癌症患者的运动测试特征,安全性和质量:系统性审查
Elisabeth Edvardsen1,2, Tormod Skogstad Nilsen1, Robert Novo3
1Department of Pulmonary Medicine, Oslo University Hospital, Oslo, Norway.
Mayo Clinic proceedings. Innovations, quality & outcomes
|June 23, 2025
概括
最大心肺运动测试 (CPET) 和6分钟步行测试 (6MWT) 在癌症治疗中很常见. 未来的研究应该加强对瘤学运动测试 (ExT) 的安全监测和方法一致性.
科学领域:
- 在瘤学瘤学.
- 运动生理学 运动生理学
- 心血管健康 呼吸系统健康
背景情况:
- 运动测试 (ExT) 对于评估癌症患者的心肺健康和功能能力至关重要.
- 了解ExT在瘤学中的特性,安全性和质量对于临床应用至关重要.
研究的目的:
- 系统地审查瘤学环境中运动测试的特性,安全性和方法质量.
- 为了确定常用的ExT模式及其在成年癌症幸存者中报告的结果.
主要方法:
- 从开始到2024年3月,对电子数据库 (PubMed,Embase,CINAHL,Cochrane图书馆) 的系统审查.
- 包括使用ExT的评估心肺健康或有癌症史的成年人功能能力的研究.
- 评估ExT特征,不良事件 (AE) 和方法质量.
主要成果:
- 总共包括了642项研究,涉及94960名患者.
- 最大心肺运动测试 (CPET) 和6分钟步行测试 (6MWT) 是最常见的模式.
- 副作用不常见 (0.02%),但方法质量和报告有显著差异.
结论:
- 在瘤学运动测试中,CPET和6MWT被广泛使用.
- 未来的研究应该专注于改善安全监测,测试选择和方法一致性.
- 加强ExT在瘤护理中的应用性需要标准化和严格的报告.
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