在荷兰的终端护理中适当使用药物:多中心阶梯集群随机对照试验的研究协议 (AMUSE研究)
M A M van Hylckama Vlieg1, I E Pot2, H P J Visser3
1Department of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands. m.vanhylckamavlieg@erasmusmc.nl.
BMC palliative care
|January 3, 2024
概括
这项研究测试了CDSS-OPTIMED,这是一款提供个性化药物建议的软件,旨在改善寿命有限的患者的生活质量. 预计通过这种临床决策支持系统,结果将显示患者的生活质量得到改善.
科学领域:
- 抚慰性护理是一项非常重要的护理.
- 临床信息学 临床信息学
- 老年医学 老年医学
背景情况:
- 多药性在预期寿命有限的患者中很普遍,往往导致潜在不合适的药物 (PIM).
- 由于缺乏关于终身护理中最佳药物管理的证据,医生在减缓处方方面面临挑战.
- 患者和家人对抑郁症的意愿往往很高,与医生的不情愿形成鲜明对比.
研究的目的:
- 研究CDSS-OPTIMED,临床决策支持系统 (CDSS) 在改善寿命有限的患者的生活质量的有效性.
- 为了评估每周通过CDSS-OPTIMED传递给主治医生的个性化药物推的影响.
主要方法:
- 一个多中心阶梯集群随机对照试验,涉及荷兰七个地点.
- 将包括预期寿命为三个月或更短的患者.
- 主要结果是患者的生活质量,在基线后两周使用EORTC QLQ-C15-PAL问卷进行评估.
主要成果:
- 这个部分不在所提供的摘要中.
结论:
- 这项研究是首次检查每周个性化药物推对绝症患者生活质量的影响.
- 假设CDSS-OPTIMED干预措施将提高预期寿命为三个月或更短的患者的生活质量.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.2K
06:59A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
30.5K
相关概念视频
Drug Therapy
45
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
45
Dosage Regimen: Fixed Dose
1.9K
Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
1.9K
Psychosis: Goals of Pharmacotherapy
135
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
135
Hazard Ratio
129
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
129
Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K
