从患者的声音到最佳的PROM:癌症幸存者护理的混合方法框架
Angela Contri1, Luca Ghirotto2, Silvio Cavuto3
1Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Via del Pozzo N. 71, 41100, Modena, Italy.
Journal of cancer survivorship : research and practice
|November 7, 2025
概括
开发以患者为中心的框架可以改善癌症幸存者的患者报告结果测量 (PROM) 选择. 这种结构化的方法确保PROM与幸存者的需求保持一致,提高了幸存者的护理质量.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 为癌症幸存者 (CSs) 选择适当的患者报告结果措施 (PROMs) 是由于缺乏结构化的方法而具有挑战性.
- 当前的PROM选择流程可能无法完全捕捉到CSs未满足的需求.
研究的目的:
- 开发和测试一个可行的,以患者为中心的框架,以选择与CSs生活经验一致的PROM.
- 为了确保标准化的结果措施反映了在不同的医疗保健环境中幸存者的需求.
主要方法:
- 综合的定性和定量方法,将患者的需求映射到国际功能,残疾和健康分类 (ICF) 中.
- 通过重点小组,采访和问卷确定幸存者的需求.
- 与ICF类别相关的需求和基于这些类别的覆盖范围的评估PROM.
主要成果:
- 在意大利进行了一项可行性研究,涉及35名医疗保险公司和7名护理人员.
- 癌症康复评估系统 (CARES) 覆盖了94.3%的ICF相关需求,被确定为最合适的PROM.
- 该框架证明了适应不同人群和医疗保健系统的适应性.
结论:
- 为优化瘤学中PROM选择而开发了一种强大,基于证据的方法.
- 该框架弥合了患者叙述和标准化结果测量之间的差距.
- 该框架的实施增强了以患者为中心的幸存者护理,并提高了质量.
相关概念视频
Cancer Survival Analysis
624
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
624
Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
Cancer Prevention
7.6K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.6K
Treatment Resistant Cancers
3.7K
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...
3.7K
Cancer Therapies
9.8K
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...
9.8K
Combination Therapies and Personalized Medicine
5.8K
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...
5.8K


