Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA.
Lancet Oncol. 2023 Aug;24(8):e344-e354. doi: 10.1016/S1470-2045(23)00297-8.
Brain metastases are an increasing global public health concern, even as survival rates improve for patients with metastatic disease. Both metastases and the sequelae of their treatment are key determinants of the inter-related priorities of patient survival, function, and quality of life, mandating a multidimensional approach to clinical care and research. At a virtual National Cancer Institute Workshop in September, 2022, key stakeholders convened to define research priorities to address the crucial areas of unmet need for patients with brain metastases to achieve meaningful advances in patient outcomes. This Policy Review outlines existing knowledge gaps, collaborative opportunities, and specific recommendations regarding consensus priorities and future directions in brain metastases research. Achieving major advances in research will require enhanced coordination between the ongoing efforts of individual organisations and consortia. Importantly, the continual and active engagement of patients and patient advocates will be necessary to ensure that the directionality of all efforts reflects what is most meaningful in the context of patient care.
脑转移瘤是一个日益受到全球关注的公共卫生问题,即使转移性疾病患者的生存率有所提高。转移瘤及其治疗的后遗症是与患者生存、功能和生活质量相关的关键决定因素,需要对临床护理和研究采取多维方法。在 2022 年 9 月的国家癌症研究所虚拟研讨会上,关键利益攸关方召开会议,确定研究重点,以解决脑转移瘤患者的关键未满足需求领域,为患者结局取得有意义的进展。本政策述评概述了脑转移瘤研究中现有知识差距、合作机会以及关于脑转移瘤研究共识重点和未来方向的具体建议。要在研究中取得重大进展,需要加强各个组织和联盟之间正在进行的努力的协调。重要的是,需要持续积极地让患者及其患者倡导者参与进来,以确保所有努力的方向在患者护理的背景下最有意义。