使用电子医疗摄入问卷评估与卵巢癌相关的症状的可行性
Eric D Helm1, Cam Nguyen1, Stephen Rotholz1
1University of Colorado, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology.
Gynecologic oncology reports
|April 25, 2025
概括
整合到电子医疗记录中的四个问题症状清单 (SI) 是可以用于卵巢癌查的. 预先存在的疾病影响了结果,表明需要进一步研究疗效.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
背景情况:
- 早期卵巢癌症状发生在高达75%的患者中.
- 症状库存 (SI) 提供了一种改善早期检测和减少错误阳性的潜在方法.
研究的目的:
- 评估未来用于卵巢癌查的四个问题SI的可行性和结果.
- 评估基于电子病历 (EMR) 的SI在全科医生妇产科实践中的实用性.
主要方法:
- 实施了一个四个问题SI评估腹痛,膨胀,早期和尿路投诉.
- SI被整合到EMR患者门户中,用于40岁以上的个人进行年度或新患者访问.
- 从EMR中提取和分析了589名患者的数据.
主要成果:
- 27.8%的患者报告至少有一个症状;尿急/频率是最常见的 (14.9%).
- 患有抑郁症,子宫肌瘤,子宫内膜异位症和IBS等并发症的患者更有可能呈阳性查.
- 在研究期间没有诊断出卵巢癌.
结论:
- 实施基于EMR的SI是可行的,但受到先前存在的诊断的影响.
- 需要进一步的研究来确定基于EMR的SI预先查对早期癌症检测的有效性.
- 未来的评估应考虑症状的频率和持续时间.
相关概念视频
Assessment of the Gastrointestinal System I: Subjective Data
125
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
125
Assessment of the Gastrointestinal System II: Health Perception Pattern
57
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
57
Disorders of the Female Reproductive System
218
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
218
Assessment of the Cardiovascular System I: Subjective Data
241
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
241
Oogenesis
63.1K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.1K


