Palliative Care Services, Stockholms Sjukhem Foundation and The Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden.
Palliat Med. 2010 Apr;24(3):261-6. doi: 10.1177/0269216309358137. Epub 2010 Jan 15.
During recent years, research networks and collaboratives focusing on palliative care research have been established both nationally and internationally resulting in several ongoing projects. In 2002, a clinician-based research network, the Palliative Care Research Network in Sweden (PANIS), was established to stimulate research and development of palliative care in Sweden. The growing network, which today includes 60 specialized palliative care units, has used a web-based survey generator to collect data on symptom prevalence, treatment traditions and important issues in palliative care. Eleven different studies involving almost 11,000 patients have been performed within the network including studies on prevalence of antitumoral treatment, the use of opioids, corticosteroids, blood transfusions, parenteral nutrition and prevalence of palliative sedation therapy in specialized palliative care. The working method of the research network is described, and demographic data from 9,298 patients in six cross-sectional studies are presented. Using a relatively simple research methodology, the network has succeeded in addressing key clinical questions and in this article we share experiences and challenges met during the journey.
近年来,国内外都成立了专注于姑息治疗研究的研究网络和合作组织,开展了多项正在进行的项目。2002 年,成立了一个以临床医生为基础的研究网络——瑞典姑息治疗研究网络(PANIS),旨在促进瑞典姑息治疗的研究和发展。这个不断壮大的网络目前包括 60 个专业姑息治疗单位,它使用基于网络的调查生成器来收集症状流行率、治疗传统和姑息治疗中重要问题的数据。该网络已经进行了 11 项不同的研究,涉及近 11000 名患者,包括抗肿瘤治疗、阿片类药物、皮质类固醇、输血、肠外营养和专业姑息治疗中镇静治疗流行率的研究。本文描述了研究网络的工作方法,并呈现了来自六个横断面研究的 9298 名患者的人口统计学数据。该网络使用相对简单的研究方法成功地解决了关键的临床问题,本文分享了在这一过程中遇到的经验和挑战。