临床试验中患者报告的结果:从终点到癌症护理干预
Lakshmi Rekha Narra1, Nicholas Verdini2, Kaitlyn Lapen2
1Department of Radiation Oncology, University of Washington, Seattle, WA.
Seminars in radiation oncology
|September 8, 2023
概括
患者报告结果 (PROs),现在电子化 (ePROs),正在从试验终点转向干预. 瘤学的这一发展旨在通过及时反和对需求的响应来改善患者护理.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 临床试验 临床试验
背景情况:
- 临床医生对患者症状的不充分报告是一个有记录的问题.
- 患者报告结果 (PROs) 在临床试验中越来越多地用于症状,毒性和生活质量.
- 数字健康革命和电子医疗记录促进了向电子PRO (ePRO) 的过渡.
研究的目的:
- 审查瘤学临床试验中PROs的演变.
- 要突出PROs从终点转向干预的转变.
- 讨论将ePRO纳入常规癌症护理中的问题.
主要方法:
- 对文献和临床试验数据的审查.
- 分析从纸质 PRO 过渡到电子 PRO (ePRO).
- 检查支持ePROs作为护理提供创新的证据.
主要成果:
- 通过及时评估和响应,ePRO显示出改善患者治疗结果的潜力.
- 从临床试验中出现了支持ePROs作为护理创新的证据.
- 目前正在进行的工作是解决公平的ePRO整合所面临的挑战,包括技术和语言障碍.
结论:
- 在瘤学临床试验中,PRO已经从仅仅是终点演变为积极干预.
- 通过数字健康的进步,ePRO的整合到日常护理中得到了便利.
- 尽管面临整合挑战,但卫生系统和监管机构正在推动ePRO的采用.
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