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142 results on '"Kimachi, Miho"'

7. Association Between the Discrepancy in Self-Reported and Performance-Based Physical Functioning Levels and Risk of Future Falls Among Community-Dwelling Older Adults: The Locomotive Syndrome and Health Outcomes in Aizu Cohort Study (LOHAS)

Author

Kamitani, Tsukasa, Yamamoto, Yosuke, Fukuma, Shingo, Ikenoue, Tatsuyoshi, Kimachi, Miho, Shimizu, Sayaka, Yamamoto, Shungo, Otani, Koji, Sekiguchi, Miho, Onishi, Yoshihiro, Takegami, Misa, Ono, Rei, Yamazaki, Shin, Konno, Shinichi, Kikuchi, Shinichi, and Fukuhara, Shunichi

Published
2019
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17. Additional file 1 of Laxative use and mortality in patients on haemodialysis: a prospective cohort study

Author

Honda, Yu, Itano, Seiji, Kugimiya, Aiko, Kubo, Eiji, Yamada, Yosuke, Kimachi, Miho, Shibagaki, Yugo, and Ikenoue, Tatsuyoshi

Abstract

Additional file 1: Supplementary Table S1. Drugs defined as laxatives in this study. Supplementary Table S2. Definition of secondary outcomes (cause-specific death) for the current study. Supplementary Table S3. Characteristics of study participants observed over 1.5 years. Supplementary Table S4. Sensitivity analysis dividing the laxative group into stimulant laxative group or non-stimulant laxative group. Supplementary Figure S1. Flow chart of study participants��� selection

Published
2021
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18. Primary care physicians' perceptions concerning engagement in cancer survivor care.

Author

Kimachi, Miho, Omae, Kenji, Kamitani, Tsukasa, and Fukuma, Shingo

Subjects
PHYSICIANS' attitudes, ONCOLOGISTS, CANCER survivors, PRIMARY care, CANCER treatment, LOGISTIC regression analysis
Abstract

Background: Given the growing diversity among cancer survivors and the fact that oncologists typically do not perform long‐term care, the expected role of primary care physicians (PCPs) in survivor care is expanding. However, communication and collaboration between oncologists and PCPs are lacking. Therefore, we assessed the perception of cancer survivor care among PCPs. Methods: We sent a questionnaire to 767 Japanese Board–certified PCPs, regardless of facility type (clinics and hospitals), inquiring about PCPs' perceptions of their role in survivor care. Additionally, we included vignette‐based scenarios focused on colorectal and prostate cancer survivors to explore factors associated with their clinical decisions. Results: We obtained 91 replies (response rate: 11.9%). A total of 75% of PCPs had encountered at least 1 cancer patient in actual practice. Even for patients actively receiving cancer treatment, >70% of PCPs reported that they were willing to engage in comprehensive survivor care, except for the administration of anticancer drugs. Further, 49% of PCPs considered that both PCPs and oncologists were suited to performing regular screening for cancer recurrence in high‐risk patients. Multivariable logistic regression analyses revealed that clinic PCPs were less inclined to conduct screening for recurrence than hospital PCPs in both colorectal (odds ratio, 3.85 [95% confidence interval 1.40–10.6]) and prostate (4.36 [95% confidence interval 1.51–12.6]) cancer scenarios. Conclusions: Our findings suggest that Japanese PCPs are willing to engage in survivor care and encourage closer collaboration between oncologists and PCPs. However, oncologists might need to request cooperation, considering the facility type with which PCPs are affiliated. The present study revealed that Japanese primary care physicians (PCPs) were willing to engage in comprehensive survivor care, except for the administration of anticancer drugs. Further, most PCPs were willing to engage in psychosocial support to relieve survivors' anxiety and manage work‐related issues, but they have few opportunities to collaborate with oncologists. Oncologists and PCPs need to engage in more communication and conduct cancer survivor care while capitalizing on PCPs' willingness and capability. [ABSTRACT FROM AUTHOR]

Published
2022
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29. Level of Low Back Pain–Related Disability Is Associated with Risk of Subsequent Falls in an Older Population: Locomotive Syndrome and Health Outcomes in Aizu Cohort Study (LOHAS)

Author

Kimachi, Kimihiko, primary, Kimachi, Miho, additional, Takegami, Misa, additional, Ono, Rei, additional, Yamazaki, Shin, additional, Goto, Yoshihito, additional, Onishi, Yoshihiro, additional, Sekiguchi, Miho, additional, Otani, Koji, additional, Konno, Shin-ichi, additional, Kikuchi, Shin-ichi, additional, Fukuhara, Shunichi, additional, and Yamamoto, Yosuke, additional

Published
2019
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33. Cumulative network-meta-analyses, practice guidelines and actual prescriptions of drug treatments for postmenopausal osteoporosis: a study protocol for cumulative network meta-analyses and meta-epidemiological study

Author

Kataoka, Yuki, primary, Luo, Yan, additional, Chaimani, Anna, additional, Onishi, Akira, additional, Kimachi, Miho, additional, Tsujimoto, Yasushi, additional, Murad, Mohammad Hassan, additional, Li, Tianjing, additional, Cipriani, Andrea, additional, and Furukawa, Toshi A, additional

Published
2018
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44. Association Between Subjective Sleep Quality and Future Risk of Falls in Older People: Results From LOHAS

Author

Takada, Shiho, primary, Yamamoto, Yosuke, additional, Shimizu, Sayaka, additional, Kimachi, Miho, additional, Ikenoue, Tatsuyoshi, additional, Fukuma, Shingo, additional, Onishi, Yoshihiro, additional, Takegami, Misa, additional, Yamazaki, Shin, additional, Ono, Rei, additional, Sekiguchi, Miho, additional, Otani, Koji, additional, Kikuchi, Shin-ichi, additional, Konno, Shin-ichi, additional, and Fukuhara, Shunichi, additional

Published
2017
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48. Minor Elevation in C-Reactive Protein Levels Predicts Incidence of Erythropoiesis-Stimulating Agent Hyporesponsiveness among Hemodialysis Patients

Author

Kimachi, Miho, Fukuma, Shingo, Yamazaki, Shin, Yamamoto, Yosuke, Akizawa, Tadao, Akiba, Takashi, Saito, Akira, and Fukuhara, Shunichi

Abstract

Background:Hemodialysis (HD) patients occasionally experience minor asymptomatic elevation in C-reactive protein (CRP) levels, which may be associated with difficulty in managing renal anemia using erythropoiesis-stimulating agents (ESAs). Here, we assessed whether elevation of CRP predicts future incidences of ESA hyporesponsiveness. Methods:A total of 2,956 HD patients lacking ESA hyporesponsiveness and infectious diseases were enrolled, and the association between CRP levels and incidence of ESA hyporesponsiveness was assessed. CRP levels were divided into 4 categories (normal [<1.0 mg/l], mild [1.0= CRP <3.0 mg/l], moderate [3.0= CRP <10.0 mg/l] and high [=10.0 mg/l]). The primary outcome was the cumulative incidence of ESA hyporesponsiveness, defined as a failure to achieve hemoglobin level =10 g/dl despite receiving high doses of ESAs (=9,000 U/week recombinant human epoetin [rHuEPO]-a or rHuEPO-ß and =60 µg/week darbepoetin-a) during 12 months of follow-up. Results:The cumulative incidence of ESA hyporesponsiveness was 134 (4.8%) occurrences over 4 months and 300 (12.4%) over 12 months. The elevated CRP groups had significantly higher incidence of ESA hyporesponsiveness over 4 months of follow-up than the normal reference group (adjusted relative risk [RR] 1.6, 95% CI 1.0-2.6 for moderate; adjusted RR 2.5, 95% CI 1.5-4.1 for high). Furthermore, the association remained consistent even over 12 months (adjusted RR 1.4, 95% CI 1.0-1.8 for moderate; adjusted RR 1.6, 95% CI 1.1-2.4 for high). Conclusions:Elevated CRP levels were associated with future incidence of ESA hyporesponsiveness from low-grade inflammation (3.0= CRP <10.0 mg/l).

Published
2024
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50. Association Between Subjective Sleep Quality and Future Risk of Falls in Older People: Results From LOHAS.

Author

Takada, Shiho, Yamamoto, Yosuke, Shimizu, Sayaka, Kimachi, Miho, Ikenoue, Tatsuyoshi, Fukuma, Shingo, Onishi, Yoshihiro, Takegami, Misa, Yamazaki, Shin, Ono, Rei, Sekiguchi, Miho, Otani, Koji, Kikuchi, Shin-Ichi, Konno, Shin-Ichi, and Fukuhara, Shunichi

Subjects
ACCIDENTAL falls in old age, SLEEP, PRIMARY care, ELDER care, COHORT analysis
Abstract

Background: Inadequate sleep is correlated with morbidity and mortality among older adults. However, the longitudinal relationship between subjective sleep quality and risk of falls in the elderly population remains to be clarified.Methods: Study participants were from Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS) sites (1,071 community-dwelling people ≧65 years of age, mean: 71 years). Subjective sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Occurrence of falls (defined as experiencing at least one fall) during the subsequent year was ascertained by a self-reported questionnaire.Results: Mean global PSQI score was 4.3 (SD 3.2), with 28.9% of participants rating their sleep quality as poor (PSQI > 5). A total of 210 participants (19.6%) fell at least once in the year following sleep examination. Multivariable analysis revealed that participants reporting worse subjective sleep quality had significantly higher odds of experiencing falls during the 1-year follow-up period (adjusted odds ratio [AOR] = 1.50 for each three-point increase in global PSQI score; 95% confidence interval [CI] = 1.20, 1.89). Participants in the highest global PSQI score (PSQI > 5) quartile had significantly increased odds of experiencing falls compared to those in the lowest global score quartile (PSQI < 2; AOR = 2.14; 95% CI = 1.09, 4.22). This association was similarly significant in subgroup analyses for older men and women, nonusers of sleep medication, and those without a history of falls at baseline.Conclusion: Subjective poor sleep quality, as measured by the PSQI, is longitudinally associated with greater risk of experiencing falls in community-dwelling older adults. [ABSTRACT FROM AUTHOR]

Published
2018
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