{"created":"2023-06-19T11:25:06.835785+00:00","id":5936,"links":{},"metadata":{"_buckets":{"deposit":"24466c23-bfca-4aef-b69c-5cc8caab1697"},"_deposit":{"created_by":1,"id":"5936","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5936"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005936","sets":["7","7:23"]},"author_link":["18700","18697","18696","18698","18701","18699"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"2201","bibliographicPageStart":"2187","bibliographicVolumeNumber":"78","bibliographic_titles":[{"bibliographic_title":"日本臨床外科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"肺癌や大腸癌,乳癌などの治療に用いられるベバシズマブ(Bev)はその作用機序から創治癒不全を誘発する.皮下埋め込み型中心静脈ポート(CVP)は薬剤投与や補液目的に留置されるが,合併症による抜去が問題となる.Bev投与やその他因子がポート抜去に影響するか検討した.2008年10月～2016年7月の進行・再発肺癌148例を対象とした.合併症による抜去は23例で,内訳は感染11例,創し開による露出10例,閉塞2例であった.若年,Bev投与でCVP抜去に至る例が多かった.CVP使用開始までの期間は抜去群10.0日,非抜去群13.3日であり,抜去群の方が短い傾向であった.術後200日でのCVP留置率はBev投与あり53.1%,なし93.4%であった.CVP留置の際は,Bev投与による抜去の危険性について説明し,CVP使用までの期間を長くとることで,抜去例を減少させられる可能性が示唆された.","subitem_description_type":"Abstract"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_24":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.3919/jjsa.78.2197","subitem_relation_type_select":"DOI"}}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2018031196","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-2843","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2018031196"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"123"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hayashi, Satoshi"},{"subitem_text_value":"Abe, Masahiro"},{"subitem_text_value":"Takahashi, Nana"},{"subitem_text_value":"Okazaki, Satoshi"},{"subitem_text_value":"Ishibashi, Kei"},{"subitem_text_value":"Kitada, Masahiro"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"林, 諭史"},{"creatorName":"ハヤシ, サトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阿部, 昌宏"},{"creatorName":"アベ, マサヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"髙橋, 奈七"},{"creatorName":"タカハシ, ナナ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡崎, 智"},{"creatorName":"オカザキ, サトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 圭"},{"creatorName":"イシバシ, ケイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"北田, 正博"},{"creatorName":"キタダ, マサヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"7054.pdf","filesize":[{"value":"3.1 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