电子患者在门诊癌症手术后报告的症状
Jennifer R Cracchiolo1, Amy L Tin2, Melissa Assel2
1Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
JAMA surgery
|March 13, 2024
概括
远程症状监测 (RSM) 使用电子患者报告结果 (ePRO) 在门诊癌症手术患者中显示出适度的症状负担,疼痛和疲劳最常见. 这些数据有助于确定患者的期望和改善护理.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 数字健康数字健康
背景情况:
- 复杂的癌症手术越来越多地在门诊环境中进行.
- 通过电子患者报告结果 (ePRO) 的远程症状监测 (RSM) 可以识别高风险患者.
- 确定正常的恢复模式对于患者的期望和临床管理至关重要.
研究的目的:
- 通过恢复追踪器ePRO平台使用RSM描述在门诊癌症手术患者的术后恢复模式.
主要方法:
- 对12433名接受5项常见癌症手术 (前列腺切除,脏切除,乳腺切除,子宫切除,甲状腺切除) 的患者进行了回顾性队列研究.
- 患者在手术后10天使用了恢复追踪器ePRO平台.
- 通过术后一天和手术程序分析症状严重程度和干扰的数据.
主要成果:
- 调查响应率高 (87%),完成时间短 (平均1.7分钟).
- 整体症状负担适度,在术后1-3天达到峰值.
- 疼痛和疲劳是最常见的症状,严重的情况很少发生 (分别为3%和1%).
- 切除术,乳腺切除术与重建以及前列腺切除术显示最高的最大疼痛严重程度.
结论:
- 来自RSM的详细的术后症状负担数据可以为手术瘤学的数字健康计划的实施和维护提供信息.
- 这些发现增强了患者教育,设定了现实的期望,并支持在出院后的临床护理中进行代改进.
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