放射治疗中的预康复:一个范围审查
Laura E Flores1, Danielle Westmark2, Nicole B Katz3,4
1College of Medicine, University of Nebraska Medical Center, 42Nd and, Emile St, Omaha, NE, 68198, USA. Laura.flores@unmc.edu.
概括
在接受放射治疗 (RT) 的癌症患者中,前期康复有望减少副作用. 需要进行更大规模试验的进一步研究,以证实其对功能状态和生活质量的益处.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 康复医学 康复医学 康复医学
背景情况:
- 放射治疗 (RT) 是癌症治疗的基石,提供生存和生活质量方面的好处.
- RT可能会导致显著的副作用,包括疲劳,疼痛,减肥和心理健康变化.
- 预康复旨在优化癌症治疗前的患者健康,以减轻副作用并改善结果.
研究的目的:
- 对接受放射治疗 (RT) 的患者进行预康复干预的现有文献进行范围审查.
- 总结有关癌症患者RT背景下的预康复疗法的有效性和应用的当前证据.
主要方法:
- 使用PRISMA-ScR指南进行了全面的文献搜索,涵盖了2002年10月至2022年10月的研究.
- 该审查确定并评估了研究在成人癌症患者中在RT前或RT期间实施的预康复干预措施的研究.
- 总共有30篇文章,包括18篇随机对照试验 (RCT),被纳入分析.
主要成果:
- 最受研究的人群包括头,直肠,乳腺和肺癌患者.
- 单模式干预最常见,有针对性的身体炼是最常见的类型.
- 在30%的研究中,依从性和可行性是主要结果;只有17%的研究报告了关于种族/种族的数据.
结论:
- 在手术癌症患者中,预康复已经证明是成功的,并且显示出在接受RT患者中降低发病率的潜力.
- 目前的文献虽然包含RCT,但通常具有小样本大小,并专注于可行性而不是功能性结果.
- 需要进行大规模的随机对照试验,严格评估预康复疗法的有效性,并优化RT患者的治疗结果.
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