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循着轨迹:利用姑息治疗发展的洞见为癌症康复提出路线图。

Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation.

机构信息

Scientist, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Assistant Professor of Psychiatry, Department of Psychiatry, Dartmouth College, Hanover, NH.

出版信息

CA Cancer J Clin. 2019 Mar;69(2):113-126. doi: 10.3322/caac.21549. Epub 2018 Nov 20.

Abstract

Despite research explicating the benefits of cancer rehabilitation interventions to optimize physical, social, emotional, and vocational functioning, many reports document low rates of referral to and uptake of rehabilitation in oncology. Cancer rehabilitation clinicians, researchers, and policy makers could learn from the multidisciplinary specialty of palliative care, which has benefited from a growth strategy and has garnered national recognition as an important and necessary aspect of oncology care. The purpose of this article is to explore the actions that have increased the uptake and integration of palliative care to yield insights and multimodal strategies for the development and growth of cancer rehabilitation. After examining the history of palliative care and its growth, the authors highlight 5 key strategies that may benefit the field of cancer rehabilitation: 1) stimulating the science in specific gap areas; 2) creating clinical practice guidelines; 3) building clinical capacity; 4) ascertaining and responding to public opinion; and 5) advocating for public policy change. Coordinated and simultaneous advances on these 5 strategies may catalyze the growth, utilization, and effectiveness of patient screening, timely referrals, and delivery of appropriate cancer rehabilitation care that reduces disability and improves quality of life for cancer survivors who need these services.

摘要

尽管有研究明确了癌症康复干预的益处,以优化身体、社交、情感和职业功能,但许多报告都指出,癌症患者接受康复治疗的转诊率和接受率都很低。癌症康复临床医生、研究人员和政策制定者可以从姑息治疗的多学科专业中吸取经验,姑息治疗已经受益于一项增长战略,并获得了全国认可,成为癌症治疗的一个重要和必要的方面。本文的目的是探讨增加姑息治疗的采用和整合的措施,以获得癌症康复发展和增长的见解和多模式策略。在考察了姑息治疗的历史及其发展之后,作者强调了 5 项可能有益于癌症康复领域的关键策略:1)激发特定空白领域的科学研究;2)制定临床实践指南;3)建立临床能力;4)确定并回应公众意见;5)倡导公共政策的改变。这 5 项策略的协调和同步推进,可能会促进癌症康复服务的增长、利用和有效性,减少残疾,提高需要这些服务的癌症幸存者的生活质量。

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