头癌的康复干预:一个范围审查
Jessica T Cheng1, Marc Ramos Emos, Victor Leite
1From the Department of Supportive Care Medicine, City of Hope Orange County Lennar Foundation Cancer Center, California (JTC); Department of Orthopedic Surgery and Rehabilitation, SUNY Downstate Health Sciences University, Brooklyn, New York (ME); Rehabilitation Department, Instituto do Cancer, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil (VL); Faculty of Kinesiology, University of Calgary, Calgary, Canada (LC); Division of Physical Medicine and Rehabilitation, Department of Clinical Neurosciences, Cumming School of Medicine, Calgary, Canada (LC); Department of Internal Medicine, Section of Physical Medicine and Rehabilitation, University of Manitoba, Winnipeg, Canada (LEW); Department of Physical Medicine and Rehabilitation, McGovern Medical School at UTHealth Houston, Houston, Texas (CG); Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas (AN-H); Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, Texas (KJK); Department of Physical Medicine and Rehabilitation, Mayo Clinic Arizona, Phoenix, Arizona (SCP); and Department of Medicine, Division of Physical Medicine and Rehabilitation, University Health Network and University of Toronto, Toronto, Canada (DML).
这份关于头癌康复的综述发现,大多数干预措施都集中在吞和练习上. 需要更多高质量的研究来改善患者的治疗结果,并减少与癌症相关的发病率.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 头癌 (HNC) 的治疗往往导致显著的功能障碍.
- 康复干预对于管理与HNC相关的发病率至关重要.
- 目前关于HNC康复干预措施有效性的证据需要进行系统评估.
研究的目的:
- 识别和批判性地评估现有的证据,用于头癌患者的康复干预.
- 综合了专注于HNC康复的干预研究的发现.
- 在HNC康复中为未来的研究和临床实践提供信息.
主要方法:
- 更新了之前的范围审查 (1990-2017) 到2023年1月,专注于干预研究.
- 包括对主要头癌患者和康复干预措施的研究.
- 利用PEDro规模提取数据并评估研究质量,按干预类型对结果进行组织.
主要成果:
- 83项研究 (87个引用) 满足了从1338个独特引用中包含的标准.
- 主要干预的目标是吞 (16项研究),下巴 (11项),全身运动 (14项) 和语音 (10项).
- 大多数研究质量不错 (PEDro平均分数为5),没有一项被评为优秀.
结论:
- 目前的HNC康复主要强调恢复性吞,下巴炼和全身炼,以治疗失症,三症和降温.
- 显著需要更多高质量的证据.
- 未来的研究应该在癌症护理的各个阶段解决更广泛的障碍和功能限制,以尽量减少与HNC相关的发病率.
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