Yi Hang, Ou-Yang Xu, Hong Qian, Liu Lu, Liu Man, Wang Yan, Zhang Guochao, Ma Fengyan, Mu Juwei, Mao Yousheng
Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Shantou University Medical College, Shantou, 515041, China.
Asian J Surg. 2024 Aug 7. doi: 10.1016/j.asjsur.2024.07.304.
Lung cancer is a leading cause of cancer-related mortality worldwide, profoundly affecting patients' quality of life. Patient-reported outcomes (PROs) provide essential insights from the patients' perspective, a crucial aspect often overlooked by traditional clinical outcomes. This review synthesizes research on the role of PROs in lung cancer surgery to enhance patient care and outcomes. We conducted a comprehensive literature search across PubMed, Scopus, and Web of Science up to March 2024, using terms such as "lung cancer," "Patient Reported Outcome," "lobectomy," "segmentectomy," and "lung surgery." The criteria included original studies on lung cancer patients who underwent surgical treatment and reported on PROs. After screening and removing duplicates, reviews, non-English articles, and irrelevant studies, 36 research articles were selected, supported by an additional 53 publications, totaling 89 references. The findings highlight the utility of PROs in assessing post-surgical outcomes, informing clinical decisions, and facilitating patient-centered care. However, challenges in standardization, patient burden, and integration into clinical workflows remain, underscoring the need for further research and methodological refinement. PROs are indispensable for understanding the quality-of-life post-surgery and enhancing communication and decision-making in clinical practice. Their integration into routine care is vital for a holistic approach to lung cancer treatment, promising significant improvements in patient outcomes and quality of care.
肺癌是全球癌症相关死亡的主要原因,严重影响患者的生活质量。患者报告结局(PROs)从患者的角度提供了重要见解,这是传统临床结局常常忽视的一个关键方面。本综述综合了关于PROs在肺癌手术中的作用的研究,以改善患者护理和结局。我们在截至2024年3月的PubMed、Scopus和科学网进行了全面的文献检索,使用了“肺癌”、“患者报告结局”、“肺叶切除术”、“肺段切除术”和“肺部手术”等术语。纳入标准包括对接受手术治疗并报告了PROs的肺癌患者的原始研究。在筛选并去除重复项、综述、非英文文章和无关研究后,选择了36篇研究文章,并辅以另外53篇出版物,共计89篇参考文献。研究结果突出了PROs在评估术后结局、为临床决策提供信息以及促进以患者为中心的护理方面的效用。然而,在标准化、患者负担以及融入临床工作流程方面仍然存在挑战,这凸显了进一步研究和方法改进的必要性。PROs对于了解术后生活质量以及加强临床实践中的沟通和决策不可或缺。将其纳入常规护理对于肺癌治疗的整体方法至关重要,有望显著改善患者结局和护理质量。