卵巢癌幸存者中 PROMs 的主动使用:系统评价。
Proactive use of PROMs in ovarian cancer survivors: a systematic review.
机构信息
Department of Clinical Oncology, Sygehus Lillebalt, Vejle Sygehus, Beriderbakken 4, DK-7100, Vejle, Denmark.
Institute of Regional Health Research, University of Southern Denmark, Winsløwparken 19, 3, 5000, Odense, Denmark.
出版信息
J Ovarian Res. 2019 Jul 15;12(1):63. doi: 10.1186/s13048-019-0538-9.
INTRODUCTION
The use of patient reported outcome measures (PROMs) has increased during the past decade, and the focus on how to use them has resulted in a more proactive application. Studies have shown that proactive use of PROMs during treatment improves patient-clinician communication, leads to better symptom management and may prolong survival among advanced cancer patients. Ovarian cancer is a serious disease in which the majority of patients experience recurrence during the follow-up period and suffer from a number of severe symptoms from underlying disease. This systematic review was conducted to assess the evidence on the proactive use of PROMs as a dialogue tool during follow-up of ovarian cancer patients.
RESULTS
The following databases were searched for relevant literature; PubMed, EMBASE, CINAHL, and the Cochrane Library. The search was conducted in April 2019 without any filters or limits. A total of 643 publications were identified, and 48 studies were found to be potentially eligible. Of the 48 papers, none met the final inclusion criterion of using PROMs proactively as a dialogue tool for ovarian cancer patients during follow-up.
CONCLUSION
Studies have shown that PROMs can identify otherwise undetected symptoms. Using PROMs proactively during the consultation has been shown to improve symptom management for patients with some other types of cancer. However, we found no studies that had examined the proactive use of PROMs during follow-up of ovarian cancer patients. Future studies should evaluate if the proactive use of PROMs could facilitate a more individualized and more effective follow-up program tailored to the ovarian cancer patient's needs and preferences.
简介
在过去十年中,患者报告结局测量(PROMs)的使用有所增加,并且对如何使用 PROMs 的关注导致了更积极的应用。研究表明,在治疗过程中积极使用 PROMs 可以改善医患沟通,更好地管理症状,并可能延长晚期癌症患者的生存时间。卵巢癌是一种严重的疾病,大多数患者在随访期间会复发,并患有多种严重的疾病相关症状。本系统评价旨在评估在卵巢癌患者随访中积极使用 PROMs 作为对话工具的证据。
结果
我们在以下数据库中搜索了相关文献:PubMed、EMBASE、CINAHL 和 Cochrane Library。搜索于 2019 年 4 月进行,没有任何筛选或限制。共确定了 643 篇出版物,发现有 48 项研究可能符合条件。在这 48 篇论文中,没有一篇符合最终纳入标准,即积极使用 PROMs 作为卵巢癌患者随访期间的对话工具。
结论
研究表明,PROMs 可以识别其他未被发现的症状。在咨询中积极使用 PROMs 已被证明可以改善某些其他类型癌症患者的症状管理。然而,我们没有发现任何研究检查了在卵巢癌患者随访中积极使用 PROMs 的情况。未来的研究应评估积极使用 PROMs 是否可以促进更个体化和更有效的随访计划,以满足卵巢癌患者的需求和偏好。