在生命结束时使用抗癌药物的频率:一个范围审查
Endre Szigethy1,2, Rosario Dorantes3, Miguel Sugrañes4
1PhD Programme in Biomedical Research Methodology and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain. szigethy@epidy.com.
概括
在生命结束时使用抗癌药物 (EOL) 是常见的,但方法各不相同. 本综述详细介绍了EOL抗癌药物使用的出版物,强调需要一致的研究设计来有效地比较结果.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 生命末期使用抗癌药物 (EOL) 对患者和医疗保健系统构成挑战.
- 现有的文献显示了研究方法和报告结果的显著变化,阻碍了直接比较.
- 需要对当前的研究实践有全面的了解.
研究的目的:
- 在EOL进行关于抗癌药物使用的出版物的范围审查.
- 描述在研究EOL抗癌药物使用的研究中使用的方法.
- 评估EOL的抗癌药物使用程度.
主要方法:
- 在Medline和Embase进行了系统的文献搜索.
- 确定并选择了报道EOL抗癌药物使用的出版物.
- 提取和分析了研究的主要特征,包括时间,疾病状态,治疗细节和使用频率.
主要成果:
- 总共有341个符合条件的出版物被确定.
- 分析包括研究特征,如时间,疾病状态,治疗计划,类型和特征.
- 针对所有癌症类型的69篇近期文章 (过去5年) 的子集,研究了EOL的抗癌药物使用频率.
结论:
- 出版物的全面描述强调了方法学因素在研究设计中的关键作用.
- 一致和标准化的方法对于可靠地比较EOL抗癌药物使用研究结果至关重要.
- 未来的研究应该优先考虑方法论的严谨性,以告知临床实践和医疗保健政策.
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