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2018 年血液病/肿瘤药师协会口腔肿瘤治疗管理最佳实践:药学实践标准。

2018 Hematology/Oncology Pharmacist Association Best Practices for the Management of Oral Oncolytic Therapy: Pharmacy Practice Standard.

机构信息

1 Michigan Oncology Quality Consortium, Ann Arbor, MI.

2 Seattle Cancer Care Alliance/University of Washington Medical Center, Seattle, WA.

出版信息

J Oncol Pract. 2019 Apr;15(4):e346-e355. doi: 10.1200/JOP.18.00581. Epub 2019 Mar 12.

Abstract

PURPOSE

The aim of the current work was to present a pharmacy practice standard from the Hematology/Oncology Pharmacy Association (HOPA) on the management of oral oncolytic therapy.

METHODS

The HOPA Standards Committee organized a work group of oncology pharmacist specialists to create a pharmacy practice standard for the management of oral oncolytic therapy that describes the pharmacist's role on the cancer care team, provides examples of practice tools and resources, summarizes current data related to outcomes, and discusses opportunities to enhance the care of patients with cancer who receive oral oncolytic therapy. We reviewed primary literature, including currently published oral oncolytic guidelines and HOPA's Scope of Hematology/Oncology Pharmacy Practice.

RESULTS

Management of oral oncolytic therapy was divided into the following primary areas: prescribing, education, dispensing and distribution, and monitoring and follow-up. Pharmacists' roles were summarized in each area with a focus on interprofessional collaboration, communication, patient safety, and quality of patient care. Standards describe the best practices in each area ( Table 1 ).

CONCLUSION

Multiple opportunities exist for pharmacists to enhance the care of patients with cancer who receive oral oncolytics through collaboration with oncology care team members. The role of the oncology pharmacist in the care of this patient population is critical given the complexities related to cost, tolerability, and safety of oral oncolytic medications; issues of access; and the monitoring and follow-up of patients receiving this therapy.

摘要

目的

本研究旨在呈现一份来自肿瘤药学协会(HOPA)的药房实践标准,以管理口服肿瘤疗法。

方法

HOPA 标准委员会组织了一个肿瘤药剂师专家工作组,制定了一份管理口服肿瘤疗法的药房实践标准,描述了药剂师在癌症护理团队中的角色,提供了实践工具和资源的示例,总结了与结局相关的当前数据,并讨论了增强接受口服肿瘤疗法的癌症患者护理的机会。我们回顾了主要文献,包括当前发表的口服肿瘤疗法指南和 HOPA 的血液学/肿瘤药学实践范围。

结果

口服肿瘤疗法的管理分为以下主要领域:处方、教育、配药和分发以及监测和随访。在每个领域总结了药剂师的角色,重点是专业间的协作、沟通、患者安全和患者护理质量。标准描述了每个领域的最佳实践(表 1)。

结论

药剂师有多个机会通过与肿瘤护理团队成员合作,来增强接受口服肿瘤药物治疗的癌症患者的护理。鉴于口服肿瘤药物的成本、耐受性和安全性相关的复杂性、可及性问题,以及接受这种治疗的患者的监测和随访,肿瘤药剂师在这一患者群体的护理中起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a573/6494244/57c23beda2ca/JOP.18.00581f1.jpg

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