针对老年患者的选择性结直肠癌手术研究报告的结果:范围审查
Hepsi H Xavier1, Yagnaseni Bhattacharya1,2, Amudha Poobalan3
1School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
概括
在老年结直肠癌患者中,以人为中心的结局报告不足. 未来的研究应该专注于这些结果,以改善患者的福祉和术后康复.
科学领域:
- 老年人手术是一门老年手术.
- 在瘤学瘤学.
- 健康 结果 研究 研究 结果
背景情况:
- 结肠直肠癌的发病率在老年人中正在上升,这一群体具有更高的外科手术风险和并发症.
- 传统的手术结果,如5年死亡率,可能无法完全捕捉到老年患者的需求,强调了术后生活质量的重要性.
- 评估老年结直肠癌患者的最佳术后结果是一个重大挑战.
研究的目的:
- 对接受选择性结肠直肠癌手术的老年人术后结果现有文献进行范围审查.
- 探索目前在涉及该患者人口统计学研究中报告的结果类型.
- 发现报告中关于以人为中心而非手术特异性结果的漏洞.
主要方法:
- 在主要的电子数据库中进行了全面的文献搜索,截至2023年3月.
- 研究包括了接受选择性结肠直肠癌手术的老年或脆弱个体,报告了术后结果.
- 结果被分为特定于手术或以人为中心,并使用叙事合成进行分析.
主要成果:
- 该审查确定了16项专注于以人为中心的结果的研究和66项针对手术特定结果的研究.
- 报告的以个人为中心的结局包括出院目的地,术后妄想 (8.2%-18.1%),老年综合征,日常生活活动和生活质量.
- 特定于手术的结果主要包括死亡率,停留时间,并发症,再入院,重新手术和存活率.
结论:
- 以人为中心的结局显著低于报告,但对于有效的患者管理至关重要.
- 老年患者需要全面的信息,关于他们的术后恢复,以提高整体健康.
- 未来的研究非常需要,以解决报告以人为中心的结果的缺陷,以改善接受结直肠癌手术的老年人的护理.
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