识别差距和改善癌症退伍军人耳毒性管理的机会:来自回顾性队列和瘤提供者调查的证据
Cecilia Lacey1, Khaya Clark2,3,4, James Riley Debacker2,5
1VA Pittsburgh Geriatric Research, Education, and Clinical Center, Pittsburgh, Pennsylvania, USA.
Cancer medicine
|February 15, 2026
概括
接受化疗的退伍军人在听力学治疗中存在明显的缺口,尽管提供者认识到其重要性,但听力学服务的使用率很低. 解决诸如获取和资源等障碍对于改善听力健康结果至关重要.
科学领域:
- 在瘤学瘤学.
- 听力学 听力学是指听力学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 化疗诱导的耳毒性是癌症幸存者的重要关注点.
- 耳毒性管理 (OtoM) 旨在减轻与某些化疗相关的听力损失和耳.
- 了解提供者的观点和服务利用是改善护理的关键.
研究的目的:
- 在退伍军人卫生管理局 (VA) 瘤学提供者中确定影响化疗引起的耳毒性听力学护理的因素.
- 量化听力学服务在接受耳毒化疗 (cisplatin,carboplatin,oxaliplatin) 的退伍军人中的使用情况.
主要方法:
- 对VA瘤提供者进行的关于Otom的障碍和促进者的调查.
- 退伍军人使用白金基化疗治疗的退伍军人5年来VA全方位听力学服务使用的回顾性队列分析.
主要成果:
- 在接受西斯的退伍军人中,不到10%的退伍军人,在接受碳/氧的退伍军人中,不到5%的退伍军人在一年内获得了听力学服务.
- 大多数提供商认为Otom应该是常规的,但高估了当前的服务提供.
- 关键障碍包括访问,感知需求和资源;护理协调是一个促进者.
结论:
- 耳毒性管理代表了癌症退伍军人的护理差距,尽管被认为是提供者价值.
- 西斯普拉丁和碳普拉丁有助于癌症幸存者的听力损失和耳.
- 对提供者观点的洞察力可以指导改善对耳毒性听力学护理的努力.
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