基于证据的医学在个性化医学中的应用
Peter Van de Vliet1, Tobias Sprenger1, Linde F C Kampers1
1Immune-Oncological Centre Cologne (IOZK), D-50674 Cologne, Germany.
Biomedicines
|July 29, 2023
概括
基于证据的医学需要整合临床专业知识和患者的偏好,特别是对于罕见疾病. 这种方法确保了个性化的医疗保健决策,超越仅仅依赖随机对照试验.
科学领域:
- 医疗保健系统 医疗保健系统
- 医学研究方法学 医学研究方法学
- 个性化医疗是个性化的医疗.
背景情况:
- 目前的医疗保健系统旨在通过最先进的,负担得起的医疗保健来促进人口健康.
- 基于证据的医学 (EBM) 传统上严重依赖于随机对照试验 (RCT).
- 这种依赖往往忽视了关键的临床专业知识和患者的期望.
研究的目的:
- 重新评估基于证据的医学的基本原则.
- 提出一个框架来管理个性化医学的证据,特别是在免疫瘤学.
- 在个性化和孤儿疾病治疗的背景下解决EBM的局限性.
主要方法:
- 这项研究批判性地分析了当前基于证据的医学的应用.
- 它讨论了罕见和孤儿疾病临床试验的方法挑战.
- 提出了整合各种证据来源的概念方法.
主要成果:
- 来自RCT的外部临床证据应该为个人临床专业知识提供信息,而不是取代.
- 由于试验的局限性,RCT的证据对孤儿疾病可能存在疑问.
- 对于个性化的患者护理,需要对EBM采取更细微的方法.
结论:
- 医疗保健必须发展到不仅仅依赖研究证据.
- 整合临床专业知识和患者价值观对于有效的EBM至关重要.
- 拟议的框架支持个性化免疫瘤学的更好的决策.
相关概念视频
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Nursing Clinical Information System
818
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
818
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Methods of Documentation VI: Case Management Model
598
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
598
Analysis of Population Pharmacokinetic Data
296
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
296


