Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"The impact of socioeconomic inequality on access to health care for patients with advanced cancer: A qualitative study","authors":"Anna Santos Salas ,&nbsp;Bronwen LeGuerrier ,&nbsp;Lucas Horvath ,&nbsp;Nahyeni Bassah ,&nbsp;Bisi Adewale ,&nbsp;Olga Bardales ,&nbsp;Wendy Duggleby ,&nbsp;Bukola Salami ,&nbsp;Sharon M. Watanabe","doi":"10.1016/j.apjon.2024.100520","DOIUrl":"10.1016/j.apjon.2024.100520","url":null,"abstract":"<div><h3>Objective</h3><p>In Canada, populations experiencing socioeconomic inequality have lower rates of access to screening and diagnosis and higher mortality rates than people from higher-income areas. Limited evidence exists concerning their experiences when living with advanced cancer. We explored how socioeconomic inequality shapes the experiences of patients with advanced cancer.</p></div><div><h3>Methods</h3><p>We utilized a qualitative study design that combined tenets of hermeneutic phenomenological inquiry and critical theory. Four individuals with advanced cancer from low-income neighborhoods, three family members, and six cancer care providers were accrued through a tertiary cancer center in a western Canadian city. One-on-one interviews and brief notes were used for data collection. Data were analyzed through thematic analysis.</p></div><div><h3>Results</h3><p>Three interrelated themes were identified: ‘Lack of access to socioeconomic supports,’ ‘Gaps in access to health care resources and services,’ and ‘Limited access to symptom relief.’ Patients experienced inadequate finances, housing, and transportation. Most patients lived alone and had limited family and social support. Patients reported lack of knowledge of available resources and health system navigation issues, including communication problems with providers and among levels of care. Cancer care providers and patients described issues achieving symptom relief as well as challenges associated with extensive disease.</p></div><div><h3>Conclusions</h3><p>Study findings suggest that socioeconomic inequality interferes with the ability of persons with advanced cancer to access health care and contributes to less optimal cancer outcomes. Socioeconomic inequality may increase symptom severity. Findings call for the development of tailored interventions for populations with advanced cancer and socioeconomic inequality.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001422/pdfft?md5=3614a6a250776eeb7e2ce9cbc3fcf43c&pid=1-s2.0-S2347562524001422-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information needs preferences of Chinese colorectal cancer patients receiving chemotherapy: A discrete choice experiment","authors":"Linlin Li,&nbsp;Xueli Liu,&nbsp;Wanjun Zhou,&nbsp;Yawen Zhang,&nbsp;Xinqiong Zhang","doi":"10.1016/j.apjon.2024.100551","DOIUrl":"10.1016/j.apjon.2024.100551","url":null,"abstract":"<div><h3>Objective</h3><p>The study aims to investigate the information needs and preferences of colorectal cancer (CRC) patients undergoing chemotherapy using a discrete choice experiment (DCE) to optimize and improve the information support strategy for these patients.</p></div><div><h3>Methods</h3><p>Between May and July 2023, 165 patients with CRC who were receiving chemotherapy at a single hospital in China completed the questionnaire. The survey instruments included a general information questionnaire, a DCE questionnaire, and the Brief Health Literacy Screening Scale. A conditional logit model was used with Stata 16.0 software to analyze patients' preferences.</p></div><div><h3>Results</h3><p>A total of 159 valid questionnaires were collected, and the questionnaire response rate was 96.4%. All 7 included attributes had an impact on patients' information needs preference (<em>P</em> &lt; 0.05). Among them, information providers, knowledge content, and social support had high relative importance, which were 12.16%, 7.57% and 2.25%, respectively. Patients showed a preference for attending doctors (β = 1.9439, <em>P</em> &lt; 0.05) and primary nurses (β = 1.7985, <em>P</em> &lt; 0.05). Providing knowledge related to disease basis, treatment, and health promotion also had a significant impact (β = 1.6224, <em>P</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Healthcare professionals should be the primary information source for patients and improve the accessibility of information by establishing professional information platforms or identifying reliable channels. It is recommended to provide continuous information on treatment and health promotion to CRC patients at various stages of chemotherapy. Attention should be paid to identifying and providing measures to alleviate the economic and psychological burden and to meet the social support needs of patients.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001732/pdfft?md5=ede280030163ba7d8bcf7e23e4e2f8c8&pid=1-s2.0-S2347562524001732-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In their voices: Kenyan women's experiences with cancer treatment–related side effects","authors":"Tayreez Mushani ,&nbsp;Dinah Kassaman ,&nbsp;Sharon Brownie ,&nbsp;Peterson Kiraithe ,&nbsp;Margaret Barton-Burke","doi":"10.1016/j.apjon.2024.100502","DOIUrl":"10.1016/j.apjon.2024.100502","url":null,"abstract":"<div><h3>Objective</h3><p>This article reports on a secondary analysis of a qualitative study conducted in Nairobi, Kenya that reported several initial themes. In this article, the authors explore the theme of treatment-related side effect management by women receiving treatment for breast or cervical cancer.</p></div><div><h3>Methods</h3><p>Women were interviewed at three points during their active treatment trajectory. Participants were purposefully selected and saturation was reached when interviews did not yield any new themes. The interviews were transcribed and analyzed for internal consistency, frequency, extensiveness, intensity and specificity. The Nvivo pro 12 software was used in organizing and managing the data to facilitate analysis.</p></div><div><h3>Results</h3><p>Eighteen women were interviewed. Major side effects reported by participants included fatigue, alopecia, skin and nail changes as well as nausea and vomiting. Women who received information prior to treatment were more comfortable managing side effects. Participants described the impact of side effects on their daily life, body image, and many sought comfort through faith. Some women provided suggestions on strategies for patient education.</p></div><div><h3>Conclusions</h3><p>This study attempted to capture the cancer treatment-related experiences of Kenyan women in their own voices and present strategies for future intervention and research. The care of individuals receiving treatment can be enhanced through the advancement of health human resources, the development of nationally accessible patient education materials and research on regionally relevant strategies to manage cancer treatment-related side effects.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001240/pdfft?md5=8269f3ca6414300bba61346005c50f01&pid=1-s2.0-S2347562524001240-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summary of the best evidence for prehabilitation management of patients with non-small cell lung cancer","authors":"Wenfang Wu,&nbsp;Huayan Li,&nbsp;Rongrong Fan","doi":"10.1016/j.apjon.2024.100516","DOIUrl":"10.1016/j.apjon.2024.100516","url":null,"abstract":"<div><h3>Objective</h3><p>This study adopts an evidence-based methodology to establish a comprehensive theory foundation for preoperative prehabilitation management in non-small cell lung cancer (NSCLC) patients.</p></div><div><h3>Methods</h3><p>A systematic literature review linked to prehabilitation management for NSCLC patients was conducted, utilizing reputable databases such as UpToDate, BMJ Best Practice, UK NICE, SIGN, GIN, Joanna Briggs Institute Library, Cochrane Library, Web of Science, Embase, OVID evidence-based database, PubMed, Chinese Wanfang database, CNKI, CBM, ATS, BTS, AACVPR, and EACTS. The search encompassed articles, including clinical decision-making, guidelines, evidence summaries, expert consensuses, and systematic reviews, from the inception of databases up to March 31st, 2023. Two researchers performed quality assessment of the literature and subsequent evidence extraction.</p></div><div><h3>Results</h3><p>Nineteen articles were included, comprising five guidelines, three expert consensuses, seven systematic reviews, and four randomized controlled trials. A total of 41 pieces of evidence were summarized, addressing key aspects such as the multidisciplinary team, appropriate patient population, prehabilitation modes, timing of prehabilitation, prehabilitation assessment, prehabilitation content, quality control, and effectiveness evaluation.</p></div><div><h3>Conclusions</h3><p>The synthesis of the best evidence for prehabilitation management in NSCLC patients provides a solid evidence-based foundation for its implementation. It is recommended that healthcare professionals conduct thorough patient evaluations, optimize and integrate medical resources, and collaboratively engage in interdisciplinarity efforts to develop and implement personalized and multimodal prehabilitation plans.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001380/pdfft?md5=09f921044efa822b8b6922d2fd20e73d&pid=1-s2.0-S2347562524001380-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qigong in the care of breast cancer survivors with diabetes","authors":"Pei-Shiun Chang,&nbsp;Dane Ceniza,&nbsp;Susan Storey","doi":"10.1016/j.apjon.2024.100501","DOIUrl":"10.1016/j.apjon.2024.100501","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001239/pdfft?md5=803719cf13bc07b0dc0776c9b8a2fee9&pid=1-s2.0-S2347562524001239-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-disclosure, perceived social support, and reproductive concerns among young male cancer patients in China: A mediating model analysis","authors":"Lihua Wu ,&nbsp;Xingyu Chen ,&nbsp;Tingting Dong ,&nbsp;Wei Yan ,&nbsp;Linying Wang ,&nbsp;Wanling Li","doi":"10.1016/j.apjon.2024.100503","DOIUrl":"10.1016/j.apjon.2024.100503","url":null,"abstract":"<div><h3>Objective</h3><p>Many young male cancer patients experience reproductive concerns. Self-disclosure might be able to improve patients’ perceived social support and reproductive concerns. Nevertheless, these relationships have not yet been confirmed among young male cancer patients. This study aims to investigate the level of reproductive concerns and to identify the mediating role of perceived social support between self-disclosure and reproductive concerns among young male cancer patients in China by developing a structural model.</p></div><div><h3>Methods</h3><p>This study was a quantitative, cross-sectional design. We used the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement guidelines to report this study. A total of 369 young male cancer survivors were recruited by convenience sampling from two tertiary hospitals in Taiyuan, Shanxi, China. Data were collected using a “general data questionnaire”, “distress disclosure index” (DDI), “perceived social support scale” (PSSS), and “reproductive concerns after cancer-male” (RCAC-M) via the WeChat mini program “Questionnaire Star” and paper questionnaire. Descriptive statistics, Pearson correlation analyses, and structural equation models were adopted to analyze the data.</p></div><div><h3>Results</h3><p>Reproductive concerns were at moderate levels and negatively associated with self-disclosure (<em>r</em> = −0.619, <em>P</em> &lt; 0.01) and perceived social support (<em>r</em> = −0.599, <em>P</em> &lt; 0.01). Self-disclosure indirectly influenced reproductive concerns (−0.328∼–0.159, <em>P</em> &lt; 0.001) through perceived social support.</p></div><div><h3>Conclusions</h3><p>Self-disclosure and perceived social support are closely associated with reproductive concerns in young male cancer patients, and perceived social support is a mediator between self-disclosure and reproductive concerns. Healthcare providers could reduce reproductive concerns by enhancing self-disclosure and improving perceived social support.</p></div><div><h3>Trial registration</h3><p>This study was registered on <span>ClinicalTrials.gov</span><svg><path></path></svg> on June 13, 2023 (NCT05914181).</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001252/pdfft?md5=bdc91e3280d1f7f356a9ae6e2e36bc0a&pid=1-s2.0-S2347562524001252-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a nurse navigation program for cancer pain","authors":"Miyoung Yoo ,&nbsp;Eunyoung E. Suh ,&nbsp;Mi Jang ,&nbsp;Sunsil Kang","doi":"10.1016/j.apjon.2024.100528","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100528","url":null,"abstract":"<div><h3>Objective</h3><p>Cancer pain significantly impacts the overall quality of life of cancer patients, necessitating proactive management. The manifestations of cancer pain vary individually and require tailored interventions to address each patient's unique characteristics. Therefore, this study aims to develop a nurse navigation program for cancer pain (NNP-CP) tailored to the needs of cancer patients requiring pain control, aiming to establish evidence-based clinical nursing practices and promote effective cancer pain management.</p></div><div><h3>Methods</h3><p>This study is a methodological research into developing a pain management program led by nurses for cancer patients requiring pain control, based on a professional navigation framework. The development of the program relied on three out of the five stages of the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model.</p></div><div><h3>Results</h3><p>A literature review was conducted to select the content and rationale to be included in the intervention program. Publications within the last 10 years in English or Korean were identified and screened based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 literature selection flow, 17 articles were included. Standardized information regarding cancer pain control was based on the 7th edition of 'Cancer Pain Management Guidelines'. The initial draft of the pain management intervention program was developed by organizing and structuring the derived content based on the professional navigation framework. Subsequently, the final intervention program was confirmed through the review by six clinical experts specializing in cancer pain.</p></div><div><h3>Conclusions</h3><p>Cancer pain is a significant factor that profoundly influences the quality of life and survival duration of cancer patients. While appropriate management methods offer the prospect of control, insufficient intervention is the current reality. Through the pain management intervention program based on the expert navigation framework that promotes continuity of care and empowers the recipients, this study anticipates not only pain reduction in cancer patients but also an enhancement in their quality of life.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001501/pdfft?md5=606358ba5112b4d73e8c3241c6c8291c&pid=1-s2.0-S2347562524001501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence trends and spatial distribution of thyroid cancer in the Chinese female population from 1990 to 2019","authors":"Xiaowei Qiao ,&nbsp;Yunshang Cui ,&nbsp;Changgeng Ma ,&nbsp;Chunxiao Ma ,&nbsp;Bingyu Bai ,&nbsp;Chunping Wang","doi":"10.1016/j.apjon.2024.100529","DOIUrl":"10.1016/j.apjon.2024.100529","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to analyze the incidence trends and spatial distribution characteristics of thyroid cancer among Chinese females from 1990 to 2019, thereby providing a scientific foundation and data support for the development of prevention and control policies.</p></div><div><h3>Methods</h3><p>Thyroid cancer incidence data from the Global Burden of Disease (GBD) research and the annual report from the Chinese Tumor Registration were utilized. The standardized thyroid cancer incidence rate among Chinese females 1990 to 2019 was described to understand the changes in developmental trends. The JoinPoint Regression Model was employed using Excel 2019, GraphPad Prism 8, JoinPoint Regression Program 4.8.0.1, and ArcGIS 10.2.</p></div><div><h3>Results</h3><p>Thyroid cancer's standardized incidence among female Chinese continued to increase at 1.7% per year (annual average percentage change [AAPC] = 1.7, <em>P</em> &lt; 0.001), and the spatial distribution was clustered. The main high-incidence areas were North, East, and Northwest China.</p></div><div><h3>Conclusions</h3><p>Thyroid cancer incidence in Chinese women is rapidly increasing, and its spatial distribution is concentrated. Strengthening monitoring, prevention, and control efforts in the relevant areas is warranted.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001513/pdfft?md5=876dfedb3ca048874629cc459b4349b4&pid=1-s2.0-S2347562524001513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and results of virtual nursing intervention for cancer patients: A systematic review and meta-analysis","authors":"Hui Fang,&nbsp;Yajun Sun,&nbsp;Dongfeng Yu,&nbsp;Yuhong Xu","doi":"10.1016/j.apjon.2024.100515","DOIUrl":"10.1016/j.apjon.2024.100515","url":null,"abstract":"<div><h3>Objective</h3><p>Virtual nursing interventions, which use virtual reality and artificial intelligence technology to provide remote care for patients, have become increasingly common in cancer treatment, especially during the COVID-19 pandemic. This study was to evaluate the efficacy of virtual nursing interventions for cancer patients in contrast to conventional, in-person care.</p></div><div><h3>Methods</h3><p>Eight randomized controlled trials (RCTs) contrasted virtual nursing with conventional techniques that satisfied the inclusion criteria were found after a thorough search across databases including PubMed, Web of Science, CINAHL, EMBASE, the Cochrane Library, Scopus, and APA PsycINFO. RevMan 5.3 software was utilized for data analysis after the included literature's quality was assessed and the intended consequence indicators were extracted.</p></div><div><h3>Results</h3><p>Virtual nurse interventions enhanced the quality of life of cancer patients (standardized mean difference [SMD] = 0.22, 95% confidence interval [CI] 0.01 to 0.43, <em>P</em> = 0.04). Virtual nurse interventions provide cancer patients with important support, particularly when access to in-person care is limited. In light of the many demands that cancer patients have, further research is required to overcome implementation issues and provide fair access to virtual treatment.</p></div><div><h3>Conclusions</h3><p>All things considered, virtual nursing shows potential as an adjunctive element of all-inclusive cancer care delivery models, deserving of further investigation and thoughtful incorporation into healthcare systems.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001379/pdfft?md5=11137c0d3437f75e98f9f1f9a9a16ad2&pid=1-s2.0-S2347562524001379-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning risk prediction model for bloodstream infections related to totally implantable venous access ports in patients with cancer","authors":"Fan Wang ,&nbsp;Yanyi Zhu ,&nbsp;Lijuan Wang ,&nbsp;Caiying Huang ,&nbsp;Ranran Mei ,&nbsp;Li-e Deng ,&nbsp;Xiulan Yang ,&nbsp;Yan Xu ,&nbsp;Lingling Zhang ,&nbsp;Min Xu","doi":"10.1016/j.apjon.2024.100546","DOIUrl":"10.1016/j.apjon.2024.100546","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to develop and validate a machine learning-based risk prediction model for catheter-related bloodstream infection (CRBSI) following implantation of totally implantable venous access ports (TIVAPs) in patients.</p></div><div><h3>Methods</h3><p>A retrospective cohort study design was employed, utilizing the R software package mlr3. Various algorithms including logistic regression, naive Bayes, K nearest neighbor, classification tree, and random forest were applied. Addressing class imbalance, benchmarks were used, and model performance was assessed using the area under the curve (AUC). The final model, chosen for its superior performance, was interpreted using variable importance scores. Additionally, a nomogram was developed to calculate individualized risk probabilities, enhancing clinical utility.</p></div><div><h3>Results</h3><p>The study involved 755 patients across both development and validation cohorts, with a TIVAP-CRBSI rate of 14.17%. The random forest model demonstrated the highest discrimination ability, achieving a validated AUC of 0.94, which was consistent in the validation cohort.</p></div><div><h3>Conclusions</h3><p>This study successfully developed a robust predictive model for TIVAP-CRBSI risk post-implantation. Implementation of this model may aid healthcare providers in making informed decisions, thereby potentially improving patient outcomes.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001689/pdfft?md5=2c3c339e4e9e056c9ac7e64ef00603f0&pid=1-s2.0-S2347562524001689-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}