論文 - 佐藤　泰憲

Comparison of bias-corrected covariance estimators for MMRM analysis in longitudinal data with dropouts

Gosho, Masahiko, Hirakawa, Akihiro, Noma, Hisashi, Maruo, Kazushi, Sato, Yasunori

STATISTICAL METHODS IN MEDICAL RESEARCH 26 （ 5 ） 2389 - 2406 2017年10月

研究論文（学術雑誌）, 共著,  ISSN  0962-2802

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Rationale, Design, and Baseline Characteristics of the Utopia Trial for Preventing Diabetic Atherosclerosis Using an SGLT2 Inhibitor: A Prospective, Randomized, Open-Label, Parallel-Group Comparative Study

佐藤 泰憲

DIABETES THERAPY 8 （ 5 ） 999 - 1013 2017年10月

研究論文（学術雑誌）,  ISSN  1869-6953

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Associations of three-dimensional T1 rho MR mapping and three-dimensional T2 mapping with macroscopic and histologic grading as a biomarker for early articular degeneration of knee cartilage

Sasho T., Katsuragi J., Yamaguchi S., Haneishi H., Aizimu T., Tanaka T., Watanabe A., Sato Y., Akagi R., Matsumoto K., Uno T., Motoori K.

Clinical Rheumatology （Clinical Rheumatology）  36 （ 9 ） 2109 - 2119 2017年09月

ISSN  07703198

　概要を見る

© 2017, International League of Associations for Rheumatology (ILAR). T1 rho and T2 mapping are magnetic resonance imaging (MRI) techniques to detect early degenerative changes in cartilage. Recent advancements have enabled 3D acquisition for both techniques. The objective of the present study was to examine the correlation of 3D T1 rho and 3D T2 mapping with macroscopic and histological characteristics of knee cartilage. Twenty-one patients who underwent total knee arthroplasty due to osteoarthritis with involvement of the medial compartment but with minimum involvement of the lateral compartment were enrolled. Prior to surgery, five series of MRI were acquired with a 3-T scanner. 3D T1 rho/T2 analyses were performed following determination of regions to be assessed using in-house software that incorporated three series of MRI acquisitions data (3D-MERGE, 3D-SPGR, and 3D-CUBE). During surgery, the cartilage of the lateral compartment was macroscopically assessed with the International Cartilage Research Society (ICRS) articular classification system. The extracted specimens were histologically assessed using the OARSI histology score. Three regions of interest (ROI) were assessed for each slice (two slices per knee): the central lateral femoral condyle (cLFC), the posterior portion of the lateral femoral condyle (pLFC), and the lateral tibia plateau (LTP). For each ROI, the mean T1 rho and T2 relaxation time, the ICRS grade, and the OARSI score were compared. Neither the T1 rho nor the T2 reflected the macroscopic grading. The T1 rho could discriminate between histological grades 1 and 2. However, the T2 could not. The T1 rho relaxation time was higher in the pLFC than in the cLFC even in the same grade. Compared to T2 mapping, T1 rho mapping may have an advantage in differentiating grades I and II cartilage degeneration on OARSI histological grading system.

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Information criteria for Firth's penalized partial likelihood approach in Cox regression models

Nagashima, Kengo, Sato, Yasunori

STATISTICS IN MEDICINE 36 （ 21 ） 3422 - 3436 2017年09月

研究論文（学術雑誌）, 共著,  ISSN  0277-6715

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A Multi-institutional Prospective Observational Study of Stereotactic Radiosurgery for Patients With Multiple Brain Metastases (JLGK0901 Study Update): Irradiation-related Complications and Long-term Maintenance of Mini-Mental State Examination Scores

Yamamoto, Masaaki, Serizawa, Toru, Higuchi, Yoshinori, Sato, Yasunori, Kawagishi, Jun, Yamanaka, Kazuhiro, Shuto, Takashi, Akabane, Atsuya, Jokura, Hidefumi, Yomo, Shoji, Nagano, Osamu, Aoyama, Hidefumi

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS 99 （ 1 ） 31 - 40 2017年09月

研究論文（学術雑誌）, 共著,  ISSN  0360-3016

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A systematic approach to improve the outcomes of type A aortic dissection

Nishida, H., Tabata, M., Fukui, T., Sato, Y., Kin, H. and Takanashi, S.

J Thorac Cardiovasc Surg 154 （ 1 ） 89 - 96.e1 2017年07月

研究論文（学術雑誌）, 共著,  ISSN  0022-5223

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OBJECTIVES: The aims of this study are to evaluate the outcomes and trends of contemporary emergency surgery for acute type A aortic dissection on the basis of a systematic approach and to assess the impact of temporary aortic crossclamping during systemic cooling on early and late outcomes. METHODS: We retrospectively reviewed 702 consecutive patients who underwent emergency surgery for acute type A aortic dissection between March 2004 and May 2015. Our clinical protocol includes rapid transfer to the operating room, quick establishment of cardiopulmonary bypass, temporary aortic crossclamping during cooling, primary entry resection, and open distal anastomosis. We analyzed the perioperative data, survival, freedom from aortic reinterventions, and impact of aortic crossclamping on early and late outcomes. RESULTS: The median time from hospital arrival to cardiopulmonary bypass establishment was 115 minutes and has decreased over the last decade (trend test P < .001). We perfused the femoral artery in 615 patients (87.6%), placed aortic crossclamping in 616 patients (87.7%), and performed open distal anastomosis in all patients. The operative mortality was 5.4% (38/702), and the incidence of stroke was 10.8% (76/702). The 7-year overall survival and freedom from aortic reinterventions were 80.4% and 87.5%, respectively. Compared with the nonclamping group, the crossclamping group had a shorter operation time, similar operative mortality, incidence of stroke, and freedom from aortic reinterventions. CONCLUSIONS: Emergency surgery for acute type A aortic dissection based on our systematic approach demonstrated excellent early and late outcomes. The temporary aortic crossclamping during cooling decreased the operation time without increasing early and late adverse events.

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Increased levels of ascorbic acid in the cerebrospinal fluid of cognitively intact elderly patients with major depression: a preliminary study

Hashimoto, K., Ishima, T., Sato, Y., Bruno, D., Nierenberg, J., Marmar, C. R., Zetterberg, H., Blennow, K. and Pomara, N.

Sci Rep 7 （ 1 ） 3485 2017年06月

研究論文（学術雑誌）, 共著,  ISSN  2045-2322

　概要を見る

Major depressive disorder (MDD) in the elderly is a risk factor for dementia, but the precise biological basis remains unknown, hampering the search for novel biomarkers and treatments. In this study, we performed metabolomics analysis of cerebrospinal fluid (CSF) from cognitively intact elderly patients (N = 28) with MDD and age- and gender-matched healthy controls (N = 18). The CSF levels of 177 substances were measured, while 288 substances were below the detection limit. Only ascorbic acid was significantly different, with higher levels in the MDD group at baseline. There were no correlations between CSF ascorbic acid levels and clinical variables in MDD patients at baseline. At the 3-year follow-up, there was no difference of CSF ascorbic acid levels between the two groups. There was a negative correlation between CSF ascorbic acid and CSF amyloid-beta42 levels in all subjects. However, there were no correlations between ascorbic acid and other biomarkers (e.g., amyloid-beta40, total and phosphorylated tau protein). This preliminary study suggests that abnormalities in the transport and/or release of ascorbic acid might play a role in the pathogenesis of late-life depression.

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Impact of geographic accessibility on utilization of the annual health check-ups by income level in Japan: A multilevel analysis

Fujita, Misuzu, Sato, Yasunori, Nagashima, Kengo, Takahashi, Sho, Hata, Akira

PLOS ONE 12 （ 5 ） 2389 - 2406 2017年05月

研究論文（学術雑誌）, 共著,  ISSN  1932-6203

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Income-Related Inequalities in Access to Dental Care Services in Japan

Nishide, Akemi, Fujita, Misuzu, Sato, Yasunori, Nagashima, Kengo, Takahashi, Sho, Hata, Akira

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 14 （ 5 ） 3422 - 3436 2017年05月

研究論文（学術雑誌）, 共著,  ISSN  1660-4601

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Efficacy and safety of ipragliflozin and metformin for visceral fat reduction in patients with type 2 diabetes receiving treatment with dipeptidyl peptidase-4 inhibitors in Japan

Koshizaka M, Ishikawa K, Ishikawa T, Kobayashi K, Takemoto M, Horikoshi T, Shimousa R, Takahashi S, Nagashima K, Sato Y, Tatsuno I, Terano T, Hashimoto N, Kuribayashi N, Uchida D, Yokote K

BMJ OPEN 7 （ 5 ） 3422 - 3436 2017年05月

研究論文（学術雑誌）, 共著,  ISSN  2044-6055

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Usefulness of antigen-specific IgE probability curves derived from the 3gAllergy assay in diagnosing egg, cow's milk, and wheat allergies

Sato, Sakura, Ogura, Kiyotake, Takahashi, Kyohei, Sato, Yasunori, Yanagida, Noriyuki, Ebisawa, Motohiro

ALLERGOLOGY INTERNATIONAL 66 （ 2 ） 296 - 301 2017年04月

研究論文（学術雑誌）, 共著,  ISSN  1323-8930

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Rationale and design of a multicenter placebo-controlled double-blind randomized trial to evaluate the effect of empagliflozin on endothelial function: the EMBLEM trial

Tanaka A, Shimabukuro M, Okada Y, Taguchi I, Yamaoka-Tojo M, Tomiyama H, Teragawa H, Sugiyama S, Yoshida H, Sato Y, Kawaguchi A, Ikehara Y, Machii N, Maruhashi T, Shima KR, Takamura T, Matsuzawa Y, Kimura K, Sakuma M, Oyama JI, Inoue T, Higashi Y, Ueda S, Node K

CARDIOVASCULAR DIABETOLOGY 16   2389 - 2406 2017年04月

研究論文（学術雑誌）, 共著,  ISSN  1475-2840

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Statistical Methods in the Journal - An Update

Sato, Yasunori, Gosho, Masahiko, Nagashima, Kengo, Takahashi, Sho, Ware, James H., Laird, Nan M.

NEW ENGLAND JOURNAL OF MEDICINE 376 （ 11 ） 1086 - 1087 2017年03月

研究論文（学術雑誌）, 共著,  ISSN  0028-4793

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Altered serum level of matrix metalloproteinase-9 and its association with decision-making in eating disorders

Matsumoto, Junko, Hirano, Yoshiyuki, Hashimoto, Kenji, Ishima, Tamaki, Kanahara, Nobuhisa, Niitsu, Tomihisa, Shiina, Akihiro, Hashimoto, Tasuku, Sato, Yasunori, Yokote, Koutaro, Murano, Shunichi, Kimura, Hiroshi, Hosoda, Yutaka, Shimizu, Eiji, Iyo, Masaomi, Nakazato, Michiko

PSYCHIATRY AND CLINICAL NEUROSCIENCES 71 （ 2 ） 124 - 134 2017年02月

研究論文（学術雑誌）, 共著,  ISSN  1323-1316

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Mask Ventilation during Induction of General Anesthesia

Sato S., Hasegawa M., Okuyama M., Okazaki J., Kitamura Y., Sato Y., Ishikawa T., Sato Y., Isono S.

Anesthesiology （Anesthesiology）  126 （ 1 ） 28 - 38 2017年01月

ISSN  00033022

　概要を見る

© 2016 the American Society of Anesthesiologists, Inc. Wolters Kluwer Health, Inc. All Rights Reserved. Background: Depending on upper airway patency during anesthesia induction, tidal volume achieved by mask ventilation may vary. In 80 adult patients undergoing general anesthesia, the authors tested a hypothesis that tidal volume during mask ventilation is smaller in patients with sleep-disordered breathing priorly defined as apnea hypopnea index greater than 5 per hour. Methods: One-hand mask ventilation with a constant ventilator setting (pressure-controlled ventilation) was started 20 s after injection of rocuronium and maintained for 1 min during anesthesia induction. Mask ventilation efficiency was assessed by the breath number needed to initially exceed 5 ml/kg ideal body weight of expiratory tidal volume (primary outcome) and tidal volumes (secondary outcomes) during initial 15 breaths (UMIN000012494). Results: Tidal volume progressively increased by more than 70% in 1 min and did not differ between sleep-disordered breathing (n = 42) and non-sleep-disordered breathing (n = 38) patients. In post hoc subgroup analyses, the primary outcome breath number (mean [95% CI], 5.7 [4.1 to 7.3] vs. 1.7 [0.2 to 3.2] breath; P = 0.001) and mean tidal volume (6.5 [4.6 to 8.3] vs. 9.6 [7.7 to 11.4] ml/kg ideal body weight; P = 0.032) were significantly smaller in 20 sleep-disordered breathing patients with higher apnea hypopnea index (median [25th to 75th percentile]: 21.7 [17.6 to 31] per hour) than in 20 non-sleep disordered breathing subjects with lower apnea hypopnea index (1.0 [0.3 to 1.5] per hour). Obesity and occurrence of expiratory flow limitation during one-hand mask ventilation independently explained the reduction of efficiency of mask ventilation, while the use of two hands effectively normalized inefficient mask ventilation during one-hand mask ventilation. Conclusions: One-hand mask ventilation is difficult in patients with obesity and severe sleep-disordered breathing particularly when expiratory flow limitation occurs during mask ventilation.

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Mask Ventilation during Induction of General Anesthesia Influences of Obstructive Sleep Apnea

Sato, Shin, Hasegawa, Makoto, Okuyama, Megumi, Okazaki, Junko, Kitamura, Yuji, Sato, Yumi, Ishikawa, Teruhiko, Sato, Yasunori, Isono, Shiroh

ANESTHESIOLOGY 126 （ 1 ） 28 - 38 2017年01月

研究論文（学術雑誌）, 共著,  ISSN  0003-3022

A case-matched study of stereotactic radiosurgery for patients with brain metastases: comparing treatment results for those with versus without neurological symptoms

Koiso, T., Yamamoto, M., Kawabe, T., Watanabe, S., Sato, Y., Higuchi, Y., Yamamoto, T., Matsumura, A., Kasuya, H. and Barfod, B. E.

J Neurooncol 130 （ 3 ） 581 - 590 2016年12月

共著,  ISSN  0167-594

　概要を見る

We aimed to reappraise whether post-stereotactic radiosurgery (SRS) results for brain metastases differ between patients with and without neurological symptoms. This was an institutional review board-approved, retrospective cohort study using our prospectively accumulated database including 2825 consecutive BM patients undergoing gamma knife SRS alone during the 15-year period since July 1998. The 2825 patients were divided into two groups; neurologically asymptomatic [group A, 1374 patients (48.6 %)] and neurologically symptomatic [group B, 1451 (51.4 %)]. Because there was considerable bias in pre-SRS clinical factors between groups A and B, a case-matched study was conducted. Ultimately, 1644 patients (822 in each group) were selected. The standard Kaplan-Meier method was used to determine post-SRS survival. Competing risk analysis was applied to estimate cumulative incidences of neurological death, neurological deterioration, local recurrence, re-SRS for new lesions and SRS-induced complications. Post-SRS median survival times (MSTs) did not differ between the two groups; 7.8 months in group A versus 7.4 months in group B patients (HR 1.064, 95 % CI 0.963-1.177, p = 0.22). However, cumulative incidences of neurological death (HR 1.637, 95 % CI 1.174-2.281, p = 0.0036) and neurological deterioration (HR 1.425, 95 % CI 1.073-1.894, p = 0.014) were significantly lower in the group A than in the group B patients. Neurologically asymptomatic patients undergoing SRS for BM had better results than symptomatic patients in terms of both maintenance of good neurological state and prolonged neurological survival. Thus, we conclude that screening computed tomography/magnetic resonance imaging is highly beneficial for managing cancer patients.

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Gamma Knife radiosurgery for brain metastases from pulmonary large cell neuroendocrine carcinoma: a Japanese multi-institutional cooperative study (JLGK1401)

Kawabe, Takuya, Yamamoto, Masaaki, Sato, Yasunori, Yomo, Shoji, Kondoh, Takeshi, Nagano, Osamu, Serizawa, Toru, Tsugawa, Takahiko, Okamoto, Hisayo, Akabane, Atsuya, Aita, Kazuyasu, Sato, Manabu, Jokura, Hidefumi, Kawagishi, Jun, Shuto, Takashi, Kawai, Hideya, Moriki, Akihito, Kenai, Hiroyuki, Iwai, Yoshiyasu, Gondo, Masazumi, Hasegawa, Toshinori, Yasuda, Soichiro, Kikuchi, Yasuhiro, Nagatomo, Yasushi, Watanabe, Shinya, Hashimoto, Naoya

JOURNAL OF NEUROSURGERY 125   11 - 17 2016年12月

研究論文（学術雑誌）, 共著,  ISSN  0022-3085

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Follow-up results of brain metastasis patients undergoing repeat Gamma Knife radiosurgery

Koiso, Takao, Yamamoto, Masaaki, Kawabe, Takuya, Watanabe, Shinya, Sato, Yasunori, Higuchi, Yoshinori, Yamamoto, Tetsuya, Matsumura, Akira, Kasuya, Hidetoshi

JOURNAL OF NEUROSURGERY 125   2 - 10 2016年12月

研究論文（学術雑誌）, 共著,  ISSN  0022-3085

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A Prospective, Multicenter, Randomized Phase II Study to Evaluate the Efficacy and Safety of Eculizumab in Patients with Guillain-Barre Syndrome (GBS): Protocol of Japanese Eculizumab Trial for GBS (JET-GBS)

Yamaguchi, N., Misawa, S., Sato, Y., Nagashima, K., Katayama, K., Sekiguchi, Y., Iwai, Y., Amino, H., Suichi, T., Yokota, T., Nishida, Y., Kohara, N., Hirata, K., Nishiyama, K., Yabe, I., Kaida, K. I., Suzuki, N., Nodera, H., Tsuji, S., Koike, H., Kira, J. I., Hanaoka, H., Kusunoki, S. and Kuwabara, S.

JMIR Res Protoc 5 （ 4 ） e210 2016年11月

研究論文（学術雑誌）, 共著,  ISSN  1929-0748

　概要を見る

BACKGROUND: Guillain-Barre syndrome (GBS) is an immune-mediated neuropathy that causes acute flaccid paralysis. Immunoglobulin and plasma exchange are established treatments for GBS; however, a substantial number of patients, particularly those with severe disease, have poor recovery and residual deficits. Recent studies suggest that complement activation plays a pivotal role in GBS-associated axonal degeneration, and eculizumab is a humanized monoclonal antibody that specifically binds to complement component 5 and potently inhibits complement activation. OBJECTIVE: This clinical trial aims to evaluate the efficacy and safety of eculizumab, a humanized monoclonal antibody directed against complement component 5, for treatment of GBS. METHODS: The Japanese Eculizumab Trial for GBS (JET-GBS) is a prospective, multicenter, placebo-controlled, double-blind, randomized phase II study conducted at 13 tertiary neurology centers and is funded by the Japan Agency for Medical Research and Development. A total of 33 GBS patients unable to walk independently within 2 weeks from symptom onset (Hughes functional grade 3-5) were randomized at a 2:1 ratio to receive either intravenous eculizumab (900 mg/day) or placebo once weekly for 4 weeks, followed by 20 weeks of follow-up. The primary endpoint for efficacy is the proportion of patients who regain their ability to walk without aid at 4 weeks after the first dose of the study treatment, while primary safety outcomes are the incidence of adverse events and serious adverse events during the trial. RESULTS: Enrollment for the trial began in August 2015. This trial is still ongoing. All participants have been enrolled, and follow-up will be completed in October 2016. CONCLUSIONS: This study is the first to investigate the efficacy and safety of eculizumab for GBS. In case of a positive result, we will plan a phase III trial to investigate this issue in a larger number of patients. CLINICALTRIAL: UMIN Clinical Trials Registry UMIN 000018171; https:/upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function= brows&action=brows&type=summary&language=J&recptno=R000020978 (Archived by WebCite at http://www.webcitation.org/ 6lTiG8ltG). Clinical Trials.gov NCT02493725; https://clinicaltrials.gov/ct2/show/NCT02493725 (Archived by WebCite at http://www.webcitation.org/6lVJZXKSL).

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