报告癌症康复干预措施的严格性:应用CReDECI-2指南
Rachelle Brick1, Lauren Voss, Sasha Arbid
1From the Division of Cancer Control and Population Sciences, Behavioral Research Program, Basic Biobehavioral and Psychological Sciences Research Branch, National Cancer Institute, Bethesda, Maryland (RB); University of Toronto, Faculty of Kinesiology and Physical Education, Toronto, Canada (LV); University Health Network, Princess Margaret Cancer Centre, Cancer Rehabilitation and Survivorship Program, Toronto, Canada (SA, YJ, GAT, DEH, AL, JMJ); Department of Physical Medicine and Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, California (AGS); Mrs T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California (CK); West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia (AS); Department of Occupational Therapy, Institute of Health Professions, Boston, Massachusetts (SW, KDL); Duquesne University, School of Nursing, Pittsburg, Pennsylvania; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (GC); Department of Physical Therapy, University of British Columbia, Vancouver, Canada (KLC); and Veterans Affairs, Office of Research and Development, Health Systems Research, Washington, District of Columbia (LP).
癌症康复干预报告往往不完整,阻碍了临床实践的翻译. 未来的研究必须使用报告检查清单来详细描述这些重要干预措施.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 临床试验方法论 临床试验方法论
背景情况:
- 有效的癌症康复干预对于改善患者的治疗结果和生活质量至关重要.
- 对这些干预措施的明确报告对于研究结果的准确解释和临床应用至关重要.
- 现有的文献往往缺乏足够的细节关于癌症康复的组成部分和交付.
研究的目的:
- 评估针对残疾的癌症康复研究中干预报告的完整性.
- 识别癌症康复干预的特定元素,这些因素经常被低估.
- 在未来的研究中提供建议,以提高干预报告的质量.
主要方法:
- 从癌症康复干预措施的两个系统性审查中对随机对照试验的二次分析.
- 利用"报告医疗保健中复杂干预措施的开发和评估标准2" (CReDECI 2) 清单来评估报告的严格性.
- 在符合条件的试验中对干预描述进行系统审查,重点关注残疾和功能结果.
主要成果:
- 癌症康复干预描述通常不完整,有85%的试验报告的CReDECI 2检查清单项不到50%.
- 报告不足的关键要素包括理论基础,干预准确性,流程评估,外部影响因素和资源需求.
- 在评估文献中发现了报告中的重大差距.
结论:
- 目前关于癌症康复干预的文献缺乏必要的细节,以有效地转化为临床实践.
- 不完整的报告阻碍了癌症康复计划的可复制性和可扩展性.
- 建议采用干预报告检查清单,以提高研究设计和报告质量,以便在未来的研究和实践中使用.
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