血友病的发展 一种基因疗法是临床医生共享决策工具
Jacqueline Limjoco1, Courtney D Thornburg1,2
1Hemophilia and Thrombosis Treatment Center, Rady Children's Hospital San Diego, San Diego, California, USA.
概括
开发一种共享决策 (SDM) 工具对于实施血友病A的基因疗法至关重要. 临床医生需要关于安全性,疗效和成本的公正信息来支持患者的讨论.
科学领域:
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
- 医疗信息学 医疗信息学
背景情况:
- 基因疗法越来越多地被纳入临床实践.
- 建议在实施新疗法时采用共享决策 (SDM).
- 血友病A是一种遗传出血疾病,基因疗法显示出有前途.
研究的目的:
- 为了帮助开发一个临床医生专注于血友病A基因治疗的SDM工具.
- 收集临床医生关于这种工具的基本组件和可用性的意见.
主要方法:
- 与美国血友病治疗中心的临床医生进行了半结构面试.
- 参与者提供了关于临床医生SDM工具原型的反.
- 采访数据被转录,编码和主题分析.
主要成果:
- 10名临床医生 (8名医生,2名护士) 参加,所有人都有血友病护理经验.
- 大多数临床医生在讨论基因疗法时表达了中等至高的信心.
- 关键的反主题包括需要清晰的语言,公正的内容和以患者为中心的伴随工具.
结论:
- 显然需要SDM工具来支持A型血友病的基因治疗讨论.
- 基本工具内容包括安全性,有效性,成本和基因治疗过程.
- 该工具需要公正的数据呈现和与现有治疗方法进行比较,并计划进行不断的改进.
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