背景:癌症恶病质是癌症的常见关联,对患者的生活质量和总生存期都有负面影响。尽管如此,其管理在临床实践中仍然欠佳。在网站上提供医疗建议对于医疗决策和将证据转化为临床实践至关重要。
目标:为了仔细检查大小,癌症恶病质建议的一致性和变化随着时间的推移,医生在网络上的肿瘤相关协会。洲际,大陆,进一步分析了国家和社会经济的变化。
方法:肿瘤学相关协会的网络鉴定和对医生在不同时间点的癌症恶病质的相关网络指南建议的前瞻性分析。
结果:2011年6月,我们仔细检查了144,000个网页。我们确定了275个社会,其中270人符合分析条件:67人是国际的(非洲,美国人,亚洲人,欧洲,大洋洲和洲际),109个国家属于发展指数最高的前10个国家,94个国家属于10个在肿瘤学领域有着悠久传统的国家。
结论:在全球范围内,医生在网络上对癌症恶病质的建议在覆盖范围和一致性方面都很少。在考虑的任何时间点:2011年为3.7%(10/270),2018年为8.1%(22/270)。为医生提供基于证据和更新的癌症恶病质建议的社会比例在2011年仅为1.1%(3/270),在2018年为2.96%(8/270)。大陆,国家最高发展指数,未发现肿瘤学传统和经济地理区域会影响Web指南的提供.
BACKGROUND: Cancer cachexia is a common associate of cancer and has a negative impact on both patients\' quality of life and overall survival. Nonetheless its management remains suboptimal in clinical practice. Provision of medical recommendations in websites is of extreme importance for medical decision making and translating evidence into clinical practice.
OBJECTIVE: To scrutinize the magnitude, consistency and changes over time of cancer-cachexia recommendations for physicians on the Web among oncology related societies. Intercontinental, continental, national and socioeconomic variations were further analyzed.
METHODS: Web identification of oncology related societies and prospective analyses of relative Web
guideline recommendations for physicians on cancer-cachexia at different time-points.
RESULTS: In June 2011, we scrutinized 144,000 Web pages. We identified 275 societies, of which 270 were eligible for analyses: 67 were international (African, American, Asian, European, Oceania and Intercontinental), 109 belonged to the top 10 countries with the highest development index and 94 pertained to 10 countries with a long lasting tradition in medical oncology.
CONCLUSIONS: The magnitude of cancer cachexia recommendations for physicians on the Web at a global level was scant both for coverage and consistency, and at any time-point considered: 3.7% (10/270) in 2011 and 8.1% (22/270) in 2018. The proportion of societies giving evidence-based and updated recommendations for cancer cachexia for physicians was only 1.1% (3/270) in 2011 and 2.96% (8/270) in 2018. Continent, national highest developmental index, oncology tradition and economic-geographic areas were not found to influence Web
guideline provision.