使用特定背景的证据来为资源分层癌症指南提供信息:呼吁采取新的方法
Geoffrey C Buckle1,2, Rebecca DeBoer1,2, Mary Jue Xu2,3
1Division of Hematology/Oncology, Department of Medicine, University of California San Francisco (UCSF), San Francisco, California, USA.
Cancer
|September 22, 2024
概括
瘤学的资源分层临床指南需要改进. 本评论建议整合全球研究,特别是来自低收入和中等收入国家的研究,以便在全球范围内制定更具包容性和适用的癌症护理指南.
科学领域:
- 在瘤学瘤学.
- 卫生政策 卫生政策
- 基于证据的医学基于证据的医学.
背景情况:
- 临床实践指南在瘤学中对于决策和卫生政策至关重要.
- 资源分层指南旨在使癌症护理适应各种资源环境.
- 目前的指导方针在很大程度上依赖于高收入国家的证据,限制了全球适用性.
研究的目的:
- 讨论当前资源分层指南制定中的局限性.
- 为全球适用性提出更具包容性的证据综合方法.
- 引入一个经过修订的证据框架,以提高准则通用性的透明度.
主要方法:
- 审查目前开发资源分层指南的方法.
- 卫生政策概念框架的应用,用于证据综合.
- 开发一个修订的证据框架来评估可通用性.
主要成果:
- 对资源分层指导方针仅依赖高收入国家证据的局限性.
- 概述了一个包容性的证据综合方法,包括来自低收入和中等收入国家的研究.
- 提出了一个框架,以提高有关证据普遍性的透明度.
结论:
- 加强资源分层指导方针需要整合多样化的全球证据.
- 更具包容性的证据基础和透明的框架可以提高指导方针的相关性.
- 这些进展正朝着全球适当的,基于证据的癌症护理指南迈进.
相关概念视频
Cancer Survival Analysis
331
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...
331
Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Hazard Ratio
92
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
92


