{"created":"2023-05-15T12:29:38.883694+00:00","id":2123,"links":{},"metadata":{"_buckets":{"deposit":"c2c04e57-28a4-4592-9ccd-c4dcc68cd43d"},"_deposit":{"created_by":4,"id":"2123","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2123"},"status":"published"},"_oai":{"id":"oai:luke.repo.nii.ac.jp:00002123","sets":["1","1:30","1:30:17","1:30:17:217"]},"author_link":["6612","4958"],"item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2020-03-10"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"聖路加国際大学"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"修士(公衆衛生学)"}]},"item_10006_description_10":{"attribute_name":"学位授与年度","attribute_value_mlt":[{"subitem_description":"2019"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: The: American Thoracic Society’s guideline of nontuberculous mycobacteria associated: pulmonary disease (NTM PD) suggests bronchoscopy as one of the ways to detect: nontuberculous mycobacterium ( However, the guideline also acknowledges that l imited: data are available on the utility of bronchoscope for the diagnosis of NTM PD. The purpose of: this study was to elucidate the diagnostic yield of bronchoscopy for patients suspected for NTM: PD when sputum cannot reveal NTM. At the same time, we eval uated factors that affected the: results of bronchoscopy. Furthermore, we estimated the specificity of bronchoscopy for detecting: NTM.: Method: This: study utilized a retrospective cohort study design based on the review of medical records: and was conducted at St Luke’s International Hospital in Tokyo, Japan. Between January 1,: 2004 and June 30, 2018, among all adult patients who underwent bronchoscopy, two groups: were enrolled. Group A included all patients with nodular bronchiectasis pattern on chest: comp uted tomography ( findings who could not produce culture positive sputum for NTM: and therefore underwent bronchoscopy for the diagnoses of NTM PD. Group B comprised of: patients who received bronchoscopy suspected for lung cancer. Group A was used to eva luate: diagnostic yield of NTM PD using bronchoscopy, and group B was employed to measure: specificity of bronchoscopy.: Result: Diagnostic: yield of bronchoscopy for NTM PD was 114/205 ( 99 were patients of: pulmonary MAC, remainder were 10 patients of N TM other than MAC, and 5 patients oftuberculosis.: Logistic regression showed 4 factors associated with NTM PD: examination of the: upper lobe (odds ratio [ 2.31, 95% confidence interval [ 1.21 4.55), absence of: particular bacteria ( 3.35, 95% CI 1.44 8.30), absence of connective tissue disease (: 3.17, 95% CI: 1.25 8.79), and higher total CT scores ( 1.14, 95% CI: 1.03 1.27) Specificity: of bronchoscopy for NTM PD was 99.2% (900/: Conclusion: Bronchoscopy: showed moderate diagnostic yie ld and high specificity for NTM PD.","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"32633公修専第033"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"冨島, 裕"},{"creatorName":"トミシマ, ユタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tomishima, Yutaka","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-15"}],"displaytype":"detail","filename":"MP[033]_abst.pdf","filesize":[{"value":"313.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"論文要旨","url":"https://luke.repo.nii.ac.jp/record/2123/files/MP[033]_abst.pdf"},"version_id":"5cfdea61-f0b3-45db-bd01-9162f7280658"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"nontuberculous mycobacterium"},{"subitem_subject":"bronchoscope"},{"subitem_subject":"specificity"},{"subitem_subject":"retrospective cohort"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"thesis"}]},"item_title":"Diagnostic Yield of Bronchoscopy for Pulmonary Nontuberculous Mycobacterium","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Diagnostic Yield of Bronchoscopy for Pulmonary Nontuberculous Mycobacterium"}]},"item_type_id":"10006","owner":"4","path":["1","17","30","217"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-05-22"},"publish_date":"2020-05-22","publish_status":"0","recid":"2123","relation_version_is_last":true,"title":["Diagnostic Yield of Bronchoscopy for Pulmonary Nontuberculous Mycobacterium"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-11-16T04:25:44.804233+00:00"}