Asia-Pacific Journal of Oncology Nursing最新文献

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Corrigendum to “Investigating nurses' acceptance of patients' bring your own device implementation in a clinical setting: A pilot study” [Asia–Pacific J Oncol Nurs 10 (2023) 100195] 临床环境中护士对患者自带设备的接受程度调查:一项试点研究" [Asia-Pacific J Oncol Nurs 10 (2023) 100195] 的更正
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100437
Shuo-Chen Chien , Chun-You Chen , Chia-Hui Chien , Usman Iqbal , Hsuan-Chia Yang , Huei-Chia Hsueh , Shuen-Fu Weng , Wen-Shan Jian
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引用次数: 0
Mobile health–delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial 移动医疗提供叙事干预,以提高马拉维感染艾滋病毒妇女的宫颈癌筛查率:试点 RCT
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100448
Haeok Lee , Jasintha T. Mtengezo , Mary Sue Makin , Ling Shi , Address Malata , Joyce Fitzpatrick , Jonathan Ngoma , Lingling Zhang , Linda Larkey , Eileen Stuart-Shor , Yohannie Mlombe , Deogwoon Kim
{"title":"Mobile health–delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial","authors":"Haeok Lee ,&nbsp;Jasintha T. Mtengezo ,&nbsp;Mary Sue Makin ,&nbsp;Ling Shi ,&nbsp;Address Malata ,&nbsp;Joyce Fitzpatrick ,&nbsp;Jonathan Ngoma ,&nbsp;Lingling Zhang ,&nbsp;Linda Larkey ,&nbsp;Eileen Stuart-Shor ,&nbsp;Yohannie Mlombe ,&nbsp;Deogwoon Kim","doi":"10.1016/j.apjon.2024.100448","DOIUrl":"10.1016/j.apjon.2024.100448","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to develop and evaluate a mobile health (mHealth)-delivered, theory-guided, culturally tailored storytelling narrative (STN) intervention to increase cervical cancer screening among Malawian women living with human immunodeficiency virus (HIV).</p></div><div><h3>Methods</h3><p>This study involved two phases: Phase 1: development of a theory-guided and culturally adapted STN intervention and Phase 2: a pilot randomized controlled trial was conducted. Participants were randomly assigned to one of three arms: Arm 1: tablet-based video (mHealth) with STN (<em>n</em> = 60); Arm 2: mHealth with a video of nonnarrative educational materials (<em>n</em> = 59); and Arm 3: control group with only reading nonnarrative educational materials in person (<em>n</em> = 60). Cervical cancer screening was measured using visual inspection with acetic acid (VIA) uptakes by self-report and health passport record review at 2 and 6 months after intervention.</p></div><div><h3>Results</h3><p>Both arms 1 and 2 had nearly twice the rate of VIA uptakes than those in Arm 3 (51.0% and 50.0%, respectively, vs. 35.0%, <em>P</em> = 0.01) at 2 months follow-up, but there were no differences among groups from 2- to 6-month follow-ups. All groups demonstrated significant improvement of knowledge about risk factors, intention, and VIA uptakes.</p></div><div><h3>Conclusions</h3><p>The findings demonstrate the preliminary effectiveness of the intervention on cervical cancer screening behavior and the feasibility of the study regarding recruitment, retention, treatment fidelity, and acceptability of the single 30-min session. The feasibility and the preliminary results of the effectiveness of the proposed study indicate scaling up the STN intervention to a larger population of women to increase cervical cancer screening uptake to prevent deaths due to cervical cancer in Malawi.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000684/pdfft?md5=6cd396c7109c901d13023e29334d5dae&pid=1-s2.0-S2347562524000684-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400170","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}
引用次数: 0
Enhancing practice: A path forward 加强实践:前进之路
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100445
Ayda Gan Nambayan
{"title":"Enhancing practice: A path forward","authors":"Ayda Gan Nambayan","doi":"10.1016/j.apjon.2024.100445","DOIUrl":"10.1016/j.apjon.2024.100445","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000659/pdfft?md5=329fcb757cdda1050926980ff04f2a65&pid=1-s2.0-S2347562524000659-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269493","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}
引用次数: 0
Benefit-finding profiles and comparison of caregiving ability among informal caregivers of patients with lung cancer: A latent profile analysis 肺癌患者非正规护理人员的受益发现特征和护理能力比较:潜在特征分析
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100480
Xiaoyuan Lin , Ziqing Chen , Qi Zhao , Xiaozhou Zhou
{"title":"Benefit-finding profiles and comparison of caregiving ability among informal caregivers of patients with lung cancer: A latent profile analysis","authors":"Xiaoyuan Lin ,&nbsp;Ziqing Chen ,&nbsp;Qi Zhao ,&nbsp;Xiaozhou Zhou","doi":"10.1016/j.apjon.2024.100480","DOIUrl":"10.1016/j.apjon.2024.100480","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the benefit finding (BF) profiles among informal caregivers of patients with lung cancer, identify demographic and disease characteristics, and analyze differences in caregiving ability between profiles.</p></div><div><h3>Methods</h3><p>This cross-sectional study utilized convenience sampling to select 272 informal caregivers of patients with lung cancer from a tertiary care hospital in Guangzhou, China. The research instruments used included the Demographic and Disease Characteristics Questionnaire, the revised version of the BF Scale, and the Chinese version of the Family Caregiver Task Inventory. Data analysis was performed using latent profile analysis, chi-square test, Fisher's exact probability test, Kruskal–Wallis test, and multivariate logistic regression.</p></div><div><h3>Results</h3><p>(1) BF can be divided into three profiles: “high benefit—family and personal growth” (Profile 1, 7.7%), “moderate benefit—unclear perception” (Profile 2, 44.9%), and “low benefit—coping ability deficient” (Profile 3, 47.4%). (2) Having a cocaregiver and a disease duration of 6–12 months were more likely to belong to Profile 1; caregivers of patients aged 40–60 years tended to belong to Profile 2; caregivers of older patients with disease duration &gt; 12 months and clinical stage II or III were more likely to belong to Profile 3. (3) There were significant differences in the total score of caregiving ability and the scores of each dimension among the different BF profiles (<em>P</em> &lt; 0.001), and the caregiving abilities of Profile 1 and Profile 2 were higher than those of Profile 3.</p></div><div><h3>Conclusions</h3><p>There was heterogeneity in BF among informal caregivers of patients with lung cancer. Healthcare professionals can identify the key profiles of lung-cancer caregivers based on characteristics such as age, clinical stage, disease duration, and cocaregiver status and enhance their caregiving ability through targeted nursing guidance.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001008/pdfft?md5=2be45a20e77c1d4376b23cd5b29bae37&pid=1-s2.0-S2347562524001008-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407947","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}
引用次数: 0
Cancer cachexia: A scoping review on non-pharmacological interventions 癌症恶病质:非药物干预的范围界定综述
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100438
Elisabetta Bertocchi , Francesco Frigo , Loredana Buonaccorso , Francesco Venturelli , Maria Chiara Bassi , Silvia Tanzi
{"title":"Cancer cachexia: A scoping review on non-pharmacological interventions","authors":"Elisabetta Bertocchi ,&nbsp;Francesco Frigo ,&nbsp;Loredana Buonaccorso ,&nbsp;Francesco Venturelli ,&nbsp;Maria Chiara Bassi ,&nbsp;Silvia Tanzi","doi":"10.1016/j.apjon.2024.100438","DOIUrl":"10.1016/j.apjon.2024.100438","url":null,"abstract":"<div><h3>Objective</h3><p>Cancer cachexia occurs in 30%–80% of patients, increasing morbidity and mortality and impacting the health-related quality of life also for caregivers. Pharmacological interventions have been studied but have shown inconsistent effects on patients' lives in terms of relative outcomes and poor adherence to pharmacological treatment. We provide an overview of the evidence on non-pharmacological interventions for cancer cachexia.</p></div><div><h3>Methods</h3><p>We conducted a scoping review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses-extension for scoping review (PRISMA-ScR). On September 21, 2022, plus an update on January 10, 2024, we searched MEDLINE, Embase, CINAHL, Cochrane, PsycINFO, and Scopus for 2012–2024. We excluded pharmacological interventions defined as “any substance, inorganic or organic, natural or synthetic, that can produce functional modifications, through a chemical, physicochemical or physical action.”</p></div><div><h3>Results</h3><p>The search retrieved 9308 articles, of which 17 were eligible. Non-pharmacological interventions included nutritional counseling, complementary therapies (acupuncture), rehabilitation, and psychoeducational/psychosocial support. The data showed small and heterogeneous samples and different disease localization and stages. Thirty-nine percent were multimodal interventions and aimed at patients, not families. The common primary outcomes were body weight and composition, biomarkers, quality of life, psychological suffering, and muscular strength. Only three studies focus on the patient-caregiver dyad.</p></div><div><h3>Conclusions</h3><p>Interventions on cancer cachexia should be multimodal and multiprofessional, proposed early, and aimed at quality of life outcomes. The caregiver's involvement is essential. Nurses can play an active role in managing cancer cachexia. More well-designed studies are needed to understand the efficacy and contents of non-pharmacological interventions.</p></div><div><h3>Systematic review registration</h3><p>The review protocol has been registered in the OSF registry (DOI: <span>10.17605/OSF.IO/H4A29</span><svg><path></path></svg>).</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000581/pdfft?md5=1a8a9e493644af443d16a3832cae7dcb&pid=1-s2.0-S2347562524000581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274106","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}
引用次数: 0
Digital transformation in healthcare: Have we gone off the rails? 医疗保健领域的数字化转型:我们是否偏离了轨道?
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100481
Andreas Charalambous
{"title":"Digital transformation in healthcare: Have we gone off the rails?","authors":"Andreas Charalambous","doi":"10.1016/j.apjon.2024.100481","DOIUrl":"10.1016/j.apjon.2024.100481","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S234756252400101X/pdfft?md5=c446fec4ddd16e2d10aa94a7d28e0a19&pid=1-s2.0-S234756252400101X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140764783","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}
引用次数: 0
Translation and validation of the Chinese version of the BCPT Eight Symptom Scale (BESS) in patients with breast cancer 在乳腺癌患者中翻译和验证中文版 BCPT 八种症状量表 (BESS)
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100449
Yi Kuang , Feng Jing , Lichen Tang , Jiajia Qiu , Weijie Xing
{"title":"Translation and validation of the Chinese version of the BCPT Eight Symptom Scale (BESS) in patients with breast cancer","authors":"Yi Kuang ,&nbsp;Feng Jing ,&nbsp;Lichen Tang ,&nbsp;Jiajia Qiu ,&nbsp;Weijie Xing","doi":"10.1016/j.apjon.2024.100449","DOIUrl":"10.1016/j.apjon.2024.100449","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to translate the Breast Cancer Prevention Trial Eight Symptom Scale (BESS) into Chinese and subsequently examine the latent constructs and psychometric properties of the Chinese BESS (C-BESS) among patients with breast cancer.</p></div><div><h3>Methods</h3><p>In Phase 1, the BESS was translated from English into Chinese using the FACIT translation method. An expert panel was convened to assess the content validity, and pilot testing was performed with 20 patients with breast cancer. In Phase 2, a total of 427 patients with breast cancer from four Grade-A public hospitals in China were recruited to examine psychometric properties of the C-BESS. The internal consistency was evaluated based on the Cronbach's α, and the construct validity was tested using confirmatory factor analysis, convergent validity, and discriminant validity.</p></div><div><h3>Results</h3><p>The C-BESS demonstrated satisfactory content validity index (item-level content validity index [I-CVI]: 0.8–1.0; scale-level content validity index [S-CVI]: 0.97). The Cronbach's α value for the entire C-BESS scale was 0.92. Confirmatory factor analysis indicated that eight-factor structure of the C-BESS was a good fit to the data (CFI = 0.959, AGFI = 0.904, RMSEA = 0.05, RMR = 0.029). The scale exhibited good convergent validity and discriminant validity.</p></div><div><h3>Conclusions</h3><p>This study translated and validated the C-BESS for use in the Chinese population. The results demonstrate that the C-BESS exhibits good reliability and validity, with ideal psychometric properties for assessing the symptom burden in Chinese patients with breast cancer. This tool can be effectively integrated into the routine symptom monitoring of patients with breast cancer in China, helping Chinese clinical professionals in conducting comprehensive assessments of symptom burden.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000696/pdfft?md5=73670e448dd1b0c5d4735287b7a2418f&pid=1-s2.0-S2347562524000696-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269424","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}
引用次数: 0
Identification of distinct symptom profiles in prostate cancer patients with cancer-related cognitive impairment undergoing androgen deprivation therapy: A latent class analysis 在接受雄激素剥夺疗法的前列腺癌患者中识别与癌症相关的认知障碍的不同症状特征:潜类分析
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-04-27 DOI: 10.1016/j.apjon.2024.100497
Yongcai Liu, Qinqing Yan, Jieru Zhou, Xin Yao, Xiangxiang Ye, Wei Chen, Jian Cai, Haihong Jiang, Haiyan Li
{"title":"Identification of distinct symptom profiles in prostate cancer patients with cancer-related cognitive impairment undergoing androgen deprivation therapy: A latent class analysis","authors":"Yongcai Liu,&nbsp;Qinqing Yan,&nbsp;Jieru Zhou,&nbsp;Xin Yao,&nbsp;Xiangxiang Ye,&nbsp;Wei Chen,&nbsp;Jian Cai,&nbsp;Haihong Jiang,&nbsp;Haiyan Li","doi":"10.1016/j.apjon.2024.100497","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100497","url":null,"abstract":"<div><h3>Objective</h3><p>To identify latent classes of cognitive impairment and co-occurring symptoms (fatigue, pain, sleep disturbance, depression) as clusters in patients with prostate cancer undergoing androgen deprivation therapy and to explore the predictors among distinct latent classes.</p></div><div><h3>Methods</h3><p>A total of 228 patients with prostate cancer were recruited in this cross-sectional study. The assessment instrument included the Perceived Cognitive Impairment Scale, the Fatigue Severity Scale, the Athens Insomnia Scale, the Brief Pain Inventory, the Patient Health Questionnaire-9, the UCLA Loneliness Scale, the International Physical Activity Questionnaire - Short Form, the Charlson comorbidity index, and General Information questionnaire. The identification of different patient subgroups was done by the latent class analysis.</p></div><div><h3>Results</h3><p>The study identified three distinct latent classes: all low symptoms (class 1, 32%), high depression symptoms (class 2, 37.7%), and high physical symptoms (fatigue, sleep disturbance, and pain) with high cognitive impairment (class 3, 30.3%). Patients who had higher Charlson comorbidity index (<em>P</em> = 0.003) scores were more likely to be classified in class 3. Patients with higher loneliness scores (<em>P</em> &lt; 0.001; <em>P</em> &lt; 0.001) were significantly more likely to fall into class two or three than in class 1. However, having a higher level of physical activity (<em>P</em> = 0.014; <em>P</em> &lt; 0.001) increased the likelihood of being in class 1.</p></div><div><h3>Conclusions</h3><p>This study exhibited the inter-individual variability of symptom experience in prostate cancer patients with cognitive impairment undergoing androgen deprivation therapy. The result suggests that more emphasis should be placed on screening for fatigue, sleep disturbance, and pain, and future interventions should focus on loneliness and physical activity.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001197/pdfft?md5=d3f96d1087e01ba7e05128e106189651&pid=1-s2.0-S2347562524001197-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141095086","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}
引用次数: 0
The art of nursing in the fourth industrial revolution: Lessons learned 第四次工业革命中的护理艺术:经验教训
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-04-26 DOI: 10.1016/j.apjon.2024.100498
Violeta Lopez
{"title":"The art of nursing in the fourth industrial revolution: Lessons learned","authors":"Violeta Lopez","doi":"10.1016/j.apjon.2024.100498","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100498","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001203/pdfft?md5=82aee366936f6cbf262409511ea29e87&pid=1-s2.0-S2347562524001203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141329129","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}
引用次数: 0
Development and comparison of machine-learning models for predicting prolonged postoperative length of stay in lung cancer patients following video-assisted thoracoscopic surgery 用于预测肺癌患者视频辅助胸腔镜手术后住院时间延长的机器学习模型的开发与比较
IF 1.8 3区 医学
Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-04-22 DOI: 10.1016/j.apjon.2024.100493
Guolong Zhang , Xuanhui Liu , Yuning Hu , Qinchi Luo , Liang Ruan , Hongxia Xie , Yingchun Zeng
{"title":"Development and comparison of machine-learning models for predicting prolonged postoperative length of stay in lung cancer patients following video-assisted thoracoscopic surgery","authors":"Guolong Zhang ,&nbsp;Xuanhui Liu ,&nbsp;Yuning Hu ,&nbsp;Qinchi Luo ,&nbsp;Liang Ruan ,&nbsp;Hongxia Xie ,&nbsp;Yingchun Zeng","doi":"10.1016/j.apjon.2024.100493","DOIUrl":"10.1016/j.apjon.2024.100493","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to develop models for predicting prolonged postoperative length of stay (PPOLOS) in lung cancer patients undergoing video-assisted thoracoscopic surgery (VATS) by utilizing machine-learning techniques. These models aim to offer valuable insights for clinical decision-making.</p></div><div><h3>Methods</h3><p>This retrospective cohort study analyzed a dataset of lung cancer patients who underwent VATS, identifying 25 numerical features and 45 textual features. Three classification machine-learning models were developed: XGBoost, random forest, and neural network. The performance of these models was evaluated based on accuracy (ACC) and area under the receiver operating characteristic curve, whereas the importance of variables was assessed using the feature importance parameter from the random forest model.</p></div><div><h3>Results</h3><p>Of the 6767 lung cancer patients, 1481 patients (21.9%) experienced a postoperative length of stay of &gt; 4 days. The majority were male (4111, 60.8%), married (6246, 92.3%), and diagnosed with adenocarcinoma (4145, 61.3%). The Random Forest classifier exhibited superior prediction performance with an area under the curve (AUC) of 0.792 and ACC of 0.804. The calibration plot revealed that all three classifiers were in close alignment with the ideal calibration line, indicating high calibration reliability. The five most critical features identified were the following: surgical duration (0.116), age (0.066), creatinine (0.062), hemoglobin (0.058), and total protein (0.054).</p></div><div><h3>Conclusions</h3><p>This study developed and evaluated three machine-learning models for predicting PPOLOS in lung cancer patients undergoing VATS. The findings revealed that the Random Forest model is most accurately predicting the PPOLOS. Findings of this study enable the identification of crucial determinants and the formulation of targeted interventions to shorten the length of stay among lung cancer patients after VATS, which contribute to optimize the allocation of healthcare resources.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001136/pdfft?md5=70d08ea2cb66b8116ae9b2a1af0e75a8&pid=1-s2.0-S2347562524001136-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761444","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}
引用次数: 0
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