电子症状监测改善了乳腺癌新辅助化疗中的化疗剂量强度
Yuki Takei1, Atsufumi Nomoto1, Mizuki Kawashima1
1Department of Pharmacy, Teikyo University Hospital, 2-11-1 Kaga, Itabashi, Tokyo 173-8606, Japan.
Current problems in cancer
|December 17, 2025
概括
电子患者报告结果 (ePRO) 监测改善了早期乳腺癌患者的化疗剂量递送和减少不良事件 (AE) 持续时间. 这种方法可以提高在新辅助化疗期间的治疗坚持和患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 数字健康数字健康
背景情况:
- 早期乳腺癌的新辅助化疗需要仔细监测治疗和患者报告的症状.
- 优化化疗剂量强度和管理不良事件 (AE) 对治疗疗效和患者福祉至关重要.
研究的目的:
- 评估电子患者报告结果 (ePRO) 监测对化疗剂量强度的临床影响.
- 评估ePRO监测对接受新辅助化疗的早期乳腺癌患者不良事件 (AE) 管理的影响.
主要方法:
- 一个单一中心的回顾性研究比较了新辅助化疗期间使用和不使用ePRO监测的患者之间的结果.
- 主要终点:实现平均相对剂量强度 (ARDI) ≥85%的患者比例.
- 二级终点:持久性等级≥2非血液学AEs.
主要成果:
- 使用ePRO监测的患者实现了显著更高的ARDI≥85% (85.7%对66.7%,p=0.029).
- 在ePRO组中,非血液学AE的持久性明显较低 (p=0.002).
- 多变量分析证实,ePRO的使用独立地与更高的ARDI和减少AE持久性有关.
结论:
- 在早期乳腺癌中,ePRO监测是维持最佳化疗剂量强度的宝贵工具.
- 实施ePRO可以有效地缩短不良事件的持续时间,改善患者体验.
- 这种数字健康方法支持更好地管理乳腺癌患者的新辅助化疗.
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