在基于疾病的NCCN指南中描述生存建议
Larissa Nekhlyudov1, Andrea Anampa-Guzmán2, Neha Awati3,4
11Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Journal of the National Comprehensive Cancer Network : JNCCN
|March 13, 2026
概括
幸存者护理内容在全国综合癌症网络 (NCCN) 指南中呈现不一致. 标准化和扩展这些建议可以改善临床医生的支持和以患者为中心的癌症护理.
科学领域:
- 在瘤学瘤学.
- 基于证据的医学 基于证据的医学
- 癌症的生存率 癌症的生存率
背景情况:
- 国家综合癌症网络 (NCCN) 准则是癌症护理的基于证据的标准.
- 这项研究评估了疾病特异性NCCN指南中的生存建议.
研究的目的:
- 评估NCCN疾病特定指南中生存率内容的存在,细节和一致性.
- 在NCCN指南中确定改善幸存者护理整合的机会.
主要方法:
- 在2025年对54个特定疾病的NCCN指南进行系统审查.
- 内容使用癌症幸存者护理框架的质量进行分类.
- 评估和比较到2024年数据的详细程度.
主要成果:
- 只有30%的指南有专门的生存部分;33%没有引用NCCN生存指南.
- 对复发的监测是最常见的 (96%);慢性疾病管理是最不常见的 (31%).
- 2024年至2025年之间的更新显示,幸存者内容的扩展有限.
结论:
- 幸存率内容不一致地被整合到特定疾病的NCCN指南中.
- 标准化和明确标记幸存者建议可以提高可访问性.
- 改善整合支持临床医生提供以患者为中心的幸存者护理.
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