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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Examining the 'usual' in usual care: a critical review and recommendations for usual care conditions in psycho-oncology
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Examining the 'usual' in usual care: a critical review and recommendations for usual care conditions in psycho-oncology

机译：审查通常的护理中的“常规”：心理肿瘤学常规护理条件的关键审查和建议

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PurposeWithin psycho-oncology clinical trials, usual care (UC) represents a common and important control condition. Yet recent shifts in oncology, coupled with insufficient description of such conditions, threaten to render UC increasingly difficult to define and interpret. This paper offers evidence of these shifts and recommendations for addressing them.MethodsThe broader literature on usual care as a control condition in psychosocial/behavioral intervention trials was assessed, and usual care-controlled trials in psycho-oncology were selectively reviewed, toward to goal of conceptual synthesis.ResultsWe offer evidence that (1) UC control conditions are often insufficiently defined and assessed; and (2) the context of supportive care in oncology has shifted in a manner that contributes to this problem, with implications for interpreting and comparing findings across clinical trials. Three converging findings support these conclusions. First, the scientific literature increasingly documents the diversity in how usual care conditions are defined across psychosocial and behavioral trials, with important considerations for trial interpretation. Second, evidence suggests that the availability of psychosocial oncology care has increased over the past few decades. The increasing availability and variety of psychosocial care introduces potential confounds for UC conditions. Third, mental health care trends in the general population affect the supportive interventions available to oncology patients in UC conditions today versus in the past.ConclusionsShifts in psychosocial oncology and broader mental health care underscore the importance of carefully defining and assessing UC in psycho-oncology trials. Recommendations are offered for improving the design, evaluation, and interpretation of UC conditions, toward the ultimate goal of improving the quality of the evidence in psycho-oncology.
机译：目的性心理肿瘤学临床试验，通常护理（UC）代表了一种共同和重要的控制条件。然而，最近在肿瘤的变化，与这种条件的描述不足，威胁要使UC越来越难以定义和解释。本文提供了这些转变和解决这些班次的证据。在评估心理社会/行为干预试验中的对照条件，在精神病学中，选择性地审查了对脑卒中的控制条件，朝着目标进行了常规护理的更广泛的文献。概念综合。详细信息提供（1）UC控制条件通常不充分定义和评估; （2）肿瘤学中的支持性护理的背景以有助于这个问题的方式转变，有助于解释和比较临床试验的结果。三种融合调查结果支持这些结论。首先，科学文献越来越多地记录了横跨心理社会和行为试验的平常护理条件的多样性，具有试用解释的重要考虑因素。其次，证据表明，过去几十年来，心理社会肿瘤科学的可用性增加。越来越多的可用性和各种各样的心理社会护理引入了UC条件的潜在困惑。第三，一般人群的精神医疗保健趋势会影响今日UC条件中的肿瘤患者的支持性干预措施。心理社会肿瘤学和更广泛的心理健康保健中的结论，强调了仔细定义和评估了在心理肿瘤学试验中的重要性。提出建议，以改善UC条件的设计，评估和解释，以提高心理肿瘤学中的证据质量的最终目标。

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