肿瘤突发事件流行病学趋势的全球视角。

IF 2.8 4区 医学 Q2 ONCOLOGY
Guilherme Falcão Machado, Laura Sterian Ward, Lucas Leite Cunha
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引用次数: 0

摘要

综述目的:肿瘤急症是肿瘤学和急诊医学之间的一个关键接口。随着全球癌症趋势的发展和医疗保健差距的持续存在,本综述旨在解决了解不同医疗保健背景下肿瘤紧急情况的流行病学、结果预测因素和护理策略的迫切需要。这一领域现有的有限数据强调了巨大的知识差距和重大科学发现的潜力。最近的发现:北美研究网络强调了急诊科入院的可变性,并确定了结果的关键决定因素,包括功能状态和疾病分期。欧洲的研究表明,急诊往往与晚期疾病有关,而亚洲和大洋洲的数据表明,肿瘤负担和种族显著影响急诊护理。在资源有限的地区,与感染有关的恶性肿瘤和不充分的卫生保健基础设施加剧了管理肿瘤紧急情况的挑战。尽管存在这些地区差异,但临床结果的一致预测因素,如表现状态和疾病分期,已经成为普遍的主题。摘要:本综述强调了有针对性的研究和创新干预措施的必要性,以弥合知识和护理提供方面的差距。基于当地流行病学见解的区域特定战略可以改善患者的结果,并促进全球肿瘤应急管理的公平性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A global perspective of epidemiological trends in oncological emergencies.

Purpose of review: Oncologic emergencies are a critical interface between oncology and acute-care medicine. As global cancer trends evolve and healthcare disparities persist, this review seeks to address the pressing need to understand the epidemiology, predictors of outcomes, and care strategies for oncological emergencies across diverse healthcare contexts. The limited data available in this field underscores the vast knowledge gaps and the potential for significant scientific discovery.

Recent findings: North American research networks have highlighted the variability in emergency department admissions and identified key determinants of outcomes, including functional status and disease staging. European studies have revealed that emergency presentations are frequently linked to advanced disease, whereas data from Asia and Oceania suggest that tumor burden and ethnicity significantly influence emergency care. In resource-limited regions, infection-related malignancies and inadequate healthcare infrastructure exacerbate challenges in managing oncologic emergencies. Despite these regional differences, consistent predictors of clinical outcomes, such as performance status and disease stage, have emerged as universal themes.

Summary: This review highlights the need for targeted research and innovative interventions to bridge gaps in knowledge and care delivery. Region-specific strategies based on local epidemiological insights can improve patient outcomes and promote equity in oncological emergency management worldwide.

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来源期刊
Current Opinion in Oncology
Current Opinion in Oncology 医学-肿瘤学
CiteScore
6.10
自引率
2.90%
发文量
130
审稿时长
4-8 weeks
期刊介绍: With its easy-to-digest reviews on important advances in world literature, Current Opinion in Oncology offers expert evaluation on a wide range of topics from sixteen key disciplines including sarcomas, cancer biology, melanoma and endocrine tumors. Published bimonthly, each issue covers in detail the most pertinent advances in these fields from the previous year. This is supplemented by annotated references detailing the merits of the most important papers.
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