在日本,甲状腺癌的真实临床形象,治疗模式和患者报告的结果
Naoki Fukuda1, Yoshinori Tanizawa2, Kenichi Nakamura2
1Department of Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Future oncology (London, England)
|June 6, 2023
概括
这项研究调查了在RET抑制剂可用之前在日本的晚期甲状腺癌患者. 目前的治疗方法显示出高的疾病负担,表明需要更好的治疗方法,以基因组变化为目标.
科学领域:
- 在瘤学瘤学.
- 甲状腺癌研究研究
- 临床实践 临床实践
背景情况:
- 先进的甲状腺髓癌和乳腺膜癌存在重大临床挑战.
- 患者报告结果 (PROs) 对于了解甲状腺癌及其治疗对现实世界的影响至关重要.
- 在转移过程中重新排列 (RET) 抑制剂的引入标志着甲状腺癌治疗的新时代.
研究的目的:
- 为了捕捉一个现实世界快照的晚期甲状腺癌 (骨髓和乳头类型) 在日本.
- 在RET抑制剂可用之前,记录临床概况,管理策略和患者报告的结果.
- 评估医生在常规临床环境中对RET测试和全身治疗的做法.
主要方法:
- 医生填写的患者记录表格,适用于常规实践中符合条件的患者.
- 对医生的标准实践进行调查.
- 收集患者报告的结果 (PRO) 数据.
主要成果:
- 在转染期间重新排列 (RET) 测试模式因医院类型而异,常常引用"没有治疗相关性"为不进行测试.
- 多酶抑制剂是主要的全身疗法,但启动时间有所不同.
- 患者报告了高的疾病和治疗负担,突出了当前管理的挑战.
结论:
- 这项研究强调了对晚期甲状腺癌更有效,更少毒性全身治疗的需要.
- 针对特定的基因组改变对于改善患者长期治疗结果至关重要.
- 在RET抑制剂出现之前,当前的治疗模式显示了患者的重大负担,需要进行治疗进步.
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