癌症患者中患病的外科手术期趋势:系统性审查和元分析
Dana G Rowe1, Ellen O'Callaghan1, Seeley Yoo1
1Duke University School of Medicine, Durham, North Carolina, USA.
Cancer medicine
|March 13, 2025
概括
接受手术的癌症患者在手术前后都会经历相当大的痛苦. 在早期的术后期,应急水平仍然很高,一个月后逐渐下降.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 手术瘤学手术瘤学
背景情况:
- 痛苦是癌症患者普遍存在的问题,特别是那些接受手术的人.
- 之前的研究还没有系统地分析这个患者群体在外科手术前期的痛苦趋势.
研究的目的:
- 系统地审查接受手术的癌症患者的术后应急率.
- 为了检查这个队列中各种癌症类型的痛苦差异.
主要方法:
- 使用主要数据库 (PubMed,EMBASE,Scopus,APA PsycINFO) 进行了临床研究的系统审查.
- 分析了包括13,410名患者在内的57项研究的数据,重点关注由国家综合癌症网络 (NCCN) 痛苦温度计 (DT) 测量的痛苦.
- 进行了对手术前应急,术后应急和应急变化的元分析.
主要成果:
- 手术前应急评分的加权平均值为5.1,术后评分为4.5.
- 在术后30天内,痛苦仍然很高,然后下降.
- 大脑癌症患者报告了最高的术后痛苦 (5.1),其次是乳腺癌患者 (4.9).
结论:
- 术后阶段的特点是癌症患者的严重痛苦.
- 在手术前存在中度至严重的痛苦,并持续到早期的术后阶段.
- 手术后一个月以后,痛苦水平往往会逐渐下降.
更多相关视频
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.2K
13:37A Mouse Tumor Model of Surgical Stress to Explore the Mechanisms of Postoperative Immunosuppression and Evaluate Novel Perioperative Immunotherapies
Published on: March 12, 2014
29.9K
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Current Trends in Nursing I
1.4K
Current trends in nursing include:
1.4K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
Cancer Survival Analysis
315
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
315
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
