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增强癌症幸存者初级保健研究能力:美国国立癌症研究所会议报告

Enhancing capacity for primary care research in cancer survivorship: National Cancer Institute meeting report.

作者信息

Hudson Shawna V, Mollica Michelle A, Reed Crystal, Hahn Erin E, O'Malley Denalee M, Radhakrishnan Archana, Klemp Jennifer, Tonorezos Emily

机构信息

Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, United States.

Cancer Prevention and Control Program, Rutgers Cancer Institute, New Brunswick, NJ 08901, United States.

出版信息

J Natl Cancer Inst. 2025 May 1;117(5):827-832. doi: 10.1093/jnci/djae276.

Abstract

Many components of long-term cancer follow-up and survivorship care are managed in the primary care context. Given the important role that primary care has in survivorship care, it is critical to ensure that teams in these settings are prepared to address long-term needs. Evidence-based strategies to deliver survivorship care in primary care settings in the United States remain limited. The National Cancer Institute Office of Cancer Survivorship conducted a day-long virtual event, Enhancing Capacity for Primary Care Research in Cancer Survivorship: A Workshop for Action, on February 28, 2024, to discuss research needs addressing the intersection between primary care and cancer survivorship. Topics discussed to advance this area of research included system-level interventions, methods and measurement, and mentorship and research team building, especially for early career researchers. The purpose of this report is to provide a summary of the key findings. Gaps and opportunities include (1) health systems-level research that investigates primary care practice-level capacity, (2) identification and characterization of the targeted cancer survivor populations for primary care research, (3) leveraging electronic medical records to track relevant patient outcomes throughout survivorship, and (4) development and creation of communities of practice to support and build research capacity. Team science approaches were identified as a core strategy to advance survivorship research. The meeting closed with a reflection and call to action focused on building collaborations that span different research areas, disciplines, and organizations and building a broad network of a primary care practice-focused research.

摘要

长期癌症随访和生存护理的许多组成部分是在初级保健环境中进行管理的。鉴于初级保健在生存护理中所起的重要作用,确保这些环境中的团队做好准备以满足长期需求至关重要。在美国初级保健环境中提供生存护理的循证策略仍然有限。2024年2月28日,美国国家癌症研究所癌症生存办公室举办了为期一天的虚拟活动“增强癌症生存初级保健研究能力:行动研讨会”,以讨论解决初级保健与癌症生存交叉问题的研究需求。为推进该研究领域而讨论的主题包括系统层面的干预措施、方法和测量,以及指导和研究团队建设,特别是针对早期职业研究人员。本报告的目的是提供关键发现的总结。差距和机遇包括:(1)调查初级保健实践层面能力的卫生系统层面研究;(2)确定和描述初级保健研究的目标癌症幸存者群体;(3)利用电子病历跟踪整个生存期间的相关患者结局;(4)发展和创建实践社区以支持和建立研究能力。团队科学方法被确定为推进生存研究的核心策略。会议最后进行了反思并发出行动呼吁,重点是建立跨越不同研究领域、学科和组织的合作关系,以及建立一个以初级保健实践为重点的广泛研究网络。

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