内容紹介
Team Medicine in Chemotherapy for Metastatic Colorectal Cancer
Summary
In recent years, active new agents have been introduced clinically against colorectal cancer and overall survivals of chemotherapy for metastatic colorectal cancer treatment much improved. For the appropriate treatment and management of targeted therapy with various side effects which is not seen in the anti-cancer agent, the cooperation of physicians, pharmacists and nurses has become mandatory. Furthermore, deep patients understanding for their diseases and treatments and good adherence of oral agents are strongly needed. In addition, liver surgeons in cases of possible hepatectomy and medical social workers(MSW)in case of the problems of high-cost medical care or the transition to palliative care are also required. In this way, the team medicine has become essential in order to continue to practice the appropriate chemotherapy for colorectal cancer. I would like to mention the attempt of Aichi Prefecture which has launched a system to support the team medicine through multicenter, multidisciplinary, and regional cooperation.
要旨
近年,大腸がんに対して有効な新規薬剤が次々に臨床導入され,大腸がん化学療法の治療成績は著しく向上した。従来の抗がん剤ではみられない多彩な副作用をもつ分子標的治療薬の適正使用,患者に複雑な治療レジメンを理解してもらい,内服薬のアドヒアランスを高めてもらうためにも,医師と薬剤師,看護師との連携が必須となってきている。また,肝切除の可能性のある症例では肝臓外科医との連携も必要である。さらに高額療養費の問題,緩和ケアへの移行などではメディカルソーシャルワーカー(MSW)とも連携していかねばならない。このように,大腸がん化学療法を適切に実践していくためにはチーム医療体制が必須となっている。多施設・多職種連携と地域連携をとおしてチーム医療を支援するシステムを立ち上げた愛知県の試みを紹介する。
目次
Summary
In recent years, active new agents have been introduced clinically against colorectal cancer and overall survivals of chemotherapy for metastatic colorectal cancer treatment much improved. For the appropriate treatment and management of targeted therapy with various side effects which is not seen in the anti-cancer agent, the cooperation of physicians, pharmacists and nurses has become mandatory. Furthermore, deep patients understanding for their diseases and treatments and good adherence of oral agents are strongly needed. In addition, liver surgeons in cases of possible hepatectomy and medical social workers(MSW)in case of the problems of high-cost medical care or the transition to palliative care are also required. In this way, the team medicine has become essential in order to continue to practice the appropriate chemotherapy for colorectal cancer. I would like to mention the attempt of Aichi Prefecture which has launched a system to support the team medicine through multicenter, multidisciplinary, and regional cooperation.
要旨
近年,大腸がんに対して有効な新規薬剤が次々に臨床導入され,大腸がん化学療法の治療成績は著しく向上した。従来の抗がん剤ではみられない多彩な副作用をもつ分子標的治療薬の適正使用,患者に複雑な治療レジメンを理解してもらい,内服薬のアドヒアランスを高めてもらうためにも,医師と薬剤師,看護師との連携が必須となってきている。また,肝切除の可能性のある症例では肝臓外科医との連携も必要である。さらに高額療養費の問題,緩和ケアへの移行などではメディカルソーシャルワーカー(MSW)とも連携していかねばならない。このように,大腸がん化学療法を適切に実践していくためにはチーム医療体制が必須となっている。多施設・多職種連携と地域連携をとおしてチーム医療を支援するシステムを立ち上げた愛知県の試みを紹介する。