Interventions for dysarthria due to stroke and other adult-acquired, non-progressive brain injury.

Machine translation Machine translation
类别 Systematic review
期刊Cochrane Database of Systematic Reviews
Year 2017
連結 Pubmed, DOI, PubMed Central
目标：实现首选和实际死亡地点之间的一致性越来越多地被用作姑息治疗服务有效性的量化指标。目前的世俗趋势表明死亡制度化的逆转，但在恶性疾病患者中这一趋势更为明显。因此，本研究旨在评估是否对癌症和非癌症人群公平地保护自主权。方法：系统评价和荟萃分析是根据“系统评价和元分析”首选报告项目和流行病学观察研究Metas分析（MOOSE）指南的建议进行的。对1980年至今的所有同行评审出版物进行了14个数据库的综合电脑搜索，辅以文献的手工审查，确定了癌症和/或非癌症队列的不一致率。使用随机效应模型进行结果聚合。结果：共找到26篇符合搜索和纳入标准的文章。发现非癌症诊断显着增加了不一致发生率，加权风险比为1.23（95％CI 1.01至1.49，p = 0.04），这种差异似乎自2004年以来有所增加。具有中等程度的异质性（I（2）= 62％）。结论：这些发现是一个重大的挑战，因为一个“好”的死亡与实现患者的愿望，包括首选的死亡地点密切相配。尽管越来越多的人意识到那些死于慢性非恶性疾病的患者具有广泛的姑息治疗需要，但仍然需要做很多工作才能保持自主，减少面对死亡的无力。
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Epistemonikos ID: 732120db4b47ec2ea4698471b82042737ab1ca91
First added on: Feb 07, 2017
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