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终末期肺癌患者抗癌药物使用情况的范围综述

Scoping review of anticancer drug utilization in lung cancer patients at the end of life.

作者信息

Szigethy Endre, Merzah Mohammed, Sola Ivan, Urrútia Gerard, Bonfill Xavier

机构信息

PhD Programme in Biomedical Research Methodology and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain.

Epidy Kft, Csúcs Utca 9, Debrecen, 4034, Hungary.

出版信息

Clin Transl Oncol. 2025 May;27(5):1980-1993. doi: 10.1007/s12094-024-03711-1. Epub 2024 Oct 5.

DOI:10.1007/s12094-024-03711-1
PMID:39367901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12033183/
Abstract

PURPOSE

This scoping review aims to deepen the understanding of end-of-life anticancer drug use in lung cancer patients, a disease marked by high mortality and symptom burden. Insight into unique end-of-life treatment patterns is crucial for improving the appropriateness of cancer care for these patients.

METHODS

Comprehensive searches were carried out in Medline and Embase to find articles on the utilization of anticancer drugs in the end of life of lung cancer patients.

RESULTS

We identified 68 publications, highlighting the methodological characteristics of studies including the timing of the research, disease condition, treatment regimen, type of treatment, and features of the treatment. We outlined the frequency of anticancer drug use throughout different end-of-life periods.

CONCLUSION

This review provides a comprehensive overview of primary studies exploring end-of-life treatments in lung cancer patients. Methodological inconsistencies pose many challenges, revealing a notable proportion of patients experiencing potential overtreatment, warranting more standardized research methods for robust evaluations.

摘要

目的

本综述旨在加深对肺癌患者临终时抗癌药物使用情况的理解,肺癌是一种死亡率高且症状负担重的疾病。深入了解独特的临终治疗模式对于提高这些患者的癌症护理适宜性至关重要。

方法

在Medline和Embase中进行全面检索,以查找关于肺癌患者临终时抗癌药物使用情况的文章。

结果

我们确定了68篇出版物,突出了研究的方法学特征,包括研究时间、疾病状况、治疗方案、治疗类型和治疗特点。我们概述了不同临终阶段抗癌药物的使用频率。

结论

本综述全面概述了探索肺癌患者临终治疗的主要研究。方法学上的不一致带来了许多挑战,表明相当一部分患者可能接受了过度治疗,这需要更标准化的研究方法来进行有力评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46f/12033183/c1f735aec615/12094_2024_3711_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46f/12033183/637462e4becd/12094_2024_3711_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46f/12033183/c1f735aec615/12094_2024_3711_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46f/12033183/637462e4becd/12094_2024_3711_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46f/12033183/c1f735aec615/12094_2024_3711_Fig2_HTML.jpg

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本文引用的文献

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Support Care Cancer. 2024 Jun 6;32(7):414. doi: 10.1007/s00520-024-08598-w.
2
Palliative Care for Patients With Cancer: ASCO Guideline Update.癌症患者的姑息治疗:ASCO 指南更新。
J Clin Oncol. 2024 Jul 1;42(19):2336-2357. doi: 10.1200/JCO.24.00542. Epub 2024 May 15.
3
Frequency of anticancer drug use at the end of life: a scoping review.癌症终末期抗癌药物使用频率:范围综述。
Clin Transl Oncol. 2024 Jan;26(1):178-189. doi: 10.1007/s12094-023-03234-1. Epub 2023 Jun 8.
4
Prognostic evaluation in patients with advanced cancer in the last months of life: ESMO Clinical Practice Guideline.晚期癌症患者生命最后数月的预后评估:ESMO 临床实践指南。
ESMO Open. 2023 Apr;8(2):101195. doi: 10.1016/j.esmoop.2023.101195. Epub 2023 Apr 11.
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Mapping reviews, scoping reviews, and evidence and gap maps (EGMs): the same but different- the "Big Picture" review family.绘制文献综述、范围综述和证据与差距图(EGM):同而不同——“大图景”综述家族。
Syst Rev. 2023 Mar 15;12(1):45. doi: 10.1186/s13643-023-02178-5.
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