关于多种癌症早期检测面板的初级保健提供者的观点
Benjamin E Ueberroth1, Richard J Presutti2, Alyssa McGary3
1Department of Hematology/Oncology, University of Colorado Anschutz School of Medicine, Aurora, CO, United States.
Einstein (Sao Paulo, Brazil)
|August 28, 2024
概括
初级保健提供者在很大程度上并不熟悉多种癌症早期检测面板,这是对50多种癌症的血液检测. 成功的整合需要对临床工作量,结果解释和成本管理进行规划.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 主要护理医学 医疗保健
背景情况:
- 使用循环瘤DNA (ctDNA) 的多种癌症早期检测 (MCED) 面板是癌症查的新兴工具.
- 关于初级保健提供者 (PCP) 对MCED小组实施,解释和成本的观点的数据有限.
研究的目的:
- 评估PCP关于将MCED小组集成到临床实践中的观点.
- 确定在初级保健机构中采用MCED的潜在挑战和促进者.
主要方法:
- 在一个多州医疗保健系统中,对医生,执业护士和医生助理进行了调查.
- 该调查评估了熟悉程度,成本问题,医疗保健公平性,文档,医疗法律问题以及MCED测试的首选订购/解释途径.
主要成果:
- 大多数受访的PCP对MCED小组不熟悉,并且没有使用基于ctDNA的测试.
- PCP表示,他们更喜欢每隔1至5年重新排序MCED测试,并且更喜欢分专家参与排序和解释.
- 在医生和非医生之间注意到了关注的差异.
结论:
- 将MCED小组集成到初级保健中,需要战略规划来管理增加的临床工作量.
- 有效地解释MCED结果和强大的成本管理策略对于成功实施至关重要.
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