King Allison A, Baumann Ana A
Program in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri.
Division of Pediatric Hematology/Oncology, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Pediatr Blood Cancer. 2017 Nov;64(11). doi: 10.1002/pbc.26649. Epub 2017 May 28.
Sickle cell disease (SCD) results in end organ damage and a shortened lifespan. Both the pathophysiology of the disease and the social determinants of health affect patient outcomes. Randomized controlled trials have been completed among this population and resulted in medical advances; however, the gestation of these advances and the lack of penetrance into clinical practice have limited advancements in clinical improvements for many people with SCD. We discuss the role of implementation science in SCD and highlight the need for this science to shorten the length of time to implement evidence-based care for more people with SCD.
镰状细胞病(SCD)会导致终末器官损伤并缩短寿命。该疾病的病理生理学和健康的社会决定因素都会影响患者的治疗结果。针对这一人群的随机对照试验已经完成,并取得了医学进展;然而,这些进展的酝酿过程以及在临床实践中的普及率不足,限制了许多SCD患者临床改善方面的进步。我们讨论了实施科学在SCD中的作用,并强调需要运用这门科学来缩短为更多SCD患者实施循证护理的时间。