A Multicenter Trial of Regional Medical Cooperation for cancer chemotherapy after the Great East Japan Earthquake

Shoko Akiyama, Yukiko Seya, Motoko Murayama, Kimiyo Ogasawara, Shigeki Kisara, Tadashi Ishii, Michie Sugawara, Yasunori Chida, Mariko Kanbe, Yuichi Kakudo, Nariyasu Mano, Chikashi Ishioka

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


The Great East Japan Earthquake was the first disaster we experienced after the administration of oncology care had mostly shifted from hospitals to outpatient departments in Japan. Disaster medical assistance teams (DMATs) were deployed immediately after the disaster, and actively assisted during the acute phase of the catastrophe. After experiencing the earthquake, we realized the necessity of medical support teams, even for chronic disease. Here we report a multicenter trial of regional medical cooperation for cancer chemotherapy. First, soon after the earthquake, representatives from the regional hospitals discussed the proper roles for each institution. As agreed to in the discussion, cancer patients were redistributed from a disaster base hospital to a local general hospital, and oncologists supported the other regional hospitals on a regular basis. This broad regional network functioned well and patients resumed their treatment as soon as the situation allowed. Second, we performed a survey of the patients and found that the most important problem was patients' lack of understanding of their own illnesses. Third, we conducted an opinion survey of medical professionals on regional medical cooperation. Based on the trial, we found it important in disasters to establish regional cooperation and solid communication systems, and to promote patient education.

Original languageEnglish
Pages (from-to)343-348
Number of pages6
JournalJapanese Journal of Cancer and Chemotherapy
Issue number3
Publication statusPublished - 2013 Mar


  • Cancer chemotherapy
  • Regional Medical Cooperation
  • The Great East Japan Earthquake

ASJC Scopus subject areas

  • Medicine(all)


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