衡量癌症幸存者的财务毒性:系统性审查
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L B Thomy1,2, M Crichton3, L Jones4,5,3
1Division of Cancer Services, Princess Alexandra Hospital, Metro South Health, Ipswich Road, Woolloongabba Q4102, Brisbane, QLD, Australia. Lebogang.thomy@health.qld.gov.au.
概括
这项审查确定了六种针对癌症幸存者的金融毒性 (FT) 工具,发现虽然一些措施涵盖了关键领域,但没有任何措施实现了优异的整体质量. 在不同的环境中需要验证的,多维的FT措施.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
背景情况:
- 金融毒性 (FT) 显著影响癌症幸存者的生活质量.
- 现有的与癌症相关的FT措施缺乏作为一个多维结构的全面性.
- 对于验证的工具来评估FT的多面性质是非常必要的.
研究的目的:
- 系统地识别和评估使用COSMIN标准对癌症幸存者的现有金融毒性 (FT) 措施的心理特征.
- 分析确定FT措施在多大程度上涵盖了金融毒性的推领域.
- 突出目前用于癌症患者的FT评估工具中的差距.
主要方法:
- 在主要数据库 (MEDLINE,CINAHL,Web of Science,Cochrane CENTRAL) 中对2000年1月至2023年7月期间发表的研究进行了系统的文献搜索.
- 使用基于共识的健康测量仪器选择标准 (COSMIN) 标准评估了FT测量的心理测量特性和偏差风险.
- 鉴定的措施与FT的六个已确定的领域进行了比较.
主要成果:
- 确定了六种金融毒性 (FT) 工具:COST-FACIT,PROFFIT,FIT,SFDQ,HARDS和ENRICh-Spanish. 这些工具包括:
- COST-FACIT表现出良好的测量特性,而其他措施被评为足够的,但在整体质量方面不出色.
- 发现SFDQ,HARDS和ENRICh-Spanish是最全面的,涵盖了FT的六个领域.
结论:
- 经过验证的,多维的金融毒性 (FT) 措施对于不同类型的癌症,医疗保健环境和文化背景至关重要.
- 由于FT的严重后果,开发具有高预测能力的实用选工具至关重要.
- 需要进一步的研究来弥补目前的差距,并提高对癌症治疗中FT的理解和管理.
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