[PF-1-2] ポスター：がん 1Employment-related Problems after Completing Initial Treatment of Glioma: 7 Out-patient Cases
Background
High-grade glioma is a refractory cancer typically treated with a combination of surgery,temozolomide administration, and radiotherapy. Japanese Occupational Therapists provide perioperative rehabilitation while patients are hospitalized, but there are few opportunities to determine patients' employment-related problems and feelings of difficulty with life after discharge. The present report screens for employment-related problems on the basis of out-patient follow-up at this hospital's neuro-oncology department.
Subjects and methods
Screening was carried out with 7 high-grade glioma patients who were followed-up for at least six months after diagnosis and initial treatment and showed employment-related problems. On an out-patient basis, these subjects were interviewed using the mini-mental state examination(MMSE), trail making test (TMT), and motor functional independence measure (MFIM), and employment status and feelings of difficulty with employment were evaluated.
Results
Subjects consisted of 5 males and 2 females, with a median age of 54 (range: 37 to 62). 7 of the subjects were employed, including one business proprietor, and the employment status of 1 was unknown. Median test results were as follows: MMSE-23, TMTA-47, TMTB-111, and MFIM-91. Complaints included "my walking has become slow," "I feel very sleepy," and "my memory has deteriorated."
Discussion
With 5 subjects, TMT-B was delayed and incomplete. Problems remaining with TMT-B (multitasking), despite high MMSE results and employment-related problems, depending upon job details, could be predicted. MMSE, a simple screening tool, is useful for predicting cognitive functions needed for daily life, but concomitant use of tools such as the Japanese version of the Montreal cognitive assessment(MoCA-J) is considered necessary for patients who plan to return to work. Employment support for cancer patients is currently a major area of discussion, but there is a need for more specialized and professional employment support for glioma patients with central nervous system disorders.
High-grade glioma is a refractory cancer typically treated with a combination of surgery,temozolomide administration, and radiotherapy. Japanese Occupational Therapists provide perioperative rehabilitation while patients are hospitalized, but there are few opportunities to determine patients' employment-related problems and feelings of difficulty with life after discharge. The present report screens for employment-related problems on the basis of out-patient follow-up at this hospital's neuro-oncology department.
Subjects and methods
Screening was carried out with 7 high-grade glioma patients who were followed-up for at least six months after diagnosis and initial treatment and showed employment-related problems. On an out-patient basis, these subjects were interviewed using the mini-mental state examination(MMSE), trail making test (TMT), and motor functional independence measure (MFIM), and employment status and feelings of difficulty with employment were evaluated.
Results
Subjects consisted of 5 males and 2 females, with a median age of 54 (range: 37 to 62). 7 of the subjects were employed, including one business proprietor, and the employment status of 1 was unknown. Median test results were as follows: MMSE-23, TMTA-47, TMTB-111, and MFIM-91. Complaints included "my walking has become slow," "I feel very sleepy," and "my memory has deteriorated."
Discussion
With 5 subjects, TMT-B was delayed and incomplete. Problems remaining with TMT-B (multitasking), despite high MMSE results and employment-related problems, depending upon job details, could be predicted. MMSE, a simple screening tool, is useful for predicting cognitive functions needed for daily life, but concomitant use of tools such as the Japanese version of the Montreal cognitive assessment(MoCA-J) is considered necessary for patients who plan to return to work. Employment support for cancer patients is currently a major area of discussion, but there is a need for more specialized and professional employment support for glioma patients with central nervous system disorders.