TOSHIO CHIBA
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
21 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 21
- Palliative cancer care: costs in a Brazilian quaternary hospital(2022) ROZMAN, Luciana Martins; CAMPOLINA, Alessandro Goncalves; LOPEZ, Rossana Mendoza; CHIBA, Toshio; SOAREZ, Patricia Coelho DePalliative care (PC) improves the quality of life of patients with diseases such as cancer, and several studies have shown a reduction in costs among patients who use PC services when compared with those receiving standard oncological treatments. Most studies on PC costs are carried out in high-income countries. There is a lack of these types of studies in middle-income and low-income countries and of better evidence about this intervention. Objective To describe resource utilisation and costs among patients with cancer in a Brazilian quaternary hospital by cancer localisation and per month of treatment before death. Methods This study is a description of retrospective costs to estimate the costs of formal healthcare sector associated with PCs, from the perspective of a public quaternary cancer hospital. Unit costs were estimated using microcosting and macrocosting approaches. Setting/Participants Patients older than 18 years old who died from 2010 to 2013 and who had at least two visits in PC and/or made use of hospice care. Results Among the 2985 patients included in the study, the average cost per patient was US$12 335, ranging from US$8269 for patients with pancreatic cancer to US$19 395 for patients with brain cancer. The main costing item was hospital admission (47.6% of the total cost), followed by hospice care (29.5%) and medical and other supplies (11.1%). Conclusions The study clarified the direct medical costs and the profile and use of resources of patients with cancer who need PC, and can help in the planning and allocation of resources in cancer care.
bookPart Atenção Domiciliar(2016) HIGA-TANIGUCHI, Keila; ANDRADE, Letícia; YAMAGUCHI, Angélica M.; BIANCHINI, Ivone; CHIBA, ToshiobookPart Cuidados nas últimas 48 horas de vida e sedação paliativa(2015) CASSEFO, Gustavo; MAIELLO, Ana Paula Mirarchi Vieira; CHIBA, Toshio- Early Palliative Care and Its Impact on End-of-Life Care for Cancer Patients in Brazil(2018) ROZMAN, Luciana Martins; CAMPOLINA, Alessandro Goncalves; LOPEZ, Rossana Veronica Mendonca; KOBAYASHI, Silvia Takanohashi; CHIBA, Toshio; SOAREZ, Patricia Coelho deBackground: Integrating palliative care into standard oncology care has been recommended for cancer patients. Early palliative care is associated with less aggressive treatment at the end of life. Objective: To describe cancer patients receiving palliative care in Brazil, determining the time from entry into palliative care to death, and investigating whether late referral to palliative care is associated with aggressive end-of-life treatment. Design: This was a cross-sectional study of cancer patients receiving palliative care in Brazil. Setting/Subjects: Subjects were 2985 cancer patients 18 years of age who received at least two palliative care visits at the SAo Paulo State Cancer Institute, in the city of SAo Paulo, Brazil, and died between 2010 and 2013. Measurements: We evaluated the time from the first palliative care consult to death, stratifying cases by the timing of entry into palliative care (3 or <3 months before death). The associations between early palliative care and indicators of aggressive treatment were assessed by Pearson's chi-square test and Fisher's exact test. Results: The overall median time between entry into palliative care and death was 34 days (mean, 72 days) and was significantly shorter in 2013 than in 2010 (p<0.001). The number of emergency department visits was significantly lower among the patients who entered palliative care earlier (p<0.001). Conclusions: Among cancer patients in Brazil, late referral to palliative care is common. Patients who enter palliative care earlier appear to receive less aggressive end-of-life treatment.
bookPart Princípios no controle de sintomas(2018) YAMASTHITA, Camila Cristófero; SOUZA, Milena dos Reis Bezerra de; CHIBA, Toshio- Integration of the palliative care team with oncologic care in a tertiary cancer center in Brazil: Perception of patients and healthcare professionals after 1 year of integration(2020) GUIMARAES, T. V.; CAMPOLINA, A. G.; COSTA, F. N.; SPONTON, M. H. C.; DIZ, M. D. P. E.; SILVA, M. R.; CHIBA, T.
bookPart Cuidados nas últimas 48 horas de vida e sedação paliativa(2017) CASSEFO, Gustavo; MAIELLO, Ana Paula Mirarchi Vieira; CHIBA, ToshiobookPart Indicações de cuidados paliativos e modalidades de atendimento(2017) SOUZA, Milena dos Reis Bezerra de; LOPES, Fernanda de Souza; CHIBA, ToshioconferenceObject Impact of Early Referral for Palliative Care in the Use of Emergency Care for Patients with Advanced Cancer(2017) ROZMAN, L. M.; CAMPOLINA, A. G.; V, R. Lopez; CHIBA, T.; SOAREZ, P. C. De- Validity and reliability of the Brazilian version of the Patient Dignity Inventory (PDI - Br)(2021) DONATO, Suzana Cristina Teixeira; CHIBA, Toshio; CARVALHO, Ricardo Tavares de; SALVETTI, Marina de GoesObjective: to perform the psychometric validation of the Brazilian version of the Patient Dignity Inventory (PDI - Br) in patients with advanced diseases in palliative care. Method: a methodological study to verify the psychometric properties of the Patient Dignity Inventory (PDI - Br) instrument, through validity and reliability tests. Results: the exploratory factor analysis showed a factorial solution with three factors, responsible for 40.9% of the explained variance, with adequate internal consistency for the Presence of Symptoms (a=0.859), Dependence (a=0.871), and Existential Suffering (a=0.759) domains. The test-retest was performed and indicated moderate to strong correlations. Convergent validity demonstrated a positive correlation between the Presence of Symptoms and the sadness (r=0.443) and anxiety (r=0.464) variables. Weak negative correlations were observed between the PDI - Br domains and functionality, spiritual well-being and quality of life. Conclusion: composed of three domains and 25 items, the PDI - Br instrument presented satisfactory psychometric properties for its use in our environment, through the evidence of validity and reliability.
- «
- 1 (current)
- 2
- 3
- »