使用修改后的Delphi方法构建质监测路线图,以帮助实现共识共识
Amit K Patel1, Mohit Butaney1, Brian R Lane2
1Henry Ford Health System, Detroit, MI.
Urology
|June 23, 2023
概括
这项研究建立了T1质 (T1RM) 积极监测 (AS) 的共识指南. 确定了患者选择和干预触发因素的关键因素,以改善AS管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医学共识 医学共识
背景情况:
- 积极监测 (AS) 是T1质 (T1RM) 的一个管理选择.
- 对于T1RM的AS,需要标准化的指导方针来提供一致的患者护理.
- 确定患者选择,成像和干预的标准至关重要.
研究的目的:
- 建立对接受T1质积极监测的患者初步评估和随访的共识.
- 在AS下制定T1RM管理的路线图.
主要方法:
- 修改后的Delphi方法与泌尿科医生的共识小组一起使用.
- 三轮在线调查问卷,以实现T1RM的AS协议达成>80%的协议.
- 专注于患者选择,成像方式和干预触发因素.
主要成果:
- 在关于T1RM AS.的321/587种情景 (54.7%) 上达成共识.
- 预期寿命,年龄,并发症和功能是患者选择的关键因素.
- 建立了特定的成像程序 (CT/MRI) 和随访间隔;迅速的瘤生长被确定为干预触发因素.
结论:
- 建立了T1质的积极监测的共识路线图.
- 确定了需要进一步讨论的协议领域和T1RM的AS的领域.
- 这些指导方针旨在提高AS管理中的临床效用和特异性.
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