针对瘤学治疗不良事件的电子PRO措施 (E-PROMOTION)
Anindita Pradhan1, Pradeep Dwivedi1, Puneet Pareek2
1Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, India.
International journal of medical informatics
|December 7, 2023
概括
基于移动应用程序的患者自我报告使用PRO-CTCAE的症状毒性,与癌症护理中的标准临床医生报告相比,显著改善了不良事件记录和患者的生活质量.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者报告的结果
背景情况:
- 癌症治疗,包括化疗,导致严重的创伤和报告不足的症状毒性.
- 共同的术语标准对不良事件 (PRO-CTCAE) 的患者报告结果版本是为了捕捉这些毒性而开发的.
- 标准的临床医生报告的结果往往无法捕捉患者经历的不良事件的全部范围.
研究的目的:
- 通过移动应用程序评估与标准临床医生报告的结果相比,使用PRO-CTCAE附加组件报告症状性不良事件的改善和易度.
- 使用此数字工具,评估癌症患者与健康相关的生活质量 (HRQoL) 的变化.
主要方法:
- 一项涉及110名癌症患者的研究,在他们的第一次和第二次化疗疗程之间进行了三周的时间.
- 患者被分为两组:通过基于移动应用程序的PRO-CTCAE自我报告不良事件 (n=53) 和标准临床医生报告的结果 (n=57).
- 与健康相关的生活质量 (HRQoL) 的评估是使用EORTC QLQ-c30问卷进行的.
主要成果:
- 所有自我报告组的患者都记录了不良事件,而标准报告组中只有21%.
- PRO-CTCAE自我报告组报告了所有15个不良事件领域,而标准组仅报告了5个领域.
- 使用基于移动应用程序的PRO-CTCAE的患者报告说,整体生活质量明显改善.
结论:
- 基于移动应用程序的PRO-CTCAE增强了化疗毒性的记录,减少了医生的负担,提高了患者的满意度.
- 这种数字自我报告赋予癌症患者权力,改善他们的生活质量,应该被纳入常规的临床实践.
- 基于移动应用程序的PRO-CTCAE的更广泛实施可以为癌症患者的护理提供进一步优化的解决方案.
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