针对儿科瘤学中药物事先授权的多机构数据收集的可行性
David S Dickens1, Kathryn Juhl2, Peggy Bennett3
1Division of Pediatric Hematology/Oncology, University of Iowa Hospitals and Clinics, Iowa City, IA.
JCO oncology practice
|January 31, 2025
概括
药物事先授权 (mPA) 是可行的研究在儿童癌症护理. 虽然大多数请求都得到批准,但大约四分之一的儿科癌症患者因mPA而经历了护理延迟.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 儿科护理 儿科护理
背景情况:
- 药物事先授权 (mPA) 在美国癌症护理中很常见.
- 医学瘤学家报告了mPA的潜在危害.
- 对于mPA对儿科瘤学的影响尚不清楚.
研究的目的:
- 测试前性收集关于儿科瘤学mPA的多机构数据的可行性.
- 评估儿童癌症患者的mPA导致的护理延迟.
主要方法:
- 在三个儿童瘤组机构进行前性数据收集.
- 在2021年9月至2022年12月期间招募儿科癌症患者.
- 采集的数据包括每个mPA的药物,适应症和开始/服用日期.
主要成果:
- 68名患者被纳入;38人 (56%) 经历至少一次mPA.
- 69个mPA发生,其中48%用于治疗和52%用于支持性护理药物.
- 22%的mPA导致护理延迟 (1-21天);没有治疗的mPA被改变.
结论:
- 在儿科瘤学中对mPA进行前性,多机构的数据收集是可行的.
- 药物事先授权似乎不会改变癌症治疗处方.
- 大约四分之一的儿科癌症患者因mPA而面临护理延迟,后果尚不清楚.
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