开发一个临床核心结果,以评估肺癌康复治疗
Lara Edbrooke1,2,3, Thomas W Davies4,5, Catherine L Granger1,6
1Department of Physiotherapy, The University of Melbourne, Melbourne, Australia.
ERJ open research
|October 29, 2025
概括
在评估肺癌康复的六个核心结果上达成共识,包括呼吸困难和生活质量. 在肺癌护理中确定了用于身体功能和生活质量的标准化测量工具.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 临床试验 临床试验
- 健康 结果 研究 研究 结果
背景情况:
- 肺癌康复评估缺乏标准化的结果和工具,导致显著的异质性.
- 现有的实践在评估患者的进展和治疗有效性方面存在很大差异.
- 这种变化阻碍了康复计划的可比性和最佳实施.
研究的目的:
- 为肺癌康复制定标准化临床核心结果.
- 为这个核心集建立适当的结果测量工具的共识.
- 提高肺癌康复评估的一致性和有效性.
主要方法:
- 一项国际修改的Delphi共识研究,涉及患者,护理人员,医疗保健专业人员和研究人员.
- 两轮调查评估了潜在结果和测量工具的重要性.
- 在线共识会议举行,通过讨论和投票批准调查结果.
主要成果:
- 六个核心结果达成共识,包括:呼吸困难,日常生活活动,身体功能,与健康有关的生活质量 (HRQoL),情绪健康和疼痛.
- 六分钟步行测试和欧洲癌症研究和治疗组织的核心问卷分别被同意用于测量身体功能和HRQoL.
- 对于所有已识别的核心结果的工具,没有达成共识.
结论:
- 为了标准化肺癌康复评估,已经建立了一个由六个关键结果组成的核心结果集.
- 对于身体功能和HRQoL,已有商定的测量仪器,以促进一致的评估.
- 这一共识是改善肺癌康复研究和临床实践的质量和可比性的重要一步.
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