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在雷根斯堡大学癌症中心系统开发了一种患者报告的肿瘤常规筛查(ONCO-ROUTES)程序。

Systematic development of a patient-reported ONCOlogical-ROUTinE-Screening (ONCO-ROUTES) procedure at the University Cancer Center Regensburg.

机构信息

University Cancer Center Regensburg, University Hospital Regensburg, Regensburg, Germany.

Bavarian Cancer Research Center (BZKF), Regensburg, Germany.

出版信息

J Cancer Res Clin Oncol. 2024 Sep 28;150(9):435. doi: 10.1007/s00432-024-05955-4.

Abstract

PURPOSE

The evaluation of treatment success and progression in oncology patient-reported outcomes (PROs) is playing an increasingly important role. Meanwhile, PROs are a component of the certification requirements of the German Cancer Society for oncology centers. PROs are used to provide supportive therapy. There is currently no instrument that fully covers the requirements. At the University Hospital Regensburg (UKR), a digital ONCOlogical-ROUTinE-Screening (ONCO-ROUTES) procedure was developed in order to assess the need for supportive therapy in a standardized way and to provide patients with supportive interventions tailored to their needs.

METHODS

On the basis of current requirements and guidelines, the development of ONCO-ROUTES was supported by experts in focus groups and interviews, and digitalization was carried out in connection with the IT infrastructure.

RESULTS

A Needs-based, Quality-of-life (QoL) and Symptoms Screening (NQS) tool already established in the routine at the UKR was further developed into ONCO-ROUTES, which is made up of the domains therapy phase, nutrition, tobacco use, alcohol use, quality of life, general condition/functional status, physical activity, psychooncology, social services, and further support needs. By linking the digitized questionnaire to the hospital information system, the results are available for immediate use in routine operations and thus for the referral of patients for further supportive therapy.

CONCLUSION

The digital PRO application ONCO-ROUTES is designed to involve patients in monitoring additional supportive needs and thus, improves supportive interdisciplinary treatment.

摘要

目的

在肿瘤患者报告结局(PRO)中,治疗成功和进展的评估正发挥着越来越重要的作用。同时,PRO 也是德国癌症协会对肿瘤中心认证要求的组成部分。PRO 用于提供支持性治疗。目前尚无仪器能完全满足要求。在雷根斯堡大学医院(Regensburg University Hospital,UKR),开发了一种数字化的 ONCOlogical-ROUTinE-Screening(ONCO-ROUTES)程序,以便以标准化的方式评估支持性治疗的需求,并为患者提供量身定制的支持性干预措施。

方法

根据当前的要求和指南,ONCO-ROUTES 的开发得到了焦点小组和访谈专家的支持,并结合 IT 基础设施进行了数字化。

结果

在 UKR 常规使用的基于需求、生活质量(QoL)和症状筛查(NQS)工具已进一步发展为 ONCO-ROUTES,它由治疗阶段、营养、吸烟、饮酒、生活质量、一般状况/功能状态、体力活动、心理肿瘤学、社会服务以及其他支持需求等领域组成。通过将数字化问卷与医院信息系统相链接,结果可立即用于常规操作,从而为患者转介接受进一步的支持性治疗。

结论

数字化 PRO 应用程序 ONCO-ROUTES 的设计目的是让患者参与监测其他支持性需求,从而改善支持性的跨学科治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba12/11793524/f6224db50b19/432_2024_5955_Fig1_HTML.jpg

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