{"created":"2023-06-20T17:00:23.417446+00:00","id":19777,"links":{},"metadata":{"_buckets":{"deposit":"a2a0f31f-5cdc-419f-9063-83508ad2e586"},"_deposit":{"created_by":3,"id":"19777","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"19777"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00019777","sets":["140:1307:1308:2004:2006"]},"author_link":["297872","297864","297863","297866","297869","297857","297871","297870","297851","297862","297852","297853","297865","297854","297860","297856","297859","297855","297868","297861","297867","297873","297858","297874"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"Transition of Surgical Procedures and Clinical Effects of Clinical Pathways for Inguinal Hernia"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"81","bibliographicPageStart":"77","bibliographicVolumeNumber":"76","bibliographic_titles":[{"bibliographic_title":"東京女子医科大学雑誌"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小林, 里絵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩澤, 俊一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平野, 明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金, 達浩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土屋, 玲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 敬一郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今野, 宗一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉松, 和彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 修"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"勝部, 隆男"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"成高, 義彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小川, 健治"}],"nameIdentifiers":[{}]}]},"item_10001_date_25":{"attribute_name":"受付日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-08-10","subitem_date_issued_type":"Created"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"We investigated the clinical and financial effects of clinical pathways on 255 adults with 265 lesions of inguinal hernia as well as different types of surgical procedures over the past five years. The traditional tension repair (TR) method for hernia surgery has almost been replaced by the tension free repair (TF) techniques, which were applied to approximately 97% of the surgical cases in 2004. These two approaches showed no differences in the incidences of postoperative infections or the rates of disease recurrence, though there was a significant decrease in the occurrence of pains after surgery in patients who underwent procedures using the TF method (p = 0.012). In patients in whom clinical pathways were implemented, the duration of fluid or antibiotic treatment and the hospitalization period were greatly shortened as compared with those at baseline (p < 0.0001 and p = 0.0002, respectively) , indicating the clinical benefits of such pathways. Regarding the patients' medical care expenditures as indicated by the national health insurance claims, the claims per day markedly increased in patients subject to the use of the pathways compared with those without the pathways despite no significant difference in the total claims. The use of the TF method is expected to produce more favorable outcomes in the future if the clinical pathways are generally integrated into the management of hernia patients in the daily clinical practice.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"297863","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KOBAYASHI, Rie"}]},{"nameIdentifiers":[{"nameIdentifier":"297864","nameIdentifierScheme":"WEKO"}],"names":[{"name":"SHIOZAWA, Shun-ichi"}]},{"nameIdentifiers":[{"nameIdentifier":"297865","nameIdentifierScheme":"WEKO"}],"names":[{"name":"HIRANO, Akira"}]},{"nameIdentifiers":[{"nameIdentifier":"297866","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KIM, Dal Ho"}]},{"nameIdentifiers":[{"nameIdentifier":"297867","nameIdentifierScheme":"WEKO"}],"names":[{"name":"TSUCHIYA, Akira"}]},{"nameIdentifiers":[{"nameIdentifier":"297868","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ISHIBASHI, Keiichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"297869","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KONNO, Soichi"}]},{"nameIdentifiers":[{"nameIdentifier":"297870","nameIdentifierScheme":"WEKO"}],"names":[{"name":"YOSHIMATSU, Kazuhiko"}]},{"nameIdentifiers":[{"nameIdentifier":"297871","nameIdentifierScheme":"WEKO"}],"names":[{"name":"WATANABE, Osamu"}]},{"nameIdentifiers":[{"nameIdentifier":"297872","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KATSUBE, Takao"}]},{"nameIdentifiers":[{"nameIdentifier":"297873","nameIdentifierScheme":"WEKO"}],"names":[{"name":"NARITAKA, Yoshihiko"}]},{"nameIdentifiers":[{"nameIdentifier":"297874","nameIdentifierScheme":"WEKO"}],"names":[{"name":"OGAWA, Kenji"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京女子医科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00161368","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0040-9022","subitem_source_identifier_type":"ISSN"}]},"item_10001_subject_47":{"attribute_name":"著者キーワード","attribute_value_mlt":[{"subitem_subject":"inguinal hernia","subitem_subject_scheme":"Other"},{"subitem_subject":"tension repair herniorrhaphy","subitem_subject_scheme":"Other"},{"subitem_subject":"tension free repair herniorrhaphy","subitem_subject_scheme":"Other"},{"subitem_subject":"clinical pathway","subitem_subject_scheme":"Other"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"},{"subitem_text_value":"東京女子医科大学東医療センター外科"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-08-22"}],"displaytype":"detail","filename":"KJ00006018025.pdf","filesize":[{"value":"556.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006018025.pdf","url":"https://twinkle.repo.nii.ac.jp/record/19777/files/KJ00006018025.pdf"},"version_id":"431db12e-7162-40e9-b7bf-b8c749b1ba2e"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当科における成人鼠径ヘルニアに対する術式の変遷とクリニカルパスの導入効果について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当科における成人鼠径ヘルニアに対する術式の変遷とクリニカルパスの導入効果について"}]},"item_type_id":"10001","owner":"3","path":["2006"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"19777","relation_version_is_last":true,"title":["当科における成人鼠径ヘルニアに対する術式の変遷とクリニカルパスの導入効果について"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T20:57:33.228909+00:00"}