Mandatory Palliative Care Education for Surgical Residents: Initial Focus on Teaching Pain Management
Identifieur interne : 004138 ( Main/Exploration ); précédent : 004137; suivant : 004139Mandatory Palliative Care Education for Surgical Residents: Initial Focus on Teaching Pain Management
Auteurs : Hisaharu Oya ; Motohiro Matoba [Japon] ; Satoshi Murakami [Japon] ; Taihei Ohshiro ; Takayoshi Kishino ; Yuya Satoh ; Tetsuo Tsukahara ; Syutarou Hori ; Masahiro Maeda ; Takashi Makino ; Takashi Maeda [Japon]Source :
- Japanese Journal of Clinical Oncology [ 0368-2811 ] ; 2012.
Abstract
Knowledge concerning palliative care and the associated skills, including effective pain control, is essential for surgeons who treat cancer patients in daily practice. This study focuses on a palliative care training course that has been mandatorily conducted for all surgical residents of our hospital since 2009.
We evaluated the effectiveness of our mandatory palliative care training course by conducting a retrospective study of the patients' medical records and participants' questionnaire results and discussed the importance of palliative care education for surgical residents.
All 12 surgical residents who participated in the course in 2009 had graduated 4–9 years back. They were assigned to look after a total of 92 cases (average, 7.66 cases per resident) during the course. The purpose of care in most cases (92.3%) was to mitigate pain. Introducing analgesic adjuvants such as gabapentin or amitriptyline accounted for the largest part of initial interventions (23.9%) aimed at controlling cancer pain, followed by changes in route of administration or doses of prior opioid analgesics (21.7%). Interventions with opioid analgesics were conducted most frequently (47.7%). The overall pain improvement rate was 89.1%. We used a questionnaire after the course to evaluate its effectiveness.
The surgical residents stated that it was a meaningful course through which they gained practical knowledge on palliative care and that the experience would change their approach to home care.
Url:
DOI: 10.1093/jjco/hys205
PubMed: 23275645
PubMed Central: 3559015
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 004169
- to stream Pmc, to step Curation: 004168
- to stream Pmc, to step Checkpoint: 002898
- to stream Ncbi, to step Merge: 005470
- to stream Ncbi, to step Curation: 005470
- to stream Ncbi, to step Checkpoint: 005470
- to stream Main, to step Merge: 004152
- to stream Main, to step Curation: 004138
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mandatory Palliative Care Education for Surgical Residents: Initial Focus on Teaching Pain Management</title><author><name sortKey="Oya, Hisaharu" sort="Oya, Hisaharu" uniqKey="Oya H" first="Hisaharu" last="Oya">Hisaharu Oya</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="af2"><addr-line>Department of Gastroenterological Surgery</addr-line>,<institution>Nagoya University Graduate School of Medicine</institution>,<addr-line>Aichi</addr-line></nlm:aff></affiliation></author><author><name sortKey="Matoba, Motohiro" sort="Matoba, Motohiro" uniqKey="Matoba M" first="Motohiro" last="Matoba">Motohiro Matoba</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Palliative Care Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Murakami, Satoshi" sort="Murakami, Satoshi" uniqKey="Murakami S" first="Satoshi" last="Murakami">Satoshi Murakami</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Palliative Care Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ohshiro, Taihei" sort="Ohshiro, Taihei" uniqKey="Ohshiro T" first="Taihei" last="Ohshiro">Taihei Ohshiro</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Kishino, Takayoshi" sort="Kishino, Takayoshi" uniqKey="Kishino T" first="Takayoshi" last="Kishino">Takayoshi Kishino</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Satoh, Yuya" sort="Satoh, Yuya" uniqKey="Satoh Y" first="Yuya" last="Satoh">Yuya Satoh</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Tsukahara, Tetsuo" sort="Tsukahara, Tetsuo" uniqKey="Tsukahara T" first="Tetsuo" last="Tsukahara">Tetsuo Tsukahara</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Hori, Syutarou" sort="Hori, Syutarou" uniqKey="Hori S" first="Syutarou" last="Hori">Syutarou Hori</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Maeda, Masahiro" sort="Maeda, Masahiro" uniqKey="Maeda M" first="Masahiro" last="Maeda">Masahiro Maeda</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Makino, Takashi" sort="Makino, Takashi" uniqKey="Makino T" first="Takashi" last="Makino">Takashi Makino</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Maeda, Takashi" sort="Maeda, Takashi" uniqKey="Maeda T" first="Takashi" last="Maeda">Takashi Maeda</name><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Palliative Care Division</addr-line>,<institution>Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23275645</idno><idno type="pmc">3559015</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3559015</idno><idno type="RBID">PMC:3559015</idno><idno type="doi">10.1093/jjco/hys205</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004169</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004169</idno><idno type="wicri:Area/Pmc/Curation">004168</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004168</idno><idno type="wicri:Area/Pmc/Checkpoint">002898</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002898</idno><idno type="wicri:Area/Ncbi/Merge">005470</idno><idno type="wicri:Area/Ncbi/Curation">005470</idno><idno type="wicri:Area/Ncbi/Checkpoint">005470</idno><idno type="wicri:doubleKey">0368-2811:2012:Oya H:mandatory:palliative:care</idno><idno type="wicri:Area/Main/Merge">004152</idno><idno type="wicri:Area/Main/Curation">004138</idno><idno type="wicri:Area/Main/Exploration">004138</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mandatory Palliative Care Education for Surgical Residents: Initial Focus on Teaching Pain Management</title><author><name sortKey="Oya, Hisaharu" sort="Oya, Hisaharu" uniqKey="Oya H" first="Hisaharu" last="Oya">Hisaharu Oya</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="af2"><addr-line>Department of Gastroenterological Surgery</addr-line>,<institution>Nagoya University Graduate School of Medicine</institution>,<addr-line>Aichi</addr-line></nlm:aff></affiliation></author><author><name sortKey="Matoba, Motohiro" sort="Matoba, Motohiro" uniqKey="Matoba M" first="Motohiro" last="Matoba">Motohiro Matoba</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Palliative Care Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Murakami, Satoshi" sort="Murakami, Satoshi" uniqKey="Murakami S" first="Satoshi" last="Murakami">Satoshi Murakami</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Palliative Care Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ohshiro, Taihei" sort="Ohshiro, Taihei" uniqKey="Ohshiro T" first="Taihei" last="Ohshiro">Taihei Ohshiro</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Kishino, Takayoshi" sort="Kishino, Takayoshi" uniqKey="Kishino T" first="Takayoshi" last="Kishino">Takayoshi Kishino</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Satoh, Yuya" sort="Satoh, Yuya" uniqKey="Satoh Y" first="Yuya" last="Satoh">Yuya Satoh</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Tsukahara, Tetsuo" sort="Tsukahara, Tetsuo" uniqKey="Tsukahara T" first="Tetsuo" last="Tsukahara">Tetsuo Tsukahara</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Hori, Syutarou" sort="Hori, Syutarou" uniqKey="Hori S" first="Syutarou" last="Hori">Syutarou Hori</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Maeda, Masahiro" sort="Maeda, Masahiro" uniqKey="Maeda M" first="Masahiro" last="Maeda">Masahiro Maeda</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Makino, Takashi" sort="Makino, Takashi" uniqKey="Makino T" first="Takashi" last="Makino">Takashi Makino</name><affiliation><nlm:aff id="af1"><addr-line>Surgery Division</addr-line>,<institution>National Cancer Center Hospital</institution>,<addr-line>Tokyo</addr-line></nlm:aff></affiliation></author><author><name sortKey="Maeda, Takashi" sort="Maeda, Takashi" uniqKey="Maeda T" first="Takashi" last="Maeda">Takashi Maeda</name><affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Palliative Care Division</addr-line>,<institution>Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital</institution>,<addr-line>Tokyo</addr-line>,<country>Japan</country></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Japanese Journal of Clinical Oncology</title><idno type="ISSN">0368-2811</idno><idno type="eISSN">1465-3621</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Knowledge concerning palliative care and the associated skills, including effective pain control, is essential for surgeons who treat cancer patients in daily practice. This study focuses on a palliative care training course that has been mandatorily conducted for all surgical residents of our hospital since 2009.</p></sec><sec><title>Methods</title><p>We evaluated the effectiveness of our mandatory palliative care training course by conducting a retrospective study of the patients' medical records and participants' questionnaire results and discussed the importance of palliative care education for surgical residents.</p></sec><sec><title>Results</title><p>All 12 surgical residents who participated in the course in 2009 had graduated 4–9 years back. They were assigned to look after a total of 92 cases (average, 7.66 cases per resident) during the course. The purpose of care in most cases (92.3%) was to mitigate pain. Introducing analgesic adjuvants such as gabapentin or amitriptyline accounted for the largest part of initial interventions (23.9%) aimed at controlling cancer pain, followed by changes in route of administration or doses of prior opioid analgesics (21.7%). Interventions with opioid analgesics were conducted most frequently (47.7%). The overall pain improvement rate was 89.1%. We used a questionnaire after the course to evaluate its effectiveness.</p></sec><sec><title>Conclusions</title><p>The surgical residents stated that it was a meaningful course through which they gained practical knowledge on palliative care and that the experience would change their approach to home care.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wakao, F" uniqKey="Wakao F">F Wakao</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Blasco, Pg" uniqKey="Blasco P">PG Blasco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jubelier, Sj" uniqKey="Jubelier S">SJ Jubelier</name></author><author><name sortKey="Welch, C" uniqKey="Welch C">C Welch</name></author><author><name sortKey="Babar, Z" uniqKey="Babar Z">Z Babar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Aalst Cohen, Es" uniqKey="Van Aalst Cohen E">ES Van Aalst-Cohen</name></author><author><name sortKey="Riggs, R" uniqKey="Riggs R">R Riggs</name></author><author><name sortKey="Byock, Ir" uniqKey="Byock I">IR Byock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holley, Jl" uniqKey="Holley J">JL Holley</name></author><author><name sortKey="Carmody, Ss" uniqKey="Carmody S">SS Carmody</name></author><author><name sortKey="Moss, Ah" uniqKey="Moss A">AH Moss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mullan, Pb" uniqKey="Mullan P">PB Mullan</name></author><author><name sortKey="Weissman, De" uniqKey="Weissman D">DE Weissman</name></author><author><name sortKey="Ambuel, B" uniqKey="Ambuel B">B Ambuel</name></author><author><name sortKey="Von Gunten, C" uniqKey="Von Gunten C">C von Gunten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ogle, Ks" uniqKey="Ogle K">KS Ogle</name></author><author><name sortKey="Mavis, B" uniqKey="Mavis B">B Mavis</name></author><author><name sortKey="Thomason, C" uniqKey="Thomason C">C Thomason</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Furstenberg, Ct" uniqKey="Furstenberg C">CT Furstenberg</name></author><author><name sortKey="Ahles, Ta" uniqKey="Ahles T">TA Ahles</name></author><author><name sortKey="Whedon, Mb" uniqKey="Whedon M">MB Whedon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morita, T" uniqKey="Morita T">T Morita</name></author><author><name sortKey="Akechi, T" uniqKey="Akechi T">T Akechi</name></author><author><name sortKey="Sugawara, Y" uniqKey="Sugawara Y">Y Sugawara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cherny, Ni" uniqKey="Cherny N">NI Cherny</name></author><author><name sortKey="Catane, R" uniqKey="Catane R">R Catane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Low, J" uniqKey="Low J">J Low</name></author><author><name sortKey="Cloherty, M" uniqKey="Cloherty M">M Cloherty</name></author><author><name sortKey="Wilkinson, S" uniqKey="Wilkinson S">S Wilkinson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nakagawa, K" uniqKey="Nakagawa K">K Nakagawa</name></author><author><name sortKey="Shiozaki, H" uniqKey="Shiozaki H">H Shiozaki</name></author><author><name sortKey="Okuno, K" uniqKey="Okuno K">K Okuno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaneko, K" uniqKey="Kaneko K">K Kaneko</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adolph, Md" uniqKey="Adolph M">MD Adolph</name></author><author><name sortKey="Dunn, Gp" uniqKey="Dunn G">GP Dunn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dunn, Gp" uniqKey="Dunn G">GP Dunn</name></author><author><name sortKey="Milch, Ra" uniqKey="Milch R">RA Milch</name></author><author><name sortKey="Mosenthal, Ac" uniqKey="Mosenthal A">AC Mosenthal</name></author><author><name sortKey="Lee, Kf" uniqKey="Lee K">KF Lee</name></author><author><name sortKey="Easson, Am" uniqKey="Easson A">AM Easson</name></author><author><name sortKey="Huffman, Jl" uniqKey="Huffman J">JL Huffman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abbas, T" uniqKey="Abbas T">T Abbas</name></author><author><name sortKey="Charles, T" uniqKey="Charles T">T Charles</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bulmer, M" uniqKey="Bulmer M">M Bulmer</name></author><author><name sortKey="Warwick, Dp" uniqKey="Warwick D">DP Warwick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cronbach, L" uniqKey="Cronbach L">L Cronbach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Downing, Sm" uniqKey="Downing S">SM Downing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yusuf, S" uniqKey="Yusuf S">S Yusuf</name></author><author><name sortKey="Collins, R" uniqKey="Collins R">R Collins</name></author><author><name sortKey="Peto, R" uniqKey="Peto R">R Peto</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Hori, Syutarou" sort="Hori, Syutarou" uniqKey="Hori S" first="Syutarou" last="Hori">Syutarou Hori</name><name sortKey="Kishino, Takayoshi" sort="Kishino, Takayoshi" uniqKey="Kishino T" first="Takayoshi" last="Kishino">Takayoshi Kishino</name><name sortKey="Maeda, Masahiro" sort="Maeda, Masahiro" uniqKey="Maeda M" first="Masahiro" last="Maeda">Masahiro Maeda</name><name sortKey="Makino, Takashi" sort="Makino, Takashi" uniqKey="Makino T" first="Takashi" last="Makino">Takashi Makino</name><name sortKey="Ohshiro, Taihei" sort="Ohshiro, Taihei" uniqKey="Ohshiro T" first="Taihei" last="Ohshiro">Taihei Ohshiro</name><name sortKey="Oya, Hisaharu" sort="Oya, Hisaharu" uniqKey="Oya H" first="Hisaharu" last="Oya">Hisaharu Oya</name><name sortKey="Satoh, Yuya" sort="Satoh, Yuya" uniqKey="Satoh Y" first="Yuya" last="Satoh">Yuya Satoh</name><name sortKey="Tsukahara, Tetsuo" sort="Tsukahara, Tetsuo" uniqKey="Tsukahara T" first="Tetsuo" last="Tsukahara">Tetsuo Tsukahara</name></noCountry><country name="Japon"><noRegion><name sortKey="Matoba, Motohiro" sort="Matoba, Motohiro" uniqKey="Matoba M" first="Motohiro" last="Matoba">Motohiro Matoba</name></noRegion><name sortKey="Maeda, Takashi" sort="Maeda, Takashi" uniqKey="Maeda T" first="Takashi" last="Maeda">Takashi Maeda</name><name sortKey="Murakami, Satoshi" sort="Murakami, Satoshi" uniqKey="Murakami S" first="Satoshi" last="Murakami">Satoshi Murakami</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004138 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004138 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3559015
|texte= Mandatory Palliative Care Education for Surgical Residents: Initial Focus on Teaching Pain Management
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23275645" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |