将电子患者报告结果测量 (ePROM) 整合到放射治疗后的个性化随访中. 一个可行性研究
Thitikorn Nuamek1, Peggy Adwoa Nuamah Kwateng1,2, Amelia Payne1
1Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester, UK.
Technical innovations & patient support in radiation oncology
|August 22, 2025
概括
将电子患者报告结果测量 (ePROM) 纳入个性化随访是可行的,并且得到了癌症患者的良好接受. 这种方法可以加强放射治疗后的远程监测和及时干预.
科学领域:
- 癌症学
- 数字健康
- 患者监测
背景情况:
- 在完成放射治疗和后续预约之间,患者监测存在关键差距,在此期间可能出现严重的副作用.
- 使用电子患者报告结果测量 (ePROM) 的个性化后续策略可以定制医疗保健并使早期干预成为可能.
- 通过ePROM进行远程监测,可以及时识别需要立即临床治疗的患者.
研究的目的:
- 评估将ePROM整合到接受放射治疗的个性化随访护理途径中的可行性和患者接受程度.
- 评估ePROM在捕捉患者报告的症状和促进及时临床反应方面的有效性.
主要方法:
- 一项可行性研究,涉及接受放射治疗的肺癌或头癌患者.
- 在多个时间点 (包括治疗前,治疗期间和治疗后) 进行了ePROM问卷 (EQ- 5D- 5L和癌症特异项).
- 根据反应提供自动建议,严重症状 (级别2+) 升级到临床医生;通过采访收集患者反.
主要成果:
- 招募了19名患者 (10名肺部,9名头部和部);所有时间点的ePROM完成率平均为69. 1%.
- 三名患者报告了五次3级+症状,导致临床升级.
- 采访的14名患者发现ePROM易于完成,时间效率高,支持性强,表明接受度很高.
结论:
- 将ePROM整合到个性化放射治疗后续检查中既可行又对患者非常可接受.
- 在放射治疗期间和之后,ePROM提供了宝贵的洞察力,强调了量身定制的后续护理的重要性.
- 这种数字健康方法支持加强患者监测和及时管理与治疗相关的副作用.
相关概念视频
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Combination Therapies and Personalized Medicine
5.1K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.1K
Cancer Therapies
7.9K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.9K
Methods of Documentation II: POMR
1.1K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.1K
Targeted Cancer Therapies
7.8K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.8K


