英国NHS晚期前列腺癌雄激素剥夺治疗患者运动训练指南实施情况多中心调查

数据集获取（Figshare）

• 源站标题：A multi-centre investigation of delivering national guidelines on exercise training for men with advanced prostate cancer undergoing androgen deprivation therapy in the UK NHS
• DOI：10.1371/journal.pone.0197606
• 发布日期：2018-07-05
• 文件数：7 个
• 文件总体积：21.96 MB
• 源站页面：https://plos.figshare.com/articles/dataset/A_multi-centre_investigation_of_delivering_national_guidelines_on_exercise_training_for_men_with_advanced_prostate_cancer_undergoing_androgen_deprivation_therapy_in_the_UK_NHS/6744686

命令行下载

curl -L -o "pone.0197606.s001.docx" "https://ndownloader.figshare.com/files/12304712"
curl -L -o "pone.0197606.s002.docx" "https://ndownloader.figshare.com/files/12304715"
curl -L -o "pone.0197606.s003.docx" "https://ndownloader.figshare.com/files/12304718"
curl -L -o "pone.0197606.s004.docx" "https://ndownloader.figshare.com/files/12304724"
curl -L -o "pone.0197606.s005.docx" "https://ndownloader.figshare.com/files/12304730"
curl -L -o "pone.0197606.s006.xlsx" "https://ndownloader.figshare.com/files/12304739"
curl -L -o "pone.0197606.s007.docx" "https://ndownloader.figshare.com/files/12304742"

文件清单

• pone.0197606.s001.docx（26.02 KB）
• pone.0197606.s002.docx（19.57 KB）
• pone.0197606.s003.docx（18.07 KB）
• pone.0197606.s004.docx（21.53 MB）
• pone.0197606.s005.docx（82.77 KB）
• pone.0197606.s006.xlsx（38.33 KB）
• pone.0197606.s007.docx（243.84 KB）

文件总体积 21.96 MB（源站 API 实测）。

数据说明

Background
National guidelines (NICE-CG175) recommended 12 weeks of supervised exercise training for men treated with androgen deprivation therapy (ADT) for prostate cancer to counter debilitating adverse effects of castration. As with other chronic conditions where exercise is indicated, it is uncertain if these services are being delivered in the health services. The aim of this multi-centre investigation was to examine what exercise referral is currently available for men on ADT as provided by the NHS and if a supervised, individually-tailored exercise training package (as per the national NICE guidelines CG175) is embedded within prostate cancer care.
Methods
A multi-centre investigation of current National Health Service (NHS) care involving a web-based survey of NHS prostate cancer care, five focus groups involving 26 men on ADT and 37 semi-structured interviews with healthcare professionals (HCPs) involved in the management of prostate cancer. Descriptive statistics and thematic analysis evaluated quantitative and qualitative data, respectively. Qualitative methods followed COREQ standards.
Results
HCPs and men on ADT asserted that medical castration has a serious and debilitating impact on many features of men’'s quality of life. There is support for exercise training programmes as part of cancer care and patients would support their initiation soon after diagnosis. Involving the Multidisciplinary Team (MDT) is proposed as key to this. Critically, traditional values in oncology would need to be overcome for widespread acceptance. Specialist further training for HCPs around behaviour change support could encourage this. Given that these schemes are seen as a fundamental part of cancer care, it is felt the NHS should commission and support provision. 79 representatives of 154 NHS trusts (51%) provided survey data on current delivery: only 17% could provide supervised exercise as per CG175.
Conclusions
Evidence-based national exercise guidelines are not being delivered to men on ADT as intended. Traditional values in oncology and the need for NHS financial support are seen as major barriers to provision of current best practice guidelines. Despite this both

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0197606（source: https://plos.figshare.com/articles/dataset/A_multi-centre_investigation_of_delivering_national_guidelines_on_exercise_training_for_men_with_advanced_prostate_cancer_undergoing_androgen_deprivation_therapy_in_the_UK_NHS/6744686）。