健康发展与政策研究2026，Vol.29Issue(1)：33-43,11.DOI:10.12458/HDPR.202507068
国际肿瘤低价值医疗服务研究进展
Global trends and hotspots in low-value oncology care
摘要
Abstract
Objective This study aims to explore the research frontiers and hotspots in the field of low-value care in oncology through bibliometrics and visualization analysis,and to provide a reference for future theoretical research and practice in this field.Methods English-language literature on low-value care in oncology from 2000 to 2025 was systematically retrieved from the PubMed database.CiteSpace was employed to conduct co-occurrence analysis,cluster analysis,timeline visualization,and burst detection.Subgroup analyses were performed for four major solid tumors:breast cancer,prostate cancer,thyroid cancer,and lung cancer.Results A total of 2 367 publications were included.Since 2012,the publication volume has surged,with the United States contributing a significantly higher volume than other countries.Co-occurrence analysis identified high-frequency keywords such as breast cancer,prostate cancer,drug interactions,thyroid cancer,geriatric assessment,lung cancer,and active surveillance.Cluster analysis identified ten major clusters,including polypharmacy,prostate cancer,breast cancer,and cancer screening.The timeline view demonstrated a shift from studies focused on individual low-value practices to those addressing comprehensive value-based governance.Burst detection highlighted potentially inappropriate medication(PIM)and drug interactions as current research frontiers.Keyword co-occurrence analyses of the four high-frequency cancer subgroups indicated that cancer screening and imaging examinations are the focal points of low-value care,while also revealing heterogeneity in practices across different tumor types.Conclusions Research on low-value care in oncology evolves rapidly,currently focusing on screening services for high-incidence solid tumors(e.g.,breast and prostate cancer)and medication management for the seniors.Future research should expand value assessment across a broader range of cancer types,strengthen the translation of evidence into practice,promote the development of new technologies,and formulate value-based healthcare management strategies to advance precision and high-value oncology practices.关键词
肿瘤/低价值医疗/文献计量学/知识图谱Key words
oncology/low-value care/bibliometrics/knowledge graph分类
医药卫生引用本文复制引用
张可妙,锁悦,张弛,张楠,周子淳,乔静怡,翁俊岭,陈英耀,杨毅..国际肿瘤低价值医疗服务研究进展[J].健康发展与政策研究,2026,29(1):33-43,11.基金项目
国家自然科学基金青年科学基金项目(72404060) （72404060）
上海市2024年度"科技创新行动计划"软科学研究项目(24692106300) （24692106300）
上海市2025年度高水平机构建设运行计划"软科学研究"项目(25692115200) （25692115200）
中国博士后科学基金第18批特别资助(2025T180199) （2025T180199）
