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在潜在的癌症临床试验中报告时间毒性:范围审查
Patrick L Quinn1, Shah Saiyed2, Connor Hannon1
1The Ohio State University Wexner Medical Center, Columbus, OH, USA.
概括
在癌症研究中很少报告时间毒性,因为缺乏标准定义和指标. 需要更多的研究来建立在瘤学中测量和报告时间毒性的最佳实践.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 医疗保健服务研究 医疗服务研究
背景情况:
- 时间毒性,定义为接受癌症护理的时间,是患者报告的关键结果.
- 了解和量化时间毒性对于改善患者体验和优化癌症治疗提供至关重要.
研究的目的:
- 在未来的瘤学研究中系统地审查时间毒性的测量和报告.
- 确定用于评估癌症临床试验中的时间毒性时使用的当前方法和定义.
主要方法:
- 在PubMed,Scopus和Embase进行了全面的文献搜索,搜索了1984年至2023年间发表的研究.
- 包括的研究是前性或随机对照试验 (RCT),报告了时间毒性作为结果.
- 对时间毒性的定义,指标和报告进行评估的研究.
主要成果:
- 十项研究符合纳入标准,包括手术,全身疗法和息护理干预措施.
- 报告时间毒性不一致,有不同的指标,如"活着和出院的日子"和"在家度过的时间".
- 对RCT的二次分析表明了更全面的指标,包括住院和门诊护理时间.
结论:
- 时间毒性在瘤临床试验中很少和不一致地报告.
- 缺乏标准化的定义,指标和方法来衡量时间毒性.
- 需要进一步的研究来开发和实施报告时间毒性的最佳实践,以减轻患者的负担.
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