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在场外远程系统性癌症治疗后的结果
Abram S Arnold1,2, Samia Asif2, Valerie Shostrom3
1Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, USA.
Cancer
|October 29, 2024
概括
远程瘤学为农村退伍军人提供有效的癌症护理,偏远地区的结果与主要地区的结果相似. 这种模式改善了获得基本瘤服务的机会.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 退伍军人事务内布拉斯加州西爱荷华州医疗保健系统 (VA-NWIHCS) 使用远程瘤学将癌症护理扩展到农村退伍军人.
- 远程系统性癌症治疗服务在林肯和大岛站点提供.
研究的目的:
- 为了比较在远程远程瘤医院接受癌症治疗的患者的临床结果,与主要的奥马哈医院相比.
- 评估远程系统癌症治疗的有效性.
主要方法:
- 在2018年1月至2020年12月期间接受一线全身治疗的151名患者的回顾性评估.
- 分析包括人口统计,癌症类型/阶段,存活率,治疗细节,毒性和医疗保健利用率.
- 使用SAS版本9.4.4进行的统计分析.
主要成果:
- 108名患者在奥马哈接受治疗,43名患者在偏远地区接受治疗;主要是男性,年龄中位数为69岁,ECOG PS 0-1.
- 群体在并发症,癌症类型,第四阶段疾病比例和治疗意图方面是相似的.
- 在1年和2年的存活率,治疗毒性,周期延迟或住院治疗方面没有发现显著差异.
结论:
- 远程瘤学提供了与面对面治疗相比的瘤学护理结果.
- 远程系统性癌症治疗是有效的,可以改善农村退伍军人获得护理的机会.
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