京都市立病院 血液内科の現状

Abstract

京都市立病院血液内科は現在スタッフ8名（日本血液学会血液専門医4名）を抱え，2017年4月～ 2018年1月実績で，1日平均入院患者数39.6人，外来患者数34.4人，紹介率85.0％，逆紹介率104.7％，2018年1月までに，造血幹細胞移植153症例，延べ175回を実施した.初回移植からの5年全生存率は，自家移植70.5％（ N=74），同種移植44.4％（ N=83）であった．当科の患者数および診療内容は，ようやく京都市内中核大病院の血液内科と比肩できるレベルに達した．今後も地域のニーズに応えられるよう，最大限の努力を払い続けたい．

The Department of Hematology in Kyoto City Hospital has eight staffs， including four board certified members of the Japanese Society of Hematology． From April 2017 to January 2018， we have had a daily average of 39.6 inpatients and 34.4 outpatients． Our referral rate was 85.0% and reverse referral rate was 104.7%． We treated 153 patients with 175 times of hematopoietic stem cell transplantation as of January 2018． The five-year overall survival rate from first transplantation was 70.5% and 44.4% in autologous (N=74) and allogeneic (N=83) settings， respectively． The number of patients and clinical practice contents of our department are now similar to those of hematological departments in the other major hospitals in Kyoto City． We will continue making maximum efforts for meeting the needs of community medicine．