将患者报告结果纳入晚期癌症患者护理--实用指南》。

Julia Lai-Kwon, Elissa Thorner, Claudia Rutherford, Norah Crossnohere, Michael Brundage
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摘要

患者报告结果(PROs)正被越来越多地纳入常规临床实践,以加强对患者的个体护理。这是因为人们认识到 PROs 在加强症状管理、提高患者满意度、改善生活质量、提高总体生存率以及减少急性期医疗使用方面的益处。这些益处反映在以价值为基础的医疗保健计划中,其中包括 PRO 症状监测,如美国的 "加强肿瘤学模式"。然而,实施PRO可能具有挑战性,很难知道从哪里开始选择合适的PRO,以及有效显示和适当解释PRO数据。本手稿总结了 2024 年 ASCO 年会上的一次教育会议,该会议为寻求将 PROs 纳入晚期癌症患者护理的临床医生提供了实用指导。我们从患者的角度出发,重点阐述了为什么在常规护理中收集PROs很重要,如何选择PROs进行症状监测(包括使用静态患者报告的结果测量和较新的项目库),并强调了显示和解释PROs的关键珍珠和陷阱。我们强调了现有资源的广泛性,以指导临床医生实施 PRO。
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Integrating Patient-Reported Outcomes Into the Care of People With Advanced Cancer-A Practical Guide.

Patient-reported outcomes (PROs) are being increasingly integrated into routine clinical practice to enhance individual patient care. This has been driven by recognition of the benefits of PROs in enhancing symptom management, patient satisfaction, quality of life, and overall survival, and reductions in acute health care utilization. These benefits are reflected in the emergence of value-based health care initiatives incorporating PRO symptom monitoring such as the Enhancing Oncology Model in the United States. However, implementing PROs can be challenging and it can be difficult to know where to begin to select appropriate PROs, and effectively display and appropriately interpret PRO data. This manuscript summarizes an educational session at the 2024 ASCO Annual Meeting, which provided practical guidance to clinicians seeking to incorporate PROs into the care of people with advanced cancer. We focus on why it is important to collect PROs in routine care from a patient's perspective, how to select PROs for symptom monitoring (including using static patient-reported outcome measures and newer item libraries), and highlight key pearls and pitfalls in the display and interpretation of PROs. We highlight the breadth of existing resources available to guide clinicians in PRO implementation.

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期刊介绍: The Ed Book is a National Library of Medicine–indexed collection of articles written by ASCO Annual Meeting faculty and invited leaders in oncology. Ed Book was launched in 1985 to highlight standards of care and inspire future therapeutic possibilities in oncology. Published annually, each volume highlights the most compelling research and developments across the multidisciplinary fields of oncology and serves as an enduring scholarly resource for all members of the cancer care team long after the Meeting concludes. These articles address issues in the following areas, among others: Immuno-oncology, Surgical, radiation, and medical oncology, Clinical informatics and quality of care, Global health, Survivorship.
期刊最新文献
Cell-Based Therapies in GI Cancers: Current Landscape and Future Directions. Integrative Oncology: Incorporating Evidence-Based Approaches for Patients With GI Cancers. Erratum: Integrating Palliative Care and Hematologic Malignancies: Bridging the Gaps for Our Patients and Their Caregivers. Curing Stage IV Melanoma: Where Have We Been and Where Are We? State-Of-The-Art Advancements on Cancer Vaccines and Biomarkers.
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