经食道切除术后患者报告的结果
Alicia M Bonanno1,2, Felix G Fernandez1,2
1Department of Surgery, Section of General Thoracic Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Journal of thoracic disease
|November 18, 2024
概括
患者报告的结局 (PROs) 显示食道切除术后生活质量 (QoL) 降低. 长期的QoL恢复有所不同,这凸显了在研究和临床实践中更好地整合PRO的需要.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 患者报告的结果
背景情况:
- 消化管切除术显著影响患者的生活质量 (QoL) 由于永久的生活方式的改变.
- 目前的癌症研究优先考虑生存和主要发病率,而不是全球患者的福祉.
- 患者报告的结果 (PROs) 为测量QoL和患者健康提供了有价值的工具.
研究的目的:
- 审查在食道切除患者中收集和利用PRO数据的方法.
- 综合当前关于食道切除术后QoL变化的文献.
- 为了解决长期QoL恢复发现的不一致性.
主要方法:
- 对食道切除术中PROs和QoL的现有文献的综述.
- 对测量患者报告的外科手术前后结果的研究分析.
- 检查数据收集方法,包括电子医疗记录.
主要成果:
- 在食道切除术后立即观察到QoL的持续下降.
- 与基线的长期健康相关的QOL (HRQoL) 恢复有显著的变化.
- 专业诊断人员的负担最小,并改善了患者与外科医生之间的沟通.
结论:
- 对于全面了解患者经食道切除术后的体验,PRO是必不可少的.
- 需要进一步的研究来澄清影响长期QoL恢复的因素.
- 标准化的PRO数据收集可以提高临床决策和患者护理.
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