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与晚期癌症共存及初级保健提供者的作用:生存讨论中缺失的部分。

Living with advanced cancer and the role of the primary care provider: The missing piece in the survivorship discourse.

作者信息

Nekhlyudov L, Birken S A, Mayer D K

机构信息

Department of Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.

Department of Health Policy and Management, Gillings School of Global Public Health, Chapel Hill, NC, USA.

出版信息

Eur J Cancer Care (Engl). 2017 May;26(3). doi: 10.1111/ecc.12708. Epub 2017 May 11.

Abstract

The period of survivorship has been identified as a distinct phase of the cancer continuum, and the key role of primary care providers in caring for cancer survivors has been recognized. However, much of the focus to date has been placed on cancer survivors who are treated with curative intent and survive cancer-free. Receiving less attention are those who are living with advanced, non-curative cancer. In this commentary, we review the current evidence about the characteristics of these survivors, their unmet needs and receipt of health care. We offer insights into future research, education and policy initiatives aiming to enhance the care for this population.

摘要

生存期已被确定为癌症连续过程中的一个独特阶段,初级保健提供者在照顾癌症幸存者方面的关键作用已得到认可。然而,迄今为止,大部分关注都集中在接受根治性治疗且无癌生存的癌症幸存者身上。而那些患有晚期、无法治愈癌症的患者则较少受到关注。在这篇评论中,我们回顾了关于这些幸存者的特征、未满足的需求以及医疗保健接受情况的现有证据。我们对旨在加强对这一人群护理的未来研究、教育和政策举措提出见解。

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