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利用基于人群的癌症登记系统招募新诊断的卵巢癌患者。

Using a population-based cancer registry for recruitment of newly diagnosed patients with ovarian cancer.

作者信息

Andersen M Robyn, Schroeder Tom, Gaul Marcia, Moinpour Carol, Urban Nicole

机构信息

Fred Hutchinson Cancer Research Center, Seattle, WA, USA.

出版信息

Am J Clin Oncol. 2005 Feb;28(1):17-20. doi: 10.1097/01.coc.0000138967.62532.2e.

Abstract

BACKGROUND

Although rarely used for clinical trial recruitment in the United States, population-based registries are a potential resource for identification of patients with cancer for some kinds of research trials. They record fairly detailed information on a cancer patient's condition at the time of diagnosis (stage, histologic types, and other clinical and demographic variables) and record all patients in a geographic area. This information can be used to identify patients eligible for intervention trials.

METHODS

Using a cancer registry to identify newly diagnosed patients and their physicians, this study recruited 60 women for a feasibility trial of a psychosocial intervention designed to improve the quality of life for women with ovarian cancer. Active consent from physicians was obtained before contacting patients.

RESULTS

Of 441 women identified as potentially eligible from the cancer registry, 364 (82%) were screened for eligibility and 179 (41%) were eventually determined to be eligible. Of the identified eligible women, 60 (34%) were recruited and enrolled in the trial.

CONCLUSIONS

This rate of recruitment is within the range of recruitment rates reported in past studies examining efforts to enroll patients in clinical trials at single institutions. These findings suggest that registry-based recruitment efforts may be useful for expanding recruitment to the larger community.

摘要

背景

在美国,基于人群的登记处虽然很少用于临床试验招募,但对于某些类型的研究试验而言,它是识别癌症患者的潜在资源。它们会记录癌症患者诊断时病情的相当详细的信息(分期、组织学类型以及其他临床和人口统计学变量),并记录某一地理区域内的所有患者。这些信息可用于识别符合干预试验条件的患者。

方法

本研究利用癌症登记处来识别新诊断的患者及其医生,招募了60名女性参与一项心理社会干预的可行性试验,该干预旨在改善卵巢癌女性的生活质量。在联系患者之前获得了医生的主动同意。

结果

在癌症登记处识别出的441名潜在符合条件的女性中,364名(82%)接受了资格筛查,最终确定179名(41%)符合条件。在识别出的符合条件的女性中,60名(34%)被招募并纳入试验。

结论

这一招募率在过去研究报告的单机构临床试验患者招募率范围内。这些发现表明,基于登记处的招募工作可能有助于将招募范围扩大到更大的社区。

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