烟草评估在积极积累的国家癌症研究所 临床试验 网络试验
Sarah N Price1, Stephanie R Land2, Kinsey Pebley3,4
1Wake Forest University School of Medicine Department of Social Sciences and Health Policy, Winston-Salem, NC.
概括
自2012年以来,癌症临床试验中的烟草使用评估显著增加,但仍未得到充分利用. 需要进一步标准化,以提高癌症治疗效率和患者支持.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 公共卫生 公共卫生
背景情况:
- 烟草使用对癌症治疗结果产生负面影响.
- 在瘤学临床试验中,常规的烟草使用评估在历史上一直很低.
- 国家癌症研究所 (NCI) 和瘤学协会的倡议旨在标准化烟草评估.
研究的目的:
- 在2022年NCI国家临床试验网络 (NCTN) 试验中重新审查烟草使用评估模式.
- 评估使用癌症患者烟草使用问卷 (C-TUQ) 的情况.
- 评估自2012年以来烟草使用评估的进展情况.
主要方法:
- 评估截至2022年12月,从144个积极积累的NCTN试验中的协议和表格.
- 使用标准化编码工具进行数据分析.
主要成果:
- 49.3%的试验在入学时评估了烟草使用情况;8.3%在随访时评估了烟草使用情况.
- 20.8%的试验使用了至少一个C-TUQ问题,只有3.5%使用了所有核心项目.
- 与吸烟相关的癌症试验的评估率更高,但很少有人测量了二手烟暴露或戒烟兴趣.
结论:
- 自2012年以来,癌症临床试验中的烟草使用评估增加了70%以上,但尚未完全纳入.
- 在瘤学研究中对烟草使用和相关因素的常规评估中存在很大的改进空间.
- 标准化烟草使用数据对于估计治疗疗效,提供戒烟支持和了解烟草对结果的影响至关重要.
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