在印度的常规实践中和 2019 年冠状病毒疾病大流行期间,癌症护理临床实践指南的使用情况。

IF 1.4 4区 医学 Q4 ONCOLOGY
Prashant Mathur, Thilagavathi Ramamoorthy, Sudarshan Kondalli Lakshminarayana, Anita Nath, Stany Mathew, Gurpreet Kaur Rajput
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引用次数: 0

摘要

目的 2019 年冠状病毒病(COVID-19)大流行影响了癌症服务的提供以及遵循标准治疗指南的可行性。本文介绍了在印度COVID-19大流行期间,在常规实践中使用临床护理指南进行癌症管理的情况以及癌症护理所采用的方法。参与者包括这些登记处的首席调查员,他们同时也是内科、外科和放射肿瘤科的临床医生。调查时间为 2021 年 5 月 1 日至 2021 年 7 月 31 日。研究发现,临床实践指南 (CPG) 在实践中的使用率很高,十名医生中就有八名经常参考临床实践指南。研究报告称,缺乏根据指南进行治疗的知识、技能和培训是阻碍使用的因素,其次是组织基础设施和患者对治疗的承受能力。与国内指南相比,国际临床指南更受青睐。结论制定临床指南的相关人员必须考虑在大流行和类似情况下实施这些指南的实际问题和可行性。此外,还应适当改变护理实践,以确保在常规和大流行情况下提供最佳护理和持续的癌症护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Utilization of clinical practice guidelines for cancer care in routine practice and during the coronavirus disease 2019 pandemic in India

Utilization of clinical practice guidelines for cancer care in routine practice and during the coronavirus disease 2019 pandemic in India

Aim

The coronavirus disease 2019 (COVID-19) pandemic affected cancer service delivery and the feasibility of following the standard treatment guidelines. The present paper describes the use of clinical care guidelines for cancer management in routine practice and the approach adopted towards cancer care during the COVID-19 pandemic in India.

Methods

A web-based survey was done in 107 hospitals (including public and private health facilities) that hosted Hospital-Based Cancer Registries under the National Cancer Registry Programme. The participants comprised Principal Investigators of these registries, who were also medical, surgical, and radiation oncology clinicians. The survey was done between May 1, 2021, and July 31, 2021. Participants were provided with a web link for the survey questionnaire, confidential login, and password.

Results

The study found high utilization of Clinical Practice Guidelines (CPGs) during practice, with eight out of ten physicians constantly to referring them. The study reported lack of knowledge, skills, and training to administer the treatment based on the guidelines followed by organizational infrastructure and affordability of treatment by the patients as the factors hampering utilization. International clinical guidelines were preferred when compared to national guidelines. The COVID-19 pandemic decreased the use of CPGs, wherein six out of ten clinicians reported their use.

Conclusion

Stakeholders who formulate clinical guidelines must consider the practical aspects and feasibility of implementing such guidelines during a pandemic and similar situations. This should be coupled with adequate changes in care practice to ensure optimal care delivery and a continuum of cancer care in routine and pandemic-imposed situations.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
175
审稿时长
6-12 weeks
期刊介绍: Asia–Pacific Journal of Clinical Oncology is a multidisciplinary journal of oncology that aims to be a forum for facilitating collaboration and exchanging information on what is happening in different countries of the Asia–Pacific region in relation to cancer treatment and care. The Journal is ideally positioned to receive publications that deal with diversity in cancer behavior, management and outcome related to ethnic, cultural, economic and other differences between populations. In addition to original articles, the Journal publishes reviews, editorials, letters to the Editor and short communications. Case reports are generally not considered for publication, only exceptional papers in which Editors find extraordinary oncological value may be considered for review. The Journal encourages clinical studies, particularly prospectively designed clinical trials.
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