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[手术加速康复评估指标:胸外科患者报告结局的现状与进展]

[Evaluation Index of Enhanced Recovery After Surgery: Status and Progress of Patient Report Outcomes in Thoracic Surgery].

作者信息

Shen Cheng, Li Jue, Li Pengfei, Che Guowei

机构信息

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2019 Mar 20;22(3):161-166. doi: 10.3779/j.issn.1009-3419.2019.03.08.

DOI:10.3779/j.issn.1009-3419.2019.03.08
PMID:30909996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6441120/
Abstract

The good effect of enhanced recovery after surgery is reflected in reducing the incidence of perioperative complications and shortening the hospital stays. However, the concern for the management of perioperative patients and the quality of life of patients after surgery is not high enough. Evaluating clinical efficacy from the perspective of patient-reported data has received increasing attention. Combining the current domestic and foreign research results on the outcome of patient reports, this article systematically discusses the concept connotation, research significance, and clinical application of thoracic surgery for the outcome of patient reports with proposing a clinical outcome research model that draws on foreign patient reports to develop Chinese characteristics. Combine the related research of discipline characteristics, and summarize and analyze the existing literature reports.
.

摘要

手术加速康复的良好效果体现在降低围手术期并发症的发生率和缩短住院时间。然而,对围手术期患者管理及术后患者生活质量的关注程度还不够高。从患者报告数据的角度评估临床疗效受到了越来越多的关注。结合国内外目前关于患者报告结局的研究成果,本文系统地探讨了胸外科患者报告结局的概念内涵、研究意义及临床应用,并提出了一个借鉴国外患者报告来发展中国特色的临床结局研究模型。结合学科特点的相关研究,对现有文献报道进行总结分析。

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2
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本文引用的文献

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[What is Enhanced Recovery After Surgery: Humanity or Technology?].[什么是术后加速康复:人文还是技术?]
Zhongguo Fei Ai Za Zhi. 2018 Mar 20;21(3):168-172. doi: 10.3779/j.issn.1009-3419.2018.03.08.
2
Patient-Reported Outcomes Are Associated With Enhanced Recovery Status in Patients With Bladder Cancer Undergoing Radical Cystectomy.患者报告结局与接受根治性膀胱切除术的膀胱癌患者的强化康复状态相关。
Surg Innov. 2018 Jun;25(3):242-250. doi: 10.1177/1553350618764218. Epub 2018 Mar 20.
3
Improvement in patient-reported outcomes after lung transplantation is not impacted by the use of extracorporeal membrane oxygenation as a bridge to transplantation.肺移植后患者报告结局的改善不受体外膜氧合作为移植桥接的影响。
J Thorac Cardiovasc Surg. 2018 Jul;156(1):440-448.e2. doi: 10.1016/j.jtcvs.2018.01.101. Epub 2018 Feb 22.
4
[Establishment and Optimization of Enhanced Recovery after Surgery System 
for Lung Cancer].[肺癌手术加速康复系统的建立与优化]
Zhongguo Fei Ai Za Zhi. 2017 Dec 20;20(12):795-799. doi: 10.3779/j.issn.1009-3419.2017.12.01.
5
Enhanced recovery programs in lung cancer surgery: systematic review and meta-analysis of randomized controlled trials.肺癌手术中的加速康复计划:随机对照试验的系统评价和荟萃分析
Cancer Manag Res. 2017 Nov 16;9:657-670. doi: 10.2147/CMAR.S150500. eCollection 2017.
6
Quality of life outcomes following pediatric lung transplantation.小儿肺移植后的生活质量结果
Pediatr Pulmonol. 2017 Nov;52(11):1495-1501. doi: 10.1002/ppul.23788. Epub 2017 Sep 14.
7
[Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?].[术后肺部恢复增强,它是精准治疗的必要条件吗?]
Zhongguo Fei Ai Za Zhi. 2017 Aug 20;20(8):549-554. doi: 10.3779/j.issn.1009-3419.2017.08.09.
8
Assessment of Minimum Important Difference and Substantial Clinical Benefit with the Vascular Quality of Life Questionnaire-6 when Evaluating Revascularisation Procedures in Peripheral Arterial Disease.使用血管生活质量问卷-6评估外周动脉疾病血运重建手术时的最小重要差异和实质性临床获益
Eur J Vasc Endovasc Surg. 2017 Sep;54(3):340-347. doi: 10.1016/j.ejvs.2017.06.022. Epub 2017 Jul 25.
9
Associations between clinical diagnostic criteria and pretreatment patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome.在一个神经源性胸廓出口综合征患者的前瞻性观察队列中,临床诊断标准与治疗前患者报告的结局指标之间的关联。
J Vasc Surg. 2017 Aug;66(2):533-544.e2. doi: 10.1016/j.jvs.2017.03.419.
10
Patient-Reported Outcomes in Thoracic Surgery.胸外科患者报告的结局
Thorac Surg Clin. 2017 Aug;27(3):279-290. doi: 10.1016/j.thorsurg.2017.03.007. Epub 2017 May 22.