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第3部分(播客):从怀疑者到信徒:关于从肿瘤学真实世界证据的怀疑者到支持者之旅的播客对话。

Part 3 (Podcast): From Non-believer to Believer: A Podcast Conversation on the Journey from Skeptic to Proponent of Oncology Real-World Evidence.

作者信息

Brufsky Adam, Liu Raymond, Ryan Joanne C

机构信息

UPMC Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Department of Hematology-Oncology, The Permanente Medical Group (TPMG), Oakland, CA, USA.

出版信息

Oncol Ther. 2025 Sep 11. doi: 10.1007/s40487-025-00367-x.

Abstract

The proliferation of modern real-world studies is a relatively recent development in oncology and has been met with skepticism by some clinicians. In this podcast, the hosts share their personal experiences with real-world evidence (RWE) and how they have come to be advocates for considering RWE as a supplement to randomized controlled trial (RCT) findings to help guide decision making in the clinic. They discuss the limitations of RCTs in capturing diverse patient populations and highlight the value of RWE in providing insights into underrepresented groups, such as patients with high Eastern Cooperative Oncology Group (ECOG) performance status scores or cardiovascular comorbidities. While recognizing barriers to RWE acceptance, the hosts emphasize the growing profile of real-world studies and the need for clinicians to be aware of the data they are generating. Overall, the conversation aims to provide practical examples of the potential utility of RWE for enhancing care and outcomes for patients with cancer.Podcast and infographic available for this article. Podcast video (MP4 54067 KB).

摘要

现代真实世界研究的激增是肿瘤学领域相对较新的发展,一些临床医生对此持怀疑态度。在本期播客中,主持人分享了他们使用真实世界证据(RWE)的个人经历,以及他们如何成为倡导者,主张将RWE作为随机对照试验(RCT)结果的补充,以帮助指导临床决策。他们讨论了RCT在纳入不同患者群体方面的局限性,并强调了RWE在为代表性不足的群体(如东部肿瘤协作组(ECOG)体能状态评分高的患者或有心血管合并症的患者)提供见解方面的价值。在认识到RWE被接受存在障碍的同时,主持人强调了真实世界研究的日益突出以及临床医生了解他们所产生数据的必要性。总体而言,此次对话旨在提供RWE潜在效用的实际例子,以改善癌症患者的护理和治疗结果。本文配有播客和信息图表。播客视频(MP4格式,54067KB)。

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