在接受治愈治疗的癌症患者中,医院因素决定了总体存活率
Sandeep Muzumder1, Arkaja Tripathy, Hadrian N Alexander
1Department of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Journal of cancer research and therapeutics
|March 30, 2024
概括
医院的数量,基于证据的医学和及时开始治疗显著提高了癌症患者的生存率. 优化这些与医院相关的因素可以提高瘤治疗中的整体存活率 (OS) 和生活质量 (QoL).
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 整体存活率 (OS) 和生活质量 (QoL) 在瘤学中至关重要.
- 影响OS和QOL的因素包括瘤特征,患者状态,治疗和外部/医院相关因素.
研究的目的:
- 确定在接受治愈性癌症导向治疗 (CDT) 的患者中影响OS和QOL的医院相关因素.
主要方法:
- 对研究 (RCT,SR,MA,PDB分析) 的叙述性综述,检查医院因素和OS之间的关系.
- 定义了"医院相关"的因素,可以在医院层面进行修改.
主要成果:
- 高医院/瘤学家数量,坚持以证据为基础的医学 (EBM),最佳时间开始治疗 (TTI) 和减少整体治疗时间 (OTT) 与增加的OS相关.
- 病例管理显示了混合的QOL效应;手术后增强恢复 (ERAS) 并没有改善OS.
- 对于学术中心,基础设施或对OS/QoL的合规性的影响,没有足够的证据.
结论:
- 医院政策应优先考虑增加体积,遵守EBM,优化TTI,减少OTT用于治疗癌症的治疗.
- 专注于这些可修改的医院级因素可以改善瘤学患者的治疗结果.
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