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[头颈癌治疗中患者报告的结局:相关性、挑战与益处]

[Patient-reported outcomes in head and neck cancer treatment: relevance, challenges, and benefit].

作者信息

Singer Susanne, Bergelt Corinna, Tribius Silke, Laban Simon, Busch Chia-Jung

机构信息

Abteilung Epidemiologie und Versorgungsforschung, Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätsmedizin Mainz, 55101, Mainz, Deutschland.

Institut für Medizinische Psychologie, Universitätsmedizin Greifswald, Greifswald, Deutschland.

出版信息

HNO. 2023 Sep;71(9):592-598. doi: 10.1007/s00106-023-01325-7. Epub 2023 Jul 8.

Abstract

Next to overall survival, quality of life is becoming more and more pivotal for cancer patients. The various domains of quality of life are complex and have different value to each patient. However, not only patients but also health care professionals, the pharmaceutical industry, and regulatory bodies ask: How can quality of life be reliably ascertained in clinical trials? For this purpose, carefully developed and validated specific questionnaires are needed: the patient-reported outcome measures (PROMs). A key challenge is to define how results based on PROMs can be used for shared decision-making. Next to clinical factors such as health and nutritional status, quality of life acts as a prognostic factor for overall survival in cancer. Thus, it is crucial to take quality of life into account in daily clinical practice.

摘要

除了总生存期外,生活质量对癌症患者来说变得越来越关键。生活质量的各个领域都很复杂,对每个患者都有不同的价值。然而,不仅患者,而且医疗保健专业人员、制药行业和监管机构都在问:如何在临床试验中可靠地确定生活质量?为此,需要精心制定并验证特定的问卷:患者报告结局测量(PROMs)。一个关键挑战是定义如何将基于PROMs的结果用于共同决策。除了健康和营养状况等临床因素外,生活质量是癌症总生存期的一个预后因素。因此,在日常临床实践中考虑生活质量至关重要。

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