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利用远程医疗管理乳腺癌:一项系统综述。

Leveraging Telehealth for the Management of Breast Cancer: A Systematic Review.

作者信息

Kruse Clemens Scott, Pacheco Gerardo J, Vargas Brea, Lozano Nadya, Castro Sergio, Gattu Manasa

机构信息

School of Health Administration, Texas State University, 601 University Drive, San Marcos, TX 78666, USA.

出版信息

Healthcare (Basel). 2022 Oct 12;10(10):2015. doi: 10.3390/healthcare10102015.

Abstract

BACKGROUND

Breast cancer affects 2.3 million women and kills 685,000 globally, making it the most prevalent cancer. The telemedicine modality has been used to treat the symptoms associated with breast cancer recovery.

OBJECTIVES

To analyze the effectiveness of telemedicine to help women recover from the treatment-associated effects and promote overall recovery from breast cancer.

METHODS

Four databases were queried for published literature from the last 10 years. The systematic literature review was conducted in accordance with the Kruse Protocol and reported in accordance with PRISMA 2020.

RESULTS

Five interventions were identified in the literature, with the most dominant being eHealth and mHealth. The other interventions were telephone, video teleconference, and a combination of eHealth and mHealth. There were positive effects of these telemedicine interventions in 88% of the studies analyzed. Telemedicine is shown to positively affect physical and mental health, sleep outcomes, quality of life, and body image. The largest barriers to the adoption of telemedicine interventions are training, cost, workflow, time of providers, and low reimbursement.

CONCLUSION

Telemedicine offers promise to both providers and breast cancer survivors to improve the physical and mental health detriments of both cancer and its associated treatments. It also helps women develop healthy habits to reduce the risk of reoccurrence.

摘要

背景

乳腺癌影响着全球230万女性,导致68.5万人死亡,使其成为最常见的癌症。远程医疗模式已被用于治疗与乳腺癌康复相关的症状。

目的

分析远程医疗在帮助女性从治疗相关影响中恢复并促进乳腺癌全面康复方面的有效性。

方法

查询了四个数据库中过去10年发表的文献。系统文献综述按照克鲁斯协议进行,并根据PRISMA 2020报告。

结果

文献中确定了五种干预措施,其中最主要的是电子健康和移动健康。其他干预措施是电话、视频电话会议以及电子健康和移动健康的结合。在分析的88%的研究中,这些远程医疗干预措施产生了积极效果。远程医疗被证明对身心健康、睡眠结果、生活质量和身体形象有积极影响。采用远程医疗干预措施的最大障碍是培训、成本、工作流程、提供者时间和报销率低。

结论

远程医疗为提供者和乳腺癌幸存者都带来了希望,有助于改善癌症及其相关治疗对身心健康造成的损害。它还帮助女性养成健康的习惯,以降低复发风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aac/9602569/cbf54803a057/healthcare-10-02015-g001.jpg

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