持续严重的癌症疼痛的多学科管理:一个合作的欧洲方法
Denis Dupoiron1, María Luz Padilla2, Monica Iorfida3
1Anesthesiology and Pain. Institut de Cancérologie L'Ouest (ICO), Angers, France. denis.dupoiron@ico.unicancer.fr.
概括
专家建议在欧洲管理严重的癌症疼痛强调合作,教育和明确的转诊标准. 这些策略旨在改善及时获得专业护理的机会,并提高患者的生活质量 (QoL).
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 医疗保健政策 医疗保健政策
背景情况:
- 癌症疼痛往往没有得到充分的治疗,导致推迟转诊到专业服务.
- 在整个欧洲,在管理持续的严重癌症疼痛方面存在未满足的需求.
研究的目的:
- 制定专家主导的建议,以管理欧洲的持续性严重癌症疼痛.
- 解决当前癌症疼痛管理实践中发现的未满足需求.
主要方法:
- 在线问卷调查发现了欧洲瘤学家之间的临床实践争议.
- 一个联合专家小组 (疼痛专家和瘤学家) 使用了类似Delphi的方法来验证建议.
主要成果:
- 在癌症疼痛管理的13个关键建议上达成共识.
- 这些协议包括建立癌症疼痛委员会 (87%),共享协议 (100%),远程咨询 (100%),瘤学家培训 (100%) 和明确的转诊标准 (100%).
- 建议特别针对生活质量差或持续疼痛的患者及时转诊.
结论:
- 有效的癌症疼痛管理需要改善跨专业的合作.
- 针对瘤学家的有针对性的教育和本地开发的协议,具有明确的转诊标准至关重要.
- 这些措施将确保及时和适当地转诊到疼痛专家,显著改善患者的生活质量.
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