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软组织肉瘤初次切除术后放射影像学监测及监测强度对患者及其亲属的影响:一项系统评价研究方案

Experiences of patients and their relatives of postoperative radiological surveillance and surveillance intensity following primary resection of a soft tissue sarcoma and its impact on their quality of life: a systematic review protocol.

机构信息

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

National Institute for Health and Care Research (NIHR) Surgical Reconstruction and Microbiology Research Centre (SRMRC), University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.

出版信息

BMJ Open. 2023 May 17;13(5):e070327. doi: 10.1136/bmjopen-2022-070327.

Abstract

INTRODUCTION

Postoperative radiological surveillance following primary resection of a soft tissue sarcoma (sarcoma of the retroperitoneum, abdomen, pelvis, trunk or extremities) is standard of care in all international high-volume sarcoma centres in the world. The intensity of postoperative surveillance imaging is highly varied and knowledge of the impact of surveillance and surveillance intensity on patients' quality of life is limited. The aim of this systematic review is to summarise the experiences of patients and their relatives/caregivers of postoperative radiological surveillance following resection of a primary soft tissue sarcoma and its impact on their quality of life.

METHODS AND ANALYSIS

We will systematically search MEDLINE, EMBASE, PsycINFO, CINAHL Plus and Epistemonikos. Hand searching of reference lists of included studies will be conducted. Further searches will be performed via Google Scholar, to reveal further studies within unpublished 'grey' literature. Two reviewers will independently screen the titles and abstracts following the eligibility criteria. After retrieval of the full text of the selected studies, the methodological quality will be appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research and the Center for Evidence-Based Management checklist for Critical Appraisal of a Cross-Sectional Study. Data on the study population, relevant themes and conclusions will be extracted from the selected papers, and a narrative synthesis will be conducted.

ETHICS AND DISSEMINATION

The systematic review does not require ethics approval. The findings of the proposed work will be published in a peer-reviewed journal and disseminated widely to patients, clinicians and allied health professionals through the Sarcoma UK website, the Sarcoma Patient Advocacy Global Network and the Trans-Atlantic Australasian Retroperitoneal Sarcoma Working Group. In addition, the outcomes of this research will be presented at national and international conferences.

PROSPERO REGISTRATION NUMBER

CRD42022375118.

摘要

简介

软组织肉瘤(腹膜后、腹部、骨盆、躯干或四肢肉瘤)原发切除术后的放射影像学随访是世界上所有国际大容量肉瘤中心的标准治疗方法。术后监测成像的强度差异很大,对监测及其强度对患者生活质量的影响的了解有限。本系统评价的目的是总结原发性软组织肉瘤切除术后患者及其亲属/护理人员接受术后放射影像学监测的经验及其对生活质量的影响。

方法和分析

我们将系统地搜索 MEDLINE、EMBASE、PsycINFO、CINAHL Plus 和 Epistemonikos。将对纳入研究的参考文献进行手工搜索。还将通过 Google Scholar 进行进一步搜索,以揭示未发表的“灰色”文献中的进一步研究。两名评审员将独立筛选符合入选标准的标题和摘要。检索到选定研究的全文后,将使用 Joanna Briggs 研究所定性研究批判性评估清单和循证管理中心横断面研究批判性评估清单评估方法学质量。将从选定论文中提取研究人群、相关主题和结论的数据,并进行叙述性综合。

伦理和传播

系统评价不需要伦理批准。拟议工作的结果将发表在同行评议的期刊上,并通过英国肉瘤协会网站、肉瘤患者倡导全球网络和跨大西洋澳大拉西亚腹膜后肉瘤工作组广泛传播给患者、临床医生和相关卫生专业人员。此外,该研究的结果将在国家和国际会议上提出。

PROSPERO 注册号:CRD42022375118。

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NCCN Guidelines Insights: Soft Tissue Sarcoma, Version 1.2021.NCCN 指南解读:软组织肉瘤,第 1.2021 版。
J Natl Compr Canc Netw. 2020 Dec 2;18(12):1604-1612. doi: 10.6004/jnccn.2020.0058.

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