使用自动化电子健康记录评分系统估计基底细胞癌退伍军人的剩余预期寿命:回顾性队列研究
Matthew P Dizon1, Eleni Linos2, Susan M Swetter3
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California; Dermatology Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, California; Department of Health Policy, Stanford University School of Medicine, Palo Alto, California.
Journal of the American Academy of Dermatology
|September 24, 2023
概括
护理评估需求 (CAN) 评分有效预测了美国退伍军人基底细胞癌 (BCC) 的死亡率. 这种工具可以帮助临床医生考虑对符合条件的BCC患者进行积极监测.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预期寿命的估计对于考虑低风险基底细胞癌 (BCC) 患者的积极监测至关重要.
- 退伍军人卫生管理局的护理评估需求 (CAN) 评分可能为估计预期寿命提供解决方案.
研究的目的:
- 评估CAN得分在预测BCC诊断的美国退伍军人1年,3年和5年的死亡率方面的表现.
主要方法:
- 使用国家退伍军人卫生管理局电子病历数据进行的回顾性队列研究.
- 使用适度,歧视和校准测试评估CAN得分对死亡率的预测准确性.
主要成果:
- 在2013年至2018年期间,CAN得分在预测BCC的54,744名退伍军人的死亡率方面表现强.
- 90的CAN得分值显示了3年死亡率的55%的积极预测值,这表明在识别中期存活率的患者时具有临床实用性.
结论:
- 通过提供预期寿命估计,CAN评分可能会提高退伍军人的癌症护理质量.
- 这有助于就BCC患者的积极监测资格进行临床讨论.
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