Patient-centred care in precision oncology: A systematic review

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-03-12 DOI:10.1016/j.pec.2025.108753

Ella Adi-Wauran , Suvetha Krishnapillai , Elizabeth Uleryk , Saumeh Saeedi , Yvonne Bombard

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引用次数: 0

Abstract

Objectives

Patient-centred care (PCC) improves outcomes in various clinical contexts. There is, therefore, a need to explore PCC in precision oncology – a rapidly advancing, innovative approach to cancer treatment/management that is increasingly integrated into patient care. This systematic review aims to synthesize evidence on PCC in precision oncology by addressing (1) How can precision oncology be delivered in a patient-centred manner? (2) How does patient-centred precision oncology impact outcomes?

Methods

Studies were eligible for inclusion if their population was cancer patients, used a patient-centred approach in delivering precision oncology, and reported patient/provider experiences. There were no restrictions to the study design and publication year. A systematic search of MEDLINE, Embase, and CINAHL databases was conducted from their dates of inception to June 21, 2021. Narrative synthesis was used.

Results

The seventeen included studies were mostly qualitative (13/17), reflect breast cancer patients/providers experiences (9/17), and conducted during cancer treatment (16/17). Studies identified six processes for delivering patient-centred precision oncology and suggest that patient-centred precision oncology impacts patients’ psychological outcomes and delivery of targeted therapy.

Conclusions

Findings highlighted respect for patients’ preferences and supporting decision-making processes related to using precision oncology. More evidence of PCC in precision oncology is needed across the continuum of cancer care.

Practice implications

PCC processes identified can be targeted in the development, implementation, and evaluation of programs delivering precision oncology.

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精准肿瘤学中以患者为中心的护理：系统综述

目的：以患者为中心的护理（PCC）改善了各种临床情况的预后。因此，有必要在精确肿瘤学中探索PCC -一种快速发展的，创新的癌症治疗/管理方法，越来越多地融入患者护理。本系统综述旨在通过解决(1)如何以患者为中心的方式提供精确肿瘤学，来综合PCC在精确肿瘤学中的证据？(2)以患者为中心的精准肿瘤学如何影响预后？方法：研究对象为癌症患者，采用以患者为中心的精准肿瘤学方法，并报告患者/提供者经验，才有资格纳入研究。对研究设计和出版年份没有限制。系统检索MEDLINE、Embase和CINAHL数据库，检索时间从其建立日期至2021年6月21日。采用了叙事综合。结果纳入的17项研究大多是定性的（13/17），反映乳腺癌患者/提供者的经历（9/17），并在癌症治疗期间进行（16/17）。研究确定了提供以患者为中心的精准肿瘤学的六个过程，并表明以患者为中心的精准肿瘤学影响患者的心理结果和靶向治疗的提供。结论：研究结果强调了对患者偏好的尊重，并支持与使用精确肿瘤学相关的决策过程。在整个癌症治疗的连续性中，需要更多的PCC在精确肿瘤学中的证据。实践意义确定的spcc过程可以在提供精确肿瘤学的项目的开发、实施和评估中有针对性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.