在胃肠道癌症手术中进行预康复的自我报告的身体,营养和心理查工具上的专家共识:国际德尔菲研究
Jack Reeves1,2,3, Sascha Karunaratne4,5, Kate Alexander4,5
1Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia. jack.reeves@uts.edu.au.
Annals of surgical oncology
|March 15, 2026
概括
这项Delphi研究确定了10种基于共识的查工具,用于胃肠道癌症手术患者的预康复. 这些工具旨在识别患有不良术后结果风险较高的个体,指导量身定制的干预.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 老年学是一门学科.
背景情况:
- 预康复对于减少术后并发症和改善胃肠道癌症患者的康复至关重要.
- 需要有效的手术前查,以确定有针对性的预康复干预的高风险个体.
- 对于手术患者来说,最优的查工具仍然没有定义.
研究的目的:
- 在胃肠癌手术前,就适当的查工具达成国际共识,以识别患有术后并发症风险增加的患者.
- 建立在外科瘤学中对预康复查的标准化方法.
主要方法:
- 一项为期三轮的德尔菲调查,分发给308名全球预康复专家.
- 专家们使用5分利克特尺度对26种查工具 (身体,营养,心理) 进行了评分.
- 共识要求≥70%的受访者将工具评价为≥4.4.
主要成果:
- 对于10个自我报告的查工具达成共识:3个是物理的,3个是营养的,4个是心理的.
- 这些工具是通过专家共识而不是经验验证来确定的.
结论:
- 十种预康复查工具在胃肠癌手术领域的全球专家之间达成了德尔菲共识.
- 前性研究对于验证这些工具进行外科风险分层和预康复候选人识别至关重要.
相关概念视频
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
579
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
579
01:17Assessment of the Gastrointestinal System I: Subjective Data
771
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
771
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
1.8K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.8K
01:30Serum Laboratory Studies, Stool Test, Breath Test
1.0K
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
1.0K