本邦における小児がん患者に対する口腔ケアの現状

山本 暢之; 大曽根 眞也; 鈴木 孝二; 篠田 邦大; 斎藤 雄弥; 澤田 明久; 石田 裕二; 森 尚子; 加藤 陽子; 新小田 雄一; 嘉数 真理子; 佐野 弘純; 矢野 道広; 水谷 修紀; 福島 啓太郎

doi:10.11412/jspho.61.176

Original Article

Current situation of oral care for children with cancer in Japan

Nobuyuki Yamamoto, Shinya Osone, Koji Suzuki, Kunihiro Shinoda, Yuya Saito, Akihisa Sawada, Yuji Ishida, Naoko Mori, Yoko Kato, Yuichi Shinkoda, Mariko Kakazu, Hirozumi Sano, Michihiro Yano, Shuki Mizutani, Keitaro Fukushima

Author information

Nobuyuki Yamamoto
Department of Pediatrics, Kobe University Hospital
Supportive Care Committee, Japan Children’s Oncology Group
Shinya Osone
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Kyoto Prefectural University of Medicine
Koji Suzuki
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, University of Fukui Faculty of Medicine
Kunihiro Shinoda
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Gifu Municipal Hospital
Yuya Saito
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Tokyo Metropolitan Tama-Hokubu Medical Center
Akihisa Sawada
Supportive Care Committee, Japan Children’s Oncology Group
Department of Hematology/Oncology, Osaka Women’s and Children’s Hospital
Yuji Ishida
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Shizuoka Cancer Center
Naoko Mori
Supportive Care Committee, Japan Children’s Oncology Group
Akabane Zaitaku Clinic
Yoko Kato
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Jikei University School of Medicine
Yuichi Shinkoda
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Kagoshima City Hospital
Mariko Kakazu
Supportive Care Committee, Japan Children’s Oncology Group
Department of Hematology/Oncology, Nanbu Child Medical Center
Hirozumi Sano
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Sapporo Hokuyu Hospital
Michihiro Yano
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Akita University Graduate School of Medicine
Shuki Mizutani
Tokyo Medical and Dental University
Keitaro Fukushima
Supportive Care Committee, Japan Children’s Oncology Group
Department of Pediatrics, Dokkyo Medical University

Keywords: childhood cancer, supportive care, oral care, nationwide survey

JOURNAL RESTRICTED ACCESS

2024 Volume 61 Issue 2 Pages 176-183

DOI https://doi.org/10.11412/jspho.61.176

Details

Abstract

Background: The current situation regarding the prevention and treatment of oral mucosal disorders in pediatric patients with cancer is unknown in Japan. Therefore, we investigated institutions participating in the Japanese Children’s Cancer Group (JCCG). Methods: Between April and July 2017, the JCCG Supportive Care Committee conducted a web questionnaire survey of 153 institutions participating in the JCCG for the prevention and treatment of oral mucosal disorders. Results: Responses were received from 110 departments in 108 institutions (71%). Approximately 72% of the departments provided oral care instructions to patients. In addition, 65% of the departments provided oral care with mouthwashes and brushing. Cryotherapy was performed in 64% of the departments, of which 84% used cryotherapy for melphalan administration. When oral mucosal damage occurred, acetaminophen, nonsteroidal anti-inflammatory drugs, and opioids were used to alleviate pain. Discussion: Oral care for children with cancer has not yet been standardized in Japan. Further research is needed to improve the oral care of pediatric patients with cancer.

Corresponding author

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