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Shojima H, Shimomura A, Kadowaki M, Kawamura Y, Shimizu C. How Can We Evaluate the Electronic Patient-Reported Outcome Appropriately? J Clin Oncol 2021; 39:2632-2633. [PMID: 33979201 DOI: 10.1200/jco.21.00482] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Hikaru Shojima
- Hikaru Shojima, MD, Akihiko Shimomura, MD, PhD, Midori Kadowaki, RN, PHN, PhD, Yukino Kawamura, MD, and Chikako Shimizu, MD, PhD, Department of Breast and Medical Oncology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Akihiko Shimomura
- Hikaru Shojima, MD, Akihiko Shimomura, MD, PhD, Midori Kadowaki, RN, PHN, PhD, Yukino Kawamura, MD, and Chikako Shimizu, MD, PhD, Department of Breast and Medical Oncology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Midori Kadowaki
- Hikaru Shojima, MD, Akihiko Shimomura, MD, PhD, Midori Kadowaki, RN, PHN, PhD, Yukino Kawamura, MD, and Chikako Shimizu, MD, PhD, Department of Breast and Medical Oncology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Yukino Kawamura
- Hikaru Shojima, MD, Akihiko Shimomura, MD, PhD, Midori Kadowaki, RN, PHN, PhD, Yukino Kawamura, MD, and Chikako Shimizu, MD, PhD, Department of Breast and Medical Oncology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Chikako Shimizu
- Hikaru Shojima, MD, Akihiko Shimomura, MD, PhD, Midori Kadowaki, RN, PHN, PhD, Yukino Kawamura, MD, and Chikako Shimizu, MD, PhD, Department of Breast and Medical Oncology, National Center for Global Health and Medicine, Tokyo, Japan
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Hino A, Terada J, Kasai H, Shojima H, Ohgino K, Sasaki A, Hayasaka K, Tatsumi K. Adult cases of late-onset congenital central hypoventilation syndrome and paired-like homeobox 2B-mutation carriers: an additional case report and pooled analysis. J Clin Sleep Med 2020; 16:1891-1900. [PMID: 32741443 DOI: 10.5664/jcsm.8732] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES Congenital central hypoventilation syndrome (CCHS) is caused by the paired-like homeobox 2B (PHOX2B) mutation and predominantly diagnosed during the neonatal period. Although late-onset CCHS and PHOX2B mutation carriers have been reported, the features of these disease states in adults remain uncertain. This study aimed to identify the characteristics of adult-onset CCHS and PHOX2B-mutation carriers in adult. METHODS We mainly searched the PubMed/Medline and Cochrane Databases and classified our target patients into 2 groups: group A, symptomatically diagnosed with late-onset CCHS in adulthood; group B, adult PHOX2B-mutation carriers. Then, clinical characteristics, including the onset, treatment, long-term course, and pattern of the PHOX2B mutation in both groups were analyzed. Additionally, a new adult-case of late-onset CCHS was added to the analysis. RESULTS Group A was comprised of 12 patients. The onset triggers of illness included a history of respiratory compromise following general anesthesia and respiratory tract infections. All patients in group A had 20/25 polyalanine repeat mutations and required some chronic ventilatory support at least during sleep, including portable positive pressure ventilator via tracheostomy or noninvasive positive pressure ventilation. In these patients with ventilatory support during sleep, sudden death or poor prognosis was not reported. Group B was comprised of 33 adults from 24 families with PHOX2B mutations. Nine patients in group B were confirmed with the diagnosis of CCHS. Although polyalanine repeat mutations 20/25 represented the most common gene mutation, diverse mutations, including mosaicism, were observed. Hypoventilation of several cases in group B were underdiagnosed by overnight polysomnography without monitoring for CO₂. CONCLUSION Alveolar hypoventilation with unknown origin can be caused by the PHOX2B mutation even in adult cases. Both the identification of the PHOX2B mutation and the incorporation of capnography in polysomnography are important for adult cases with unexplained alveolar hypoventilation or asymptomatic mutation carriers.
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Affiliation(s)
- Aoi Hino
- Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Jiro Terada
- Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Hajime Kasai
- Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | | | - Keiko Ohgino
- Department of Respiratory Medicine, Kawasaki Municipal Hospital, Kawasaki City, Japan
| | - Ayako Sasaki
- Department of Pediatrics, Yamagata University School of Medicine, Yamagata City, Japan
| | - Kiyoshi Hayasaka
- Department of Pediatrics, Yamagata University School of Medicine, Yamagata City, Japan.,Department of Pediatrics, Miyukikai Hospital, Kaminoyama, Japan
| | - Koichiro Tatsumi
- Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan
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Fujiu T, Kato H, Shojima H. [Radioimmunoassay of human chorionic gonadotropin: characteristics of I-125-HCG observed by disc electrophoresis]. Nihon Sanka Fujinka Gakkai Zasshi 1971; 23:203-4. [PMID: 5102811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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