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新兴经济体中使用真实世界证据进行肿瘤学临床决策。

Use of real-world evidence for oncology clinical decision making in emerging economies.

机构信息

Breast Cancer Department, Instituto Alexander Fleming, Avenida Crámer 1180 Ciudad Autónoma de Buenos Aires. C.P. 1426, Argentina.

IQVIA, Real World Evidence Strategy and Solutions, New York, NY 10282, USA.

出版信息

Future Oncol. 2021 Aug;17(22):2951-2960. doi: 10.2217/fon-2021-0425. Epub 2021 May 28.

Abstract

Real-world evidence (RWE) can provide insights into patient profiles, disease detection, treatment choice, dosing strategies, treatment sequencing, adverse event management and financial toxicity associated with oncology treatment. However, the full potential of RWE is untapped in emerging economies due to structural and behavioral factors. Structural barriers include lack of regulatory engagement, real-world data availability, quality and integrity. Behavioral barriers include entrenched healthcare professional behaviors that impede rapid RWE understanding and adoption. These barriers can be addressed with close collaboration of healthcare stakeholders; of whom, regulators need to be at the forefront given their ability to facilitate use of RWE in healthcare policy and legislation.

摘要

真实世界证据(RWE)可以提供有关患者特征、疾病检测、治疗选择、剂量策略、治疗顺序、不良反应管理以及与肿瘤治疗相关的财务毒性的见解。然而,由于结构性和行为性因素,新兴经济体尚未充分挖掘 RWE 的潜力。结构性障碍包括缺乏监管参与、真实世界数据的可用性、质量和完整性。行为性障碍包括根深蒂固的医疗保健专业人员行为,这些行为阻碍了对 RWE 的快速理解和采用。通过医疗保健利益相关者的密切合作可以解决这些障碍;其中,鉴于监管机构能够促进 RWE 在医疗保健政策和法规中的应用,他们需要处于前沿地位。

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