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远程康复计划在癌症患者和幸存者中的应用:系统综述方案。

Telerehabilitation programmes for patients with cancer and survivors: a protocol for a systematic review.

机构信息

Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.

Department of Physical Medicine and Rehabilitation, The Second Clinical College, China Medical University, Shenyang, Liaoning, China.

出版信息

BMJ Open. 2022 Apr 7;12(4):e058981. doi: 10.1136/bmjopen-2021-058981.

DOI:10.1136/bmjopen-2021-058981
PMID:35393328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8991069/
Abstract

INTRODUCTION

The global cancer burden is a major public health problem. Cancer rehabilitation is an essential component of survivorship care for preventing complications, decreasing symptoms and improving functional quality of life (QOL). In addition to pre-existing challenges, the COVID-19 pandemic has greatly affected cancer rehabilitation programmes and their delivery to patients. This comprehensive systematic review will assess the efficacy and safety of telerehabilitation on functional outcomes and QOL in patients with cancer and survivors.

METHODS AND ANALYSIS

This study was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. The following key electronic bibliographic databases will be searched from their inception to April 2021: MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials and Physiotherapy Evidence Database (PEDro). We will include randomised controlled trials (RCTs) published in English that examine the effects of telerehabilitation programmes on patients with cancer and survivors. The terms 'telerehabilitation', 'neoplasm', 'RCT' and their analogous terms will be used in our search strategy. Two reviewers will independently complete the study screening, selection, data extraction and quality rating. The PEDro scale will be used to assess the methodological quality of the included studies. Narrative or quantitative synthesis will be conducted on the basis of the final data. The planned start and end dates for the study are 1 March 2021 and 1 May 2022, respectively.

ETHICS AND DISSEMINATION

Ethical approval will not be required for this review, and the results will be disseminated in peer-reviewed journals.

PROSPERO REGISTRATION NUMBER

CRD42021243467.

摘要

简介

全球癌症负担是一个主要的公共卫生问题。癌症康复是生存护理的重要组成部分,可预防并发症、减轻症状并改善功能生活质量(QOL)。除了先前存在的挑战外,COVID-19 大流行极大地影响了癌症康复计划及其对患者的实施。本全面系统评价将评估远程康复对癌症患者和幸存者的功能结局和 QOL 的疗效和安全性。

方法和分析

本研究按照系统评价和荟萃分析报告的首选项目进行。将从成立之日起至 2021 年 4 月在以下主要电子书目数据库中进行搜索:MEDLINE、Embase、护理学和联合健康文献累积索引、 Cochrane 对照试验中央注册库和物理治疗证据数据库(PEDro)。我们将纳入以英语发表的随机对照试验(RCT),这些试验研究了远程康复计划对癌症患者和幸存者的影响。搜索策略中将使用“远程康复”、“肿瘤”、“RCT”及其类似术语。两名评审员将独立完成研究筛选、选择、数据提取和质量评分。PEDro 量表将用于评估纳入研究的方法学质量。将根据最终数据进行叙述性或定量综合。研究的计划开始和结束日期分别为 2021 年 3 月 1 日和 2022 年 5 月 1 日。

伦理和传播

本综述不需要伦理批准,结果将在同行评议期刊上发表。

PROSPERO 注册号:CRD42021243467。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/8991069/3e65dbc70262/bmjopen-2021-058981f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/8991069/3e65dbc70262/bmjopen-2021-058981f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/8991069/3e65dbc70262/bmjopen-2021-058981f01.jpg

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本文引用的文献

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Cancer Telerehabilitation.癌症远程康复。
Phys Med Rehabil Clin N Am. 2021 May;32(2):277-289. doi: 10.1016/j.pmr.2020.12.001. Epub 2021 Jan 27.
2
PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews.PRISMA 2020 解释和说明:系统评价报告的更新指南和范例。
BMJ. 2021 Mar 29;372:n160. doi: 10.1136/bmj.n160.
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Remote interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review and meta-analysis.远程干预以改善癌症患者和康复者的久坐行为:系统评价和荟萃分析。
BMC Cancer. 2021 Mar 24;21(1):308. doi: 10.1186/s12885-021-07989-0.
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Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020:全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
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Telerehabilitation in Subjects With Respiratory Disease: A Scoping Review.远程康复在呼吸系统疾病患者中的应用:一项范围综述。
Respir Care. 2021 Apr;66(4):686-698. doi: 10.4187/respcare.08365. Epub 2021 Feb 2.
6
Telerehabilitation for chronic respiratory disease.远程康复治疗慢性呼吸系统疾病。
Cochrane Database Syst Rev. 2021 Jan 29;1(1):CD013040. doi: 10.1002/14651858.CD013040.pub2.
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Implementation of Telerehabilitation Interventions for the Self-Management of Cardiovascular Disease: Systematic Review.远程康复干预在心血管疾病自我管理中的应用:系统评价。
JMIR Mhealth Uhealth. 2020 Nov 27;8(11):e17957. doi: 10.2196/17957.
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Crit Rev Oncol Hematol. 2021 Jan;157:103123. doi: 10.1016/j.critrevonc.2020.103123. Epub 2020 Oct 20.
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A systematic review of rehabilitation and exercise recommendations in oncology guidelines.一篇关于肿瘤学指南中康复和运动建议的系统评价。
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