癌症的全球趋势共享决策和事先的护理规划:文献计量研究
Bianca Sakamoto Ribeiro Paiva1,2, Luana Moura Campolino3, Alinne Tatiane Faria Silva3
1Research Group on Palliative Care and Health-Related Quality of Life, Barretos Cancer Hospital, Barretos, São Paulo, Brazil bsrpaiva@gmail.com.
BMJ supportive & palliative care
|November 9, 2025
概括
本文献分析显示,在瘤学中,关于共享决策 (SDM) 和预先护理计划 (ACP) 的研究越来越多. 然而,需要更多高质量的研究和国际合作来改善以患者为中心的癌症护理.
科学领域:
- 在瘤学瘤学.
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 和预先护理计划 (ACP) 对于以患者为中心的瘤护理和终身支持至关重要.
- 图书统计分析是理解科学趋势和识别瘤学研究缺口的关键工具.
研究的目的:
- 在瘤学研究中对SDM和ACP的全球趋势进行全面的文献分析.
主要方法:
- 一个对3039篇文章的系统文献计量审查,其中252篇符合纳入标准.
- 分析包括出版年份,国家,研究类型,引用和国际合作.
- 使用VOSviewer软件进行了文献学合和期刊分析.
主要成果:
- 自2014年以来,关于SDM和ACP在瘤学的出版物显著增加.
- 美国在研究成果方面处于领先地位,其次是荷兰和英国.
- 横截面研究占主导地位,临床试验和系统审查有限;国际合作存在于19%的研究中.
结论:
- 关于SDM和ACP在瘤学的研究成果正在增加,但集中在高收入国家.
- 需要加强国际合作,并为代表性不足的地区提供支持.
- 有限的高质量研究阻碍了临床实施;未来的研究应该专注于RCT和各种系统性审查.
相关概念视频
Cancer Survival Analysis
634
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...
634
Targeted Cancer Therapies
8.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
8.6K
Combination Therapies and Personalized Medicine
5.9K
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...
5.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
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
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K


