Faculty Profiles - NISHIDA Keiichiro

Papers - NISHIDA Keiichiro

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Drug dependence in patients with chronic pain: A retrospective study. Reviewed International journal

Tetsunaga T, Tetsunaga T, Nishida K, Kanzaki H, Misawa H, Takigawa T, Shiozaki Y, Ozaki T

Medicine 97 ( 40 ) e12748 2018.10

Language：English Publishing type：Research paper (scientific journal)

Drug dependence, which can exist concurrently with chronic pain, is seen as one of the major causes of rapidly increasing medical expenses. However, drug dependence in patients with chronic pain has not been evaluated. The aim of this study was to identify the risk factors for drug dependence in patients with chronic noncancer pain.This retrospective study included 151 patients with chronic noncancer pain (43 males, 108 females; mean age, 72 years). Low back pain (LBP) occurred in 96 patients, whereas 22 had shoulder pain, 8 had hip pain, and 77 had knee pain. Patients were divided into drug dependence and nondrug dependence groups based on the Severity of Dependence Scale (SDS) scores. Patients with SDS scores ≥5 and <5 were classified into drug dependence and nondrug dependence groups, respectively. All patients completed self-report questionnaires. Factors that predict drug dependence were identified by performing univariate and multivariate analyses.Sixty (40%) of the 151 patients met the SDS criteria for drug dependence. Significant differences were found between patients with and without drug dependence for the LBP, hip pain, number of medications, and for the Numerical Rating Scale, Pain Disability Assessment Scale (PDAS), Hospital Anxiety and Depression Scale, and Pain Catastrophizing Scale (PCS) scores. Multiple regression analysis identified LBP, hip pain, PCS, and PDAS scores as factors related to drug dependence in patients with chronic noncancer pain.Drug dependence tends to differ in patients based on the location of their chronic pain. Pain catastrophizing and disability indicated a greater tendency for drug dependence. Thus, PCS and PDAS scores are useful screening tools for predicting drug dependence in patients with chronic pain.

DOI： 10.1097/MD.0000000000012748

PubMed

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リウマチ足の治療成績を左右する因子関節リウマチ患者の前足部変形に対する手術における術式選択と治療成績の検討

堀田昌宏, 西田圭一郎, 橋詰謙三, 那須義久, 雑賀建多, 中原龍一, 大橋秀基, 林充, 尾崎敏文

日本足の外科学会雑誌 39 ( Suppl. ) S286 - S286 2018.10

【しびれ・痛みに対する整形外科診療の進歩】薬物療法セロトニン・ノルアドレナリン再取り込み阻害薬の使用方法効果は抑うつの有無により影響するか

鉄永倫子, 鉄永智紀, 西田圭一郎, 尾崎敏文

別冊整形外科 ( 74 ) 23 - 26 2018.10

関節リウマチに対するMCP関節人工関節置換術中に手関節部での腱処置剥離術を要した症例の検討

木曽洋平, 那須義久, 松橋美波, 渡辺雅仁, 沖田駿治, 大橋秀基, 兼田大輔, 竹下歩, 堀田昌宏, 中原龍一, 西田圭一郎, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 199 - 199 2018.10

人工肘関節全置換術(TEA)術後の肘関節機能回復のアプローチとその角度変化

松山宜之, 中原龍一, 鍋倉由佳, 小川加苗, 藤岡晃, 岡佳純, 那須義久, 堅山佳美, 西田圭一郎, 千田益生

日本RAのリハビリ研究会誌 32 ( 1 ) 43 - 46 2018.10

関節リウマチ外側趾MTP関節背屈変形の重症度分類

大橋秀基, 西田圭一郎, 那須義久, 中原龍一, 雑賀建多, 堀田昌宏

日本足の外科学会雑誌 39 ( Suppl. ) S370 - S370 2018.10

関節リウマチにおけるPDスコアの関節破壊予測能の検討

沖田駿治, 中原龍一, 松橋美波, 渡辺雅仁, 木曽洋平, 大橋秀基, 那須義久, 西田圭一郎, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 306 - 306 2018.10

深層学習を用いた超音波画像の関節部位推定

中原龍一, 西田圭一郎, 沖田駿治, 松橋美波, 渡辺雅仁, 木曽洋平, 大橋秀基, 那須義久, 野田知之, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 305 - 305 2018.10

RA手の障害に対する手指人工関節における角速度の術後経過

松山宜之, 中原龍一, 松岡玲衣, 藤岡晃, 鍋倉由佳, 小川加苗, 岡佳純, 那須義久, 堅山佳美, 西田圭一郎, 千田益生, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 271 - 271 2018.10

人工手関節全置換術(TWA)を受ける関節リウマチ患者の看護

小橋靖子, 西田圭一郎, 宮地亜美, 鍋倉由佳, 藤岡晃, 那須義久, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 216 - 216 2018.10

関節リウマチに対するAVANTAとAVANTA preflexによる小指MP人工指関節置換術の治療成績

松橋美波, 那須義久, 渡辺雅仁, 沖田駿治, 木曽洋平, 大橋秀基, 中原龍一, 西田圭一郎, 尾崎敏文

日本関節病学会誌 37 ( 3 ) 216 - 216 2018.10

人工肘関節置換術施行後に隣接関節の運動機能が変化し追加にて「排泄動作自立」の目標設定が可能となった一症例

藤岡晃, 鍋倉由佳, 小川加苗, 松山宜之, 岡佳純, 中原龍一, 那須義久, 西田圭一郎, 千田益生

日本RAのリハビリ研究会誌 32 ( 1 ) 47 - 50 2018.10

短母指伸筋腱の停止様式が母指ボタン穴変形発症に与える影響

沖田駿治, 西田圭一郎, 渡辺雅仁, 木曽洋平, 大橋秀基, 兼田大輔, 竹下歩, 尾崎敏文, 中原龍一, 那須義久

中国・四国整形外科学会雑誌 30 ( 2 ) 291 - 291 2018.9

関節リウマチによる高度手関節破壊に対して人工手関節置換術を施行した2例

那須義久, 中原龍一, 西田圭一郎, 尾崎敏文

中部日本整形外科災害外科学会雑誌 61 ( 秋季学会 ) 249 - 249 2018.9

A Multidisciplinary Approach to the Management of Chronic Pain through a Self-managed Behavioral Exercise Program : A Pilot Study in Japan. Reviewed

Nishie H, Tetsunaga T, Kanzaki H, Oda K, Inoue S, Ryuo Y, Ota H, Miyawaki T, Arakawa K, Tetsunaga T, Kitamura Y, Sendo T, Morimatsu H, Ozaki T, Nishida K

Acta medica Okayama 72 ( 4 ) 343 - 350 2018.8

Language：English Publishing type：Research paper (scientific journal)

We conducted this study to determine the short-term treatment outcomes of multidisciplinary approaches to chronic pain management for outpatients in Japan. We evaluated pain reduction and improvement in quality of life (QOL) after treatment. We analyzed 32 patients who had experienced intractable chronic pain for > 3 months. The patients received multidisciplinary therapeutic self-managed exercise instructions and then underwent evaluations 1 and 3 months after the treatment. We used the Pain Disability Short Form-36 (SF-36), Pain Catastrophizing Scale (PCS), and Pain Disability Assessment Scale (PDAS) to evaluate QOL. Although the pain levels were the same before and after the physical exercise program, the patients showed significant improvements in physical function on the SF-36 (48.5 vs. 54.5, 3 months vs. 1 month; p=0.0124), the magnification subscale on the PCS (6.8 vs. 5.9, 1 month vs. before; p=0.0164) and the PDAS (29.2 vs. 23.4, 3 months vs. before; p=0.0055). Chronic pain should be treated with a biopsychosocial approach, but time constraints and costs have limited the implementation of multidisciplinary and behavioral approaches to chronic pain management. Our findings demonstrate that clinical improvements are possible for patients with chronic pain, using multidisciplinary team resources widely available in Japanese clinical practice.

DOI： 10.18926/AMO/56169

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濃縮脂肪由来抽出液によるOAモデルラットの軟骨破壊抑制とその機序の解明

大橋秀基, 西田圭一郎, 那須義久, 中原龍一, 竹下歩, 兼田大輔, 木曽洋平, 沖田駿治, 渡辺雅仁, 松橋美波, 尾崎敏文

日本整形外科学会雑誌 92 ( 8 ) S2018 - S2018 2018.8