通过远程医疗和患者导航增加对移植的访问
Andrés Gómez-De León1, Valentine Jiménez-Antolinez1, Victor Rodríguez-González1
1Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico.
Cytotherapy
|May 22, 2024
概括
一个远程医疗诊所改善了患有血液疾病的患者获得血造细胞移植 (HCT) 的机会. 疾病复发仍然是一个重要的障碍,突出了需要及时的医生转诊来提高HCT的成功率.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学 移植医学
- 数字健康数字健康
背景情况:
- 血造细胞移植 (HCT) 是血液病的重要治疗方法,但面临着成本和有限的移植中心等进入障碍.
- 基于远程医疗的患者导航 (PN) 为克服这些挑战提供了潜在的解决方案.
- 一个合作,免费的PN远程医疗诊所 (TC) 与国家骨髓捐赠者计划建立.
研究的目的:
- 评估远程医疗诊所对HCT访问的可行性和影响.
- 为了确定移植的累积发病率作为HCT访问的衡量标准.
主要方法:
- 一个单一中心的队列研究包括所有年龄段的患者转诊HCT.
- 移植医生导航员使用视频通话了解患者病史,HCT教育和移植前测试建议.
- 分析包括描述性统计数据和移植意向生存率评估.
主要成果:
- 纳入了103名患者;78人被转诊用于异性高血压试验 (alloHCT),平均年龄为28岁.
- 从初始接触到第一次咨询的中位时间为5天.
- 移植的累积发病率为50%在6个月和61%在12个月;疾病复发/进展是不移植的主要原因 (57.1%).
结论:
- 移植前的远程医疗诊所被证明是可行的,并促进了HCT的访问.
- 疾病复发是成功HCT的重要障碍.
- 改善及时的医生转诊对于未来的HCT访问和成功至关重要.
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