早期癌症诊断和社区药房 - 一个系统的审查
Judit Konya1, Rachel Winder2, Gianni Dongo2
1University of Exeter, Exeter Collaboration for Academic Primary Care (APEx), Exeter, United Kingdom j.konya@exeter.ac.uk.
概括
社区药房在全球范围内显示出早期癌症检测干预的潜力. 需要进一步的大规模试验来确认成本效益,并优化与其他医疗保健服务的整合.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 药房实践 在药房实践中
背景情况:
- 怀疑患有癌症症状的患者经常向全科医生介绍,但也可能进入社区药房.
- 药房工作人员在医疗保健中的作用,包括癌症检测在英格兰已经显著扩大.
- 社区药房是公共卫生干预措施的可访问点.
研究的目的:
- 在社区药房系统审查全球癌症早期检测干预措施.
- 总结这些干预措施的结果,障碍,促进者和用户体验.
- 确定改善社区药房癌症检测计划的研究缺口.
主要方法:
- 进行了叙事综合的系统审查.
- 进行了广泛的在线数据库搜索 (Medline,CINAHL,Cochrane,PsychInfo,EMBASE) 和灰色文献审查.
- 干预的重点是基于社区药房的早期癌症检测计划.
主要成果:
- 52份出版物报告了针对结直肠,皮肤,肺部,子宫,乳腺,头癌和混合癌症的干预措施.
- 这些干预措施的可行性和可接受性被药房工作人员,客户和患者所证明.
- 在药房中对疑似癌症症状的机会性识别限制了参与者招募.
结论:
- 社区药房干预早期癌症检测是可行的和可以接受的.
- 强大的,大规模的临床试验是必要的,以确定成本效益和定义最佳的临床结果.
- 进一步的研究应该探索社区药房和其他医疗保健机构之间的信息共享.
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