质子辐射疗法患者选择和COVID-19的影响:一个范围审查
Lucy Wood1, Eileen Giles1, Lisa Cunningham1
1Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Journal of medical radiation sciences
|July 11, 2023
概括
随着COVID-19大流行,质子疗法 (PT) 服务发生了变化,包括治疗修改和操作调整. 然而,很少有研究在此期间详细介绍了患者选择或工作流程方法的具体变化.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 质子疗法 (PT) 中心面临着在保持患者安全和治疗疗效的同时,需要调整服务的需要.
研究的目的:
- 在COVID-19大流行期间进行范围审查,评估患者选择,优先级和PT中心提供的服务的修改.
- 确定对PT提供和推调整的影响.
主要方法:
- 在主要数据库 (Medline,Embase,Web of Science,Scopus) 和灰色文献中进行了全面的文献搜索.
- 遵循PRISMA方法和乔安娜·布里格斯研究所的范围审查指南,包括从2020年1月起的文章.
- 确定了138项研究,其中11项符合审查的纳入标准.
主要成果:
- 其中的11篇文章中有6篇讨论了COVID-19患者的治疗,并提出了各种建议 (推迟,替代治疗,紧急护理,持续治疗).
- 观察到的影响包括使用非传统疗法增加,转诊减少,治疗开始延迟,目标体积改变和人员限制.
- 建议的调整包括远程医疗,远程工作,访客限制,查和增强的清洁协议.
结论:
- 由于COVID-19大流行影响了PT服务的提供,需要对受感染患者进行操作变更和治疗考虑.
- 需要对全球患者选择和PT工作流程修改进行更详细的研究,以告知未来的流行病准备.
- 收集这些数据对于战略规划至关重要,特别是对于澳大利亚的PT服务.
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