The Lack of Standard Definitions in the Supportive and Palliative Oncology Literature
The Lack of Standard Definitions in the Supportive and Palliative Oncology Literature
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DOI：
10.1016/j.jpainsymman.2011.04.016
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发表时间：
2012-03-01
影响因子：
4.7
通讯作者：
Bruera, Eduardo
中科院分区：
文献类型：
--
作者：
Hui, David;Mori, Masanori;Bruera, Eduardo
上下文多个组织对支持性和姑息性肿瘤学文献中术语缺乏标准定义表示担忧。我们的目的是确定1）支持性和姑息性肿瘤学文献中10个常用术语的频率，2）为每个术语提供定义的文章比例，3）每个术语的定义方式。我们系统性地检索了MEDLINE、PubMed、PsycINFO、科克伦图书馆、Embase、ISI Web of Science和Cumulative Index to Nursing and Allied Health Literature，以获得2004年和2009年前6个月与姑息治疗和癌症相关的原始研究、综述文章和系统综述。我们统计了每篇文章中“姑息治疗”、“支持性治疗”、“最佳支持性治疗”、“临终关怀”、“绝症”、“护理目标”、“积极死亡”和“护理过渡”的出现次数，回顾了它们的定义，并记录了期刊特征。在1213篇文章中，678篇（56%）来自2009年。“姑息治疗”和“临终关怀”是最常用的术语。“姑息治疗”、“临终”和“绝症”在姑息治疗期刊中出现的频率更高，而“支持治疗”和“最佳支持治疗”在肿瘤学期刊中出现的频率更高（P < 0.001）。在601篇定义为“姑息治疗”的文章中，有35篇（6%）有16种不同的变化（35篇文章中有21篇使用了世界卫生组织的定义）。151篇文章中有13篇（9%）对“临终关怀”进行了定义。“支持性治疗”和其他术语很少被定义（使用该术语的文章不到5%）。我们的研究结果强调了支持性和姑息性肿瘤学文献中许多重要术语缺乏明确的定义。需要标准定义来改善行政、临床和研究操作。J Pain Symptom Manage 2012;43：582-592. (C)2012年美国癌症疼痛缓解委员会。爱思唯尔公司出版All rights reserved.
Context. Multiple organizations have raised concerns about the lack of standard definitions for terminology in the supportive and palliative oncology literature.Objectives. We aimed to determine 1) the frequency of 10 commonly used terms in the supportive and palliative oncology literature, 2) the proportion of articles that provided definitions for each term, and 3) how each term was defined.Methods. We systematically searched MEDLINE, PubMed, PsycINFO, the Cochrane Library, Embase, ISI Web of Science, and Cumulative Index to Nursing and Allied Health Literature for original studies, review articles, and systematic reviews related to palliative care and cancer in the first six months of 2004 and 2009. We counted the number of occurrences for "palliative care," "supportive care," "best supportive care," "hospice care," "terminal care," "end-of-life," "terminally ill," "goals of care," "actively dying," and "transition of care" in each article, reviewed them for the presence of definitions, and documented the journal characteristics.Results. Among the 1213 articles found, 678 (56%) were from 2009. "Palliative care" and "end-of-life" were the most frequently used terms. "Palliative care," "end-of-life," and "terminally ill" appeared more frequently in palliative care journals, whereas "supportive care" and "best supportive care" were used more often in oncology journals (P < 0.001). Among 35 of 601 (6%) articles with a definition for "palliative care," there were 16 different variations (21 of 35 articles used the World Health Organization definition). "Hospice care" had 13 definitions among 13 of 151 (9%) articles. "Supportive care" and other terms were rarely defined (less than 5% of articles that used the term).Conclusion. Our findings highlight the lack of definitional clarity for many important terms in the supportive and palliative oncology literature. Standard definitions are needed to improve administrative, clinical, and research operations. J Pain Symptom Manage 2012;43:582-592. (C) 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.