电子患者报告结果的临床决策支持工具对与头癌幸存者的临床讨论的影响:来自HN-STAR随机对照试验 (WF-1805CD) 的发现
Talya Salz1, Emily V Dressler2, Carol Kittel2
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO oncology practice
|October 21, 2025
概括
一个新的工具,头部和部生存工具:评估和建议 (HN-STAR),改善了对头部和部癌症幸存者的沉重担忧的讨论. 这种电子患者报告结果工具增强了患者和提供者之间的沟通.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 治疗后的头癌 (HNC) 幸存者经常经历多种症状和行为健康问题.
- 有效的后续护理对于管理这些复杂的生存需求至关重要.
- 临床决策支持工具有可能提高患者提供者沟通和护理质量.
研究的目的:
- 评估"头部和部生存工具:评估和建议" (HN-STAR) 在改善讨论幸存者的关注方面的有效性.
- 评估电子患者报告结果 (ePRO) 信息化的临床决策支持工具是否可以增强HNC幸存者的后续护理.
主要方法:
- 在多个瘤实践中进行了一个集群随机对照试验.
- 幸存者在例行诊所访问之前完成了ePROs评级26个问题.
- 该HN-STAR工具提出了幸存者的担忧,并为临床医生提供了量身定制的建议,将结果与常规护理 (UC) 进行比较.
主要成果:
- 与UC手臂 (P = .042) 相比,HN-STAR手臂的幸存者讨论了更多负担的担忧 (4.1对3.3).
- 在HN-STAR分支中,更多的负担性问题被讨论 (57%对44%,P = .015).
- 常见的负担性担忧包括异口症,口味变化和部/肩部硬.
结论:
- 由ePROs提供信息的HN-STAR工具显著增加了在社区瘤学环境中对HNC幸存者的负担性担忧的讨论.
- 向提供者提醒患者的担忧,并在护理点提供符合指导方针的选择,可能会改善提供者与幸存者的互动.
- 这种方法有望提高HNC患者的护理质量和生存体验.
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