在肉瘤护理中使用现实世界实时数据进行对比时间到治疗启动.
Markus Schärer1,2,3, Philip Heesen4, Beata Bode-Lesniewska5
1Sarcoma Service, Department of Orthopaedics and Trauma, University Teaching Hospital LUKS, 6000 Lucerne, Switzerland.
Cancers
|December 23, 2023
概括
基准瘤治疗开始时间显示中位数为30天. 优化护理途径和专家转诊可以减少肉瘤患者的延迟.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 生物统计学 生物统计学
背景情况:
- 基准测试对于以患者为中心的医疗保健质量改善至关重要.
- 开始治疗的时间 (TTI) 是癌症护理的关键绩效指标.
- 瘤治疗途径可能是复杂的,需要有效的护理协调.
研究的目的:
- 分析肉瘤患者的治疗开始时间 (TTI).
- 在国家网络中识别影响TTI的因素.
- 为改善瘤护理及时性提供数据驱动的建议.
主要方法:
- 来自瑞士肉瘤网络的266例肉瘤病例的回顾性数据库的分析.
- 根据肉瘤亚型 (骨,深层软组织,表面软组织) 分层的中位数TTI计算.
- 使用真实世界实时数据 (RWTD) 与传统数据集的TTI比较.
主要成果:
- 瘤患者的整体TTI中位数为30天.
- 骨和深层软组织瘤的TTI中位数为28天;表面软组织瘤的TTI中位数为42天.
- 无计划的"whoops"切除显示出显著的延迟,强调了早期专家参与的必要性.
结论:
- 机构之间TTI的变化需要标准化的流程.
- 选择性地转介到专门的中心和早期的专家咨询可以优化瘤治疗时间表.
- 需要对综合护理模式进行进一步的研究,以改善TTI和患者的治疗结果.
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