常规审查患者报告的结果数据影响放射治疗护理:IMPROVE研究结果
Khinh Ranh Voong1, Siyao Li2, Chen Hu2
1Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, MD, United States.
概括
常规患者报告结果测量 (PROM) 显著影响放射瘤学护理. 在75%的患者中,PROMs改变了医生的毒性评估,在50%的患者中改变了管理决策.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 患者报告的结果
背景情况:
- 放射性瘤学家在每周的治疗访问 (OTV) 中监测患者.
- 在放射治疗期间,评估治疗毒性和管理症状至关重要.
- 患者报告的结果措施 (PROMs) 在影响医生的感知和管理方面的作用正在调查中.
研究的目的:
- 为了确定在OTV期间的例行PROM是否会改变医生对治疗毒性的看法.
- 评估PROM是否为辐射瘤学中的症状管理策略提供信息.
- 评估PROMs对医生评估的毒性负担和护理提供的影响.
主要方法:
- 一个前性,单臂,多中心试验 (IMPROVE) 涉及胸部或胃肠道癌症患者接受放射治疗.
- 在OTVs之前,患者完成了14个问题疾病特定的PROM.
- 医生在审查PROM后重新评估了患者的毒性负担,并报告了管理变化.
主要成果:
- 在75%的患者中,PROM审查导致了医生评估的毒性负担的变化,并且在50%的患者中改变了治疗期间的管理.
- 这些变化在学术和社区实践中是一致的.
- 医生报告说,PROM在91%的病例中改善了患者的护理质量.
结论:
- 将PROM常规整合到治疗期间的访问中,显著影响了放射瘤学家对毒性的评估.
- PROMs增强了临床决策,导致一半患者的患者管理发生了变化.
- 实施PROM是一种有价值的策略,可以提高放射瘤学的护理质量.
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