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填补关键空白：低收入和中等收入国家儿科肿瘤患者的清醒镇静

Addressing the critical gap: conscious sedation for pediatric oncology patients in LMICs.

作者信息

Bukhari Syed Ibrahim, Arega Gashaw, Altaf Sadaf

机构信息

Department of Oncology, Aga Khan University, Karachi, Pakistan.

Division of Hematology Oncology, Department of Pediatrics & Child Health, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Discov Oncol. 2024 Sep 8;15(1):415. doi: 10.1007/s12672-024-01209-4.

DOI:10.1007/s12672-024-01209-4
PMID:39244740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11381489/
Abstract

Most newly diagnosed pediatric cancer patients reside in LMICs. These countries face challenges in providing quality treatment, particularly with procedures requiring stillness or causing pain. Conscious sedation (CS) is underutilized in LMICs due, causing treatment delays and adverse outcomes. Advocacy for CS teams, training, and policy support is essential to improve outcomes.

摘要

大多数新诊断出的儿科癌症患者居住在低收入和中等收入国家。这些国家在提供高质量治疗方面面临挑战，尤其是对于需要保持静止或会引起疼痛的治疗程序。在低收入和中等收入国家，清醒镇静（CS）的使用不足，导致治疗延误和不良后果。倡导成立清醒镇静团队、开展培训并提供政策支持对于改善治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/ef427980cbb3/12672_2024_1209_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/bfa678bb2b8c/12672_2024_1209_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/17ce19078592/12672_2024_1209_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/291f6fbfb376/12672_2024_1209_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/ef427980cbb3/12672_2024_1209_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/bfa678bb2b8c/12672_2024_1209_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/17ce19078592/12672_2024_1209_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/291f6fbfb376/12672_2024_1209_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad7a/11381489/ef427980cbb3/12672_2024_1209_Fig4_HTML.jpg

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本文引用的文献

1
The Global Impact of COVID-19 on Childhood Cancer Outcomes and Care Delivery - A Systematic Review.新冠病毒病对儿童癌症治疗结果及医疗服务提供的全球影响——一项系统综述
Front Oncol. 2022 Apr 7;12:869752. doi: 10.3389/fonc.2022.869752. eCollection 2022.
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Mortality due to cancer treatment delay: systematic review and meta-analysis.癌症治疗延迟导致的死亡率：系统评价与荟萃分析
BMJ. 2020 Nov 4;371:m4087. doi: 10.1136/bmj.m4087.
3
The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017.
2017 年全球儿童和青少年癌症负担：基于 2017 年全球疾病负担研究的分析。
Lancet Oncol. 2019 Sep;20(9):1211-1225. doi: 10.1016/S1470-2045(19)30339-0. Epub 2019 Jul 29.
4
Conscious sedation: reality or myth?清醒镇静：现实还是神话？
Pediatr Rev. 2007 Jul;28(7):243-8. doi: 10.1542/pir.28-7-243.
5
Adverse events and outcomes of conscious sedation for pediatric patients: study of an oral sedation regimen.儿科患者清醒镇静的不良事件与结局：一种口服镇静方案的研究
J Am Dent Assoc. 2001 Nov;132(11):1531-9; quiz 1596. doi: 10.14219/jada.archive.2001.0086.