院的姑息治疗科目前有58张床位。就姑息治疗床位数而言，我院是日本最大的医院之一。患者入院时，多学科团队会对所有患者进行姑息治疗评估，一些接受抗癌治疗的患者在必要时也会接受姑息治疗。平均约有65名患者（占28.3%）仅接受姑息治疗。2011年，我院有793名癌症患者在住院期间死亡。这一癌症死亡人数占同年札幌市5324例癌症死亡人数的15%。我院秉持“姑息性癌症护理是癌症医疗护理的一部分”这一理念发挥了积极作用。在此，我们报告我院在解决日本姑息治疗和癌症护理问题方面的贡献现状。
