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本文引用的文献

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Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice.在临床实践中,常规向医疗保健提供者和患者提供来自患者报告的结局测量的反馈。
Cochrane Database Syst Rev. 2021 Oct 12;10(10):CD011589. doi: 10.1002/14651858.CD011589.pub2.
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A catalyst for transforming health systems and person-centred care: Canadian national position statement on patient-reported outcomes.推动卫生系统和以患者为中心的护理变革的催化剂:加拿大关于患者报告结局的国家立场声明。
Curr Oncol. 2020 Apr;27(2):90-99. doi: 10.3747/co.27.6399. Epub 2020 May 1.
3
Real-world use of trifluridine/tipiracil for patients with metastatic colorectal cancer in Canada.加拿大转移性结直肠癌患者使用曲氟尿苷/替匹嘧啶的真实世界研究
Curr Oncol. 2019 Oct;26(5):319-329. doi: 10.3747/co.26.5107. Epub 2019 Oct 1.
4
The impact of patient-reported outcome (PRO) data from clinical trials: a systematic review and critical analysis.临床试验中患者报告结局(PRO)数据的影响:系统评价和批判性分析。
Health Qual Life Outcomes. 2019 Oct 16;17(1):156. doi: 10.1186/s12955-019-1220-z.
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Feasibility of Using Real-World Data to Replicate Clinical Trial Evidence.利用真实世界数据复制临床试验证据的可行性。
JAMA Netw Open. 2019 Oct 2;2(10):e1912869. doi: 10.1001/jamanetworkopen.2019.12869.
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Current state of quality of life and patient-reported outcomes research.当前生活质量和患者报告结局研究的现状。
Eur J Cancer. 2019 Nov;121:55-63. doi: 10.1016/j.ejca.2019.08.016. Epub 2019 Sep 24.
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Exploring the implementation of patient-reported outcome measures in cancer care: need for more real-world evidence results in the peer reviewed literature.探索患者报告结局指标在癌症护理中的实施情况:同行评审文献中对更多真实世界证据的需求及结果
J Patient Rep Outcomes. 2018 Dec 27;2(1):64. doi: 10.1186/s41687-018-0091-0.
8
The importance of patient-reported outcomes in clinical trials and strategies for future optimization.患者报告结局在临床试验中的重要性及未来优化策略。
Patient Relat Outcome Meas. 2018 Nov 1;9:353-367. doi: 10.2147/PROM.S156279. eCollection 2018.
9
Safety profile of trifluridine/tipiracil monotherapy in clinical practice: results of the German compassionate-use program for patients with metastatic colorectal cancer.替氟尿苷/盐酸拓扑替康单药治疗在临床实践中的安全性概况:转移性结直肠癌患者德国同情用药项目的结果。
BMC Cancer. 2018 Nov 16;18(1):1124. doi: 10.1186/s12885-018-5063-5.
10
Health-Related Quality of Life: The Impact on Morbidity and Mortality.健康相关生活质量:对发病率和死亡率的影响。
Surg Oncol Clin N Am. 2018 Oct;27(4):675-684. doi: 10.1016/j.soc.2018.05.008. Epub 2018 Jul 21.

真实世界研究转移性结直肠癌患者接受替氟尿苷/替匹嘧啶治疗的生活质量。

Quality of life in a real-world study of patients with metastatic colorectal cancer treated with trifluridine/tipiracil.

机构信息

Section of Medical Oncology, Tom Baker Cancer Centre, Calgary, AB.

Department of Oncology, Faculty of Medicine, McGill University, Montreal, QC.

出版信息

Curr Oncol. 2020 Oct;27(5):e451-e458. doi: 10.3747/co.27.6533. Epub 2020 Oct 1.

DOI:10.3747/co.27.6533
PMID:33173384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7606042/
Abstract

BACKGROUND

Quality of life (qol) is important for oncology patients, especially for those with late-stage disease. The present study was initiated to address the lack of published prospective data about the qol benefits of trifluridine/tipiracil (ftd/tpi) compared with best supportive care (bsc) in patients with refractory metastatic colorectal cancer (mcrc).

METHODS

This prospective, cross-sectional, non-interventional study used multidimensional validated scales to evaluate patient-reported qol in two study cohorts of patients and also to measure differences in mcrc-related symptoms and pain in a real-world clinical setting.

RESULTS

Our findings demonstrate that patients with refractory mcrc report better overall qol when treated with ftd/tpi than with bsc alone. In that population, statistically significant differences in mean qol measures favoured ftd/tpi over bsc for physical symptom distress, psychological distress, activity impairment, overall valuation of life, and symptomatology. The overall better qol for patients receiving ftd/tpi implies that treatment was well tolerated and was associated with a lower symptom burden. No significant differences for pain were observed between the groups.

CONCLUSIONS

This study suggests that ftd/tpi is a well-tolerated option for the treatment of patients with refractory mcrc, showcasing the value of capturing real-world qol data in routine clinical practice.

摘要

背景

生活质量(qol)对于肿瘤患者很重要,尤其是对于晚期疾病患者。本研究旨在解决缺乏关于三氟尿苷/替匹嘧啶(ftd/tpi)与最佳支持治疗(bsc)相比在难治性转移性结直肠癌(mcrc)患者中提高 qol 的前瞻性数据。

方法

本前瞻性、横断面、非干预性研究使用多维验证量表评估了两个研究队列患者的患者报告 qol,并在真实临床环境中测量了 mcrc 相关症状和疼痛的差异。

结果

我们的研究结果表明,与单独接受 bsc 治疗相比,接受 ftd/tpi 治疗的难治性 mcrc 患者报告的整体 qol 更好。在该人群中,ftd/tpi 治疗在身体症状困扰、心理困扰、活动障碍、整体生活评估和症状学方面的 qol 指标平均值差异具有统计学意义。接受 ftd/tpi 治疗的患者总体 qol 更好,这意味着治疗耐受性良好,与较低的症状负担相关。两组之间未观察到疼痛的显著差异。

结论

这项研究表明,ftd/tpi 是治疗难治性 mcrc 患者的一种耐受良好的选择,突显了在常规临床实践中捕获真实世界 qol 数据的价值。