质量为所有人:临床试验招生和终身护理在固体和血液恶性瘤
Melissa R Rosen1, Tracy Truong2, Catherine Gervais2
1Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA.
Cancer medicine
|April 27, 2025
概括
癌症临床试验中的临终临终期 (EOL) 患者获得了更积极的护理和更少的目标一致的文档. 改善息和临终关怀对所有癌症患者至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 临床试验 临床试验
背景情况:
- 优质的生命终端 (EOL) 护理对于患有无法治愈的癌症的患者至关重要.
- 许多患者接受了积极的EOL护理,但只有有限的护理目标 (GOC) 文件.
- 临床试验对于推进癌症治疗至关重要.
研究的目的:
- 检查临床试验在生命的最后一年 (YOL) 招生和EOL质量指标之间的关联.
- 确定改善癌症患者目标一致护理的机会.
主要方法:
- 在2018年1月至2022年10月期间死亡的成人癌症患者的回顾性评估.
- 评估的结果包括EOL护理指标,如新的抗癌疗法,ICU入院,住院,ED遭遇,宿舍/息护理转诊以及中国政府的文件.
主要成果:
- 在上个YOL的临床试验中,9817名患者中有5.9%参加了临床试验.
- 试验招生与更多新的抗癌疗法和较少的息治疗/GOC文档相关.
- 试验中的患者较少遇到ED,并且在急性护理环境中死亡的可能性较小.
结论:
- 临床试验在最后一个年龄段的招生与积极的EOL护理指标和低的GOC文件相关联.
- 在所有患者中,观察到缓解护理和临终关怀转诊率较低,这表明需要改善.
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