Cleveland Clinic, Cleveland, OH.
Harbin Clinic LLC, Rome, GA.
J Clin Oncol. 2021 Jan 10;39(2):155-169. doi: 10.1200/JCO.20.02953. Epub 2020 Dec 8.
This report presents the American Society of Clinical Oncology's (ASCO's) evaluation of the adaptations in care delivery, research operations, and regulatory oversight made in response to the coronavirus pandemic and presents recommendations for moving forward as the pandemic recedes. ASCO organized its recommendations for clinical research around five goals to ensure lessons learned from the COVID-19 experience are used to craft a more equitable, accessible, and efficient clinical research system that protects patient safety, ensures scientific integrity, and maintains data quality. The specific goals are: (1) ensure that clinical research is accessible, affordable, and equitable; (2) design more pragmatic and efficient clinical trials; (3) minimize administrative and regulatory burdens on research sites; (4) recruit, retain, and support a well-trained clinical research workforce; and (5) promote appropriate oversight and review of clinical trial conduct and results. Similarly, ASCO also organized its recommendations regarding cancer care delivery around five goals: (1) promote and protect equitable access to high-quality cancer care; (2) support safe delivery of high-quality cancer care; (3) advance policies to ensure oncology providers have sufficient resources to provide high-quality patient care; (4) recognize and address threats to clinician, provider, and patient well-being; and (5) improve patient access to high-quality cancer care via telemedicine. ASCO will work at all levels to advance the recommendations made in this report.
本报告介绍了美国临床肿瘤学会(ASCO)对医疗服务提供、研究运营和监管监督方面的适应措施进行的评估,以应对冠状病毒大流行,并就大流行消退后如何推进提出建议。ASCO 将其临床研究建议围绕五个目标进行组织,以确保从 COVID-19 经验中吸取的教训用于构建一个更加公平、可及和高效的临床研究系统,保护患者安全,确保科学完整性,并保持数据质量。具体目标是:(1)确保临床研究具有可及性、可负担性和公平性;(2)设计更具实用性和效率的临床试验;(3)最大限度地减少研究站点的行政和监管负担;(4)招募、保留和支持训练有素的临床研究人员;(5)促进对临床试验进行和结果的适当监督和审查。同样,ASCO 还围绕五个目标对癌症护理提供提出了建议:(1)促进和保护公平获得高质量癌症护理的机会;(2)支持安全提供高质量癌症护理;(3)推进政策,确保肿瘤学提供者有足够的资源提供高质量的患者护理;(4)认识和解决临床医生、提供者和患者福祉受到的威胁;(5)通过远程医疗改善患者获得高质量癌症护理的机会。ASCO 将在各个层面努力推进本报告中的建议。