在医疗瘤学环境中实施患者报告的结果 (iPROMOS研究):II型混合实施研究
Natasha Anne Roberts1,2, Anita Pelecanos3, Kimberly Alexander4
1The University of Queensland Centre for Clinical Research, Herston, Australia.
Journal of medical Internet research
|August 27, 2024
概括
在瘤学中实施患者报告结果措施 (PROM) 并没有显著改善症状检测,但增加了支持性护理转诊. 需要进一步的研究来探索医疗服务的结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 在临床试验中,患者报告的结果测量 (PROM) 已显示出改善患者死亡率和发病率的潜力.
- 将PROM整合到常规瘤护理中是改善患者治疗结果的关键领域.
研究的目的:
- 为了前性地研究PROM在常规医疗瘤门诊机构的实施.
- 评估PROMs对症状检测,临床反应和医疗服务利用的影响.
主要方法:
- 一项试点随机对照试验在澳大利亚医疗瘤门诊部进行.
- 两个诊所被随机分配到实施症状PROM,而对照诊所保持了通常的护理.
- 统计模型,包括二进制物流和多重回归,用于分析症状检测和临床反应.
主要成果:
- 总共分析了461例患者接触 (222例干预,242例对照).
- 虽然症状检测没有显著增加 (OR 1.05,P=.08),但在干预组中,接受支持性护理的非例行相关健康审查的几率显著增加 (OR 3.54,P=.02).
结论:
- 在瘤学中常规实施PROM并没有显著改善症状检测.
- 实施PROM与获得支持性护理服务的可能性更高有关.
- 建议进行更大规模的研究,以进一步评估PROM对医疗服务结果的影响.
关键词:
澳大利亚 澳大利亚 澳大利亚二元物流模型的二元物流模型.临床诊所 临床诊所临床实践中的临床实践诊所 诊所 诊所 临床 临床检测 检测 检测 检测 检测促成便利化 促进便利化促成者促成者是指一个促进者.艾帕里希斯 (iPARIHS) 是一个名为艾帕里希斯 (iPARIHS) 的城市.实施实施实施实施实施.实施科学 实施科学干预干预干预干预干预干预调查调查调查调查调查调查瘤学 在瘤学方面.病人的病人的病人的病.患者报告的结果,患者报告的结果措施.患者患者患者患者患者患者患者回归模型是一种回归模型.回归模型是一种回归模型.服务服务服务服务服务服务.服务是服务的服务.支持性护理 支持性护理这是一个症状,一个症状.症状 症状 症状 症状 症状更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
08:17A Human Peripheral Blood Mononuclear Cell PBMC Engrafted Humanized Xenograft Model for Translational Immuno-oncology I-O Research
Published on: August 15, 2019
14.3K
相关概念视频
Kaplan-Meier Approach
115
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
115
Cancer Survival Analysis
334
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
334
Types of Reports I: Hands-off Report
893
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
893
