测量患者在支臂治疗中报告的结果:为什么我们应该这样做,更重要的是如何
Aspazia Spyrou1, André-Guy Martin2, Jean-Michel Hannoun-Lévi3
1Royal Surrey Hospital, Guildford, UK.
Clinical and translational radiation oncology
|January 31, 2025
概括
患者报告的结果 (PROs) 对于评估癌症治疗期间和之后的生活质量至关重要. 本综述考察了手臂治疗中的PRO措施 (PROM),强调了它们的不足使用以及需要更好地管理症状,特别是在直肠手臂治疗中.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 以患者为中心的护理
背景情况:
- 癌症治疗的进步提高了生存率,越来越关注患者的生活质量.
- 患者报告的结果 (PROs) 对于了解治疗期间和治疗后的患者体验至关重要.
- 与外部束辐射疗法 (EBRT) 相比,在胸膜治疗中使用患者报告的结果测量 (PROM) 的发展较少.
研究的目的:
- 审查前列腺,乳腺和妇科支臂治疗中PROMs的现有证据.
- 为了强调生活质量数据的稀缺性,将手臂疗法与其他治疗方式进行比较.
- 引入一种新的PROMs方法,用于在直肠支臂疗法中早期识别和治疗症状.
主要方法:
- 在特定的支臂治疗癌症部位中对PROM的文献综述.
- 分析布拉基疗法与其他治疗方法中的生活质量数据.
- 描述一种用于直肠支臂治疗的新PROMs策略.
主要成果:
- 与EBRT相比,PROM在许多支臂治疗应用中的有限使用.
- 缺少用于支臂治疗的比较生活质量数据,特别是关于器官保存或外科替代方案的数据.
- 开发一种新的PROMs方法,用于在直肠支臂治疗中主动治疗症状.
结论:
- 显著需要增加PROM在支臂治疗中的使用,以更好地捕捉患者的生活质量.
- 需要进一步的研究来比较不同治疗模式的生活质量结果.
- 建议的PROMs方法用于直肠支架疗法为早期症状检测和干预提供了一个有前途的策略.
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