在卢旺达军事转诊和教学医院的肠胃癌患者中,患者导航对治疗时间的影响
Vincent Kwizera1,2, Costas Chavarri Aihnoa3, Kenneth Kiiza Rutikanga3
1Department of Research and Education, Rwanda Cancer Relief, Kigali, Rwanda.
JCO global oncology
|March 6, 2026
概括
患者导航计划 (PNP) 在卢旺达军事推和教学医院显著减少了胃肠癌患者的治疗延迟. 该计划对于改善低资源环境中的癌症护理协调至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 胃肠道 (GI) 癌症的治疗延迟可能会对患者的治疗结果产生负面影响.
- 患者导航计划 (PNP) 旨在简化患者护理并减少医疗保健系统内的障碍.
- 卢旺达军事推和教学医院 (RMRTH) 实施了PNP,以解决潜在的治疗延误.
研究的目的:
- 评估患者导航计划 (PNP) 在减少治疗延迟方面的有效性.
- 评估PNP对在RMRTH诊断出食道,胃或结直肠癌的患者的影响.
主要方法:
- 采用了准实验性的研究设计,比较了PNP实施前后的时间.
- 分析了151名患有胃肠道癌 (食道,胃,结肠直肠) 的患者的数据.
- 治疗间隔 (从病理报告到治疗开始的几天) 是主要结果,使用STATA与Wilcoxon等级和时间序列分析进行分析.
主要成果:
- 治疗间隔的中位数从53.5天 (PNP前) 显著减少到32天 (PNP后) (P < .001).
- 在PNP实施后的时间内,治疗延迟的减少在统计学上是显著的 (P = .004).
- 患者人口统计和癌症阶段 (主要是III/IV阶段) 在PNP前后两组之间是相似的.
结论:
- 患者导航计划 (PNP) 有效地减少了RMRTH的胃肠癌患者的治疗延迟.
- 建议进行进一步的研究,以提供全面的证据,并探索PNP的更广泛的影响.
- 将PNP纳入国家癌症控制战略对于改善卢旺达癌症护理协调和及时获得治疗至关重要.
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