노인 암환자에서 항암치료 의사결정의 영향요인에 대한 체계적 문헌고찰 개관
Factors Influencing of Oncologic Treatment Decision-Making for Elderly Cancer Patients: An Overview of Systematic Reviews
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Objectives: The aim of this overview was to summarise the current evidence of published systematic reviews (SRs) addressing factors influencing of oncologic treatment decision-making for elderly cancer patients. Methods: We searched Ovid-MEDLINE up to January 2021. Relevant SRs were included based on pre-determined inclusion criteria. Only English or Korean SRs published were selected. The outcomes of interest were results related with factors influencing on treatment decision-making for elderly cancer patients. Narrative content analysis and qualitative review was conducted. Results: We included 6 SRs that met all inclusion criteria. Overall, there were SRs with observational studies or qualitative studies, most SRs published after 2014. There were 2 SRs reported outcomes with regard to factors influencing the treatment decisions. Other SRs described relevant results about influence on cancer treatment of geriatric assessment or geriatric assessment tool. As a result of analyzing factors influencing on cancer treatment, physician recommendation, patients’ previous health-related experiences and the extent of benefits and side effects generally were reported. Conclusion: We identified that the factors influencing acceptance or denial on cancer treatment decision as well as treatment decision by cancer type for elderly patients. Further studies were needed to using large and representative elderly Korean population.
Abstract
Objectives: The aim of this overview was to summarise the current evidence of published systematic reviews (SRs) addressing factors influencing of oncologic treatment decision-making for elderly cancer patients. Methods: We searched Ovid-MEDLINE up to January 2021. Relevant SRs were included based on pre-determined inclusion criteria. Only English or Korean SRs published were selected. The outcomes of interest were results related with factors influencing on treatment decision-making for elderly cancer patients. Narrative content analysis and qualitative review was conducted. Results: We included 6 SRs that met all inclusion criteria. Overall, there were SRs with observational studies or qualitative studies, most SRs published after 2014. There were 2 SRs reported outcomes with regard to factors influencing the treatment decisions. Other SRs described relevant results about influence on cancer treatment of geriatric assessment or geriatric assessment tool. As a result of analyzing factors influencing on cancer treatment, physician recommendation, patients’ previous health-related experiences and the extent of benefits and side effects generally were reported. Conclusion: We identified that the factors influencing acceptance or denial on cancer treatment decision as well as treatment decision by cancer type for elderly patients. Further studies were needed to using large and representative elderly Korean population.
참고문헌 (11)
- 국가암등록사업 연례 보고서(2017년 암등록통계), "중앙암등록본부", 보건복지부, ~ (2019)
- 통계청, "2019년 사망원인통계 결과", 통계청, ~ (2020)
- Hurria A, "Senior adult oncology, version 2. 2014 : clinical practice guidelines in oncology", J Natl Compr Canc Netw, 12, pp.82~126 (2014)
- Szumacher E, "Use of comprehensive geriatric assessment and geriatric screening for older adults in the radiation oncology setting: a systematic review", Clin Oncol (R Coll Radiol), 30, pp.578~588 (2018)
- Hamaker ME, "The effect of a geriatric evaluation on treatment decisions and outcome for older cancer patients-A systematic review", J Geriatr Oncol, 9, pp.430~440 (2018)
- Puts MT, "A systematic review of factors influencing older adults’ decision to accept or decline cancer treatment", Cancer Treat Rev, 41, pp.197~215 (2015)
- Puts MT, "A systematic review of factors influencing older adults’ hypothetical treatment decisions", Oncol Hematol Rev, 11, pp.19~33 (2015)
- Puts MT, "An update on a systematic review of the use of geriatric assessment for older adults in oncology", Ann Oncol, 25, pp.307~315 (2014)
- Chouliara Z, "Perceptions of older people with cancer of information, decision making and treatment : a systematic review of selected literature", Ann Oncol, 15, pp.1596~1602 (2004)
- Shea BJ, "AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both", BMJ, 358, pp.j4008~ (2017)
- Pollock M, "Evaluation of AMSTAR to assess the methodological quality of systematic reviews in overviews of reviews of healthcare interventions", BMC Med Res Methodol, 17, pp.48~ (2017)