瘤外科手术的以患者为中心的结果措施:叙事性审查
Rachel Blackman-Mack1, George Chater2, Geeta Aggarwal1
1Anaesthetic Department, Royal Surrey Hospital Foundation Trust, Guildford, UK.
Anaesthesia
|January 8, 2025
概括
随着人口的老龄化,癌症发病率和脆弱性增加. 最佳的癌症治疗需要关注生活质量和患者报告的结果,而不仅仅是生存率.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 人口变化表明英国人口老龄化,导致癌症发病率和脆弱性增加.
- 老年癌症患者往往经历较差的结果,包括较高的死亡率和术后并发症.
研究的目的:
- 审查当前关于脆弱癌症患者的外科手术期间医学的文献.
- 确定评估癌症护理最佳临床实践的适当结果措施.
- 强调以患者为中心的护理策略.
主要方法:
- 从2024年6月10日至17日进行了有针对性的文献审查.
- 搜索术语包括"外科瘤学"",结果"",脆弱"",生活质量"和"生命结束".
- 确定了核心主题,并将其合成为叙事综述.
主要成果:
- 传统的结局指标 (例如30天死亡率) 对脆弱的癌症患者来说是不够的.
- 患者的生活质量和治疗负担是关键的结果.
- 患者报告的结果测量 (PROM) 是有价值的,但有局限性.
- 综合老年医学评估改善了患者的治疗结果.
结论:
- 需要在死亡率之外优先考虑生活质量和患者报告的结果措施.
- 整体护理方法对于测量超出生存范围的结果至关重要.
- 综合老年评估可以增强以患者为中心的癌症护理.
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