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在瘤学中明智地选择建议:范围审查
Fabiola Vasconcelos Alves1, Elaine Barros Ferreira2, Fabio Ynoe de Moraes3
1Faculty of Health Sciences, University of Brasília, Brasília, DF, Brazil. fabiolavalves@gmail.com.
概括
"明智选择"运动通过减少不必要的医疗干预来促进基于证据的护理. 这份综述绘制了瘤学建议,强调了全球转向个性化,以患者为中心的癌症治疗的转变.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 选择明智 (CW) 运动旨在通过阻止不必要的医疗干预来减少医疗保健浪费和伤害.
- 对CW实施的障碍包括医疗保健专业人员有限的认识和缺乏全球推映射.
研究的目的:
- 对瘤学中明智选择 (CW) 建议进行全面的范围审查.
- 从2012年到2024年,对瘤学CW建议的文献进行映射.
主要方法:
- 使用了一个范围审查方法.
- 在文献中搜索了2012年至2024年间发表的瘤学CW建议.
- 从19项研究和20个国际网站提取了数据,产生了220条建议.
主要成果:
- 在瘤学中共确定了220个CW建议.
- 建议强调根据预期寿命和生物标志物状况等个人风险因素来个性化癌症查,分期和治疗.
- 观察到全球趋势是以患者为中心的瘤治疗,重点是个性化,基于证据的治疗,并尽量减少不必要的干预.
结论:
- 全球正在向个性化,基于证据的瘤治疗转变,减少不必要的干预.
- 制定资源分层的指导方针对于加强CW采用至关重要,特别是在低收入和中等收入国家.
- 将CW建议与当地医疗保健需求和资源相协调,对于成功实施至关重要.
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