在实施期间在瘤学中调整PROM和PREM的数字集成:一个范围审查
Nuša Farič1,2, Anne-Lore Scherrens3,4, Eveline Raemdonck3
1Institute for Adaptive and Neural Computation, School of Informatics, The University of Edinburgh, 10 Crichton St, Edinburgh, EH8 9AB, UK. nfaric@ed.ac.uk.
概括
癌症护理中患者报告结果 (ePROM) 的数字工具需要适应才能成功实施. 本次审查强调了常见的适应措施,但指出缺乏对这些关键变化的标准化报告和有效性评估.
科学领域:
- 数字健康数字健康
- 在瘤学瘤学.
- 实施科学 实施科学
背景情况:
- 数字工具,包括患者报告的结果和经验测量 (ePROM / PREM),使有效的数据收集成为可能.
- 对ePROM/PREM的调整对于成功实施至关重要,并且可以提高数据质量,临床管理和患者的治疗结果.
- 在医疗保健机构实施数字工具期间,对技术和内容的调整缺乏一致的报告.
研究的目的:
- 探索研究如何报告对ePROM/PREM进行的调整.
- 在日常癌症护理中实施ePROM/PREM系统时,确定适应的原因和类型.
主要方法:
- 进行了系统的范围审查.
- 在PubMed,Embase,PsychINFO和CINAHL进行了搜索,截至2023年5月5日.
- 数据采集和总结使用系统审查和超分析的首选报告项目扩展范围审查 (PRISMA-ScR) 检查清单,并遵循人口,概念和上下文 (PCC) 框架.
主要成果:
- 包括20个出版物,其中85%自2019年以来出版. 没有关于ePREMs的研究报告.
- 通过使用各种数据收集方法和利益相关者进行了调整,通常以实施框架为指导.
- 常见的调整包括改变语境 (例如,安装),内容 (例如,可读性),评估 (例如,警报) 和为患者和临床医生提供培训.
结论:
- 本综述总结了在实施期间对瘤ePROMs进行的调整类型.
- 目前还没有达成一致的系统来捕获ePROM在瘤学中的适应.
- 需要一个标准化的框架来评估ePROM及其适应的有效性.
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