为患有癌症的青少年和年轻成年人建立专门结构的要求-系统性审查
Lukas Rudolf von Rohr1,2,3, Nadja Battanta1, Cornelia Vetter1
1Division of Oncology-Hematology, Children's Hospital of Eastern Switzerland, 9006 St. Gallen, Switzerland.
Current oncology (Toronto, Ont.)
|February 25, 2025
概括
建立专门的青少年和年轻成年人 (AYA) 瘤病房需要利益相关者的早期投入和多学科团队. 这些专业单位的目标是改善癌症护理,改善临床试验的准入,以及为AYA提供心理社会支持.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 青少年医学 青少年医学
背景情况:
- 15-39岁的青少年和年轻人 (AYA) 在癌症护理方面面临着独特的挑战.
- 传统的模型往往无法满足这一群体的特定需求.
- 专门的AYA瘤服务正在成为一个潜在的解决方案.
研究的目的:
- 系统地审查建立专门的AYA瘤病房的证据.
- 确定AYA单位发展的后勤,基础设施和人员建议.
- 综合关于护理模式和患者需求的发现.
主要方法:
- 在PubMed (2000-2024) 上进行了以PRISMA为指导的系统文献搜索.
- 七项研究符合分析的纳入标准.
- 提取了与单位建立,护理提供和挑战相关的关键主题.
主要成果:
- 早期的利益相关者参与和儿科和成人瘤学之间的合作至关重要.
- 多学科团队 (MDT) 对于满足AYA多样化的医疗和心理社会需求至关重要.
- 优先事项包括加强临床试验招生,生育能力保护和适合年龄的环境.
结论:
- 专门的AYA瘤病房需要精心规划物流,基础设施和人员.
- 必须解决资金和机构抵抗等障碍.
- 需要进一步的研究来标准化指南,并评估AYA单元的长期疗效,以改善患者的治疗结果.
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