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手术与射线手术用于前庭神经瘤:在一个多学科诊所的共同决策

Francesca Colombo¹, Helen Maye¹, Scott Rutherford¹

¹Department of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Manchester, UK.

Neuro-oncology advances

|August 7, 2023

概括

一个多学科的诊所前庭神经瘤 (VS) 改善了共享决策 (SDM). 患者接受全面的咨询,治疗选择反映了复杂的考虑,而不仅仅是侵入性.

科学领域:

神经外科神经外科
在瘤学瘤学.
患者护理患者护理

背景情况:

神经外科部门实施了共享决策 (SDM) 模型,使用前置神经瘤 (VS) 的多学科诊所.
一个关键的特点是涉及外科医生,瘤学家和专业护士为患者辩护的跨学科咨询.

研究的目的:

评估一个综合多学科诊所模型的效果,以管理前体瘤 (VS).
在共享决策框架内分析患者的治疗选择.

主要方法:

在2013年6月至2019年1月期间,对新出现的VS患者进行了回顾性队列研究.
纳入标准:从头骨基多学科小组 (MDT) 转介的新患者或以前未经治疗的VS患者.
进行了描述性统计和频率分析.

主要成果:

分析了354名新的或未经治疗的VS患者.
治疗分布:37.9%是立体射线手术 (SRS),32.8%是观看,等待和重新扫描 (WWR) 和26.6%是手术.
患者的选择并不总是有利于最不侵入性的选择.

结论:

结合的外科/瘤/专业护士诊所简化了VS治疗的患者体验.
患者的决策是复杂的,选择受到全面咨询的影响.
多学科诊所对SDM在管理VS复杂治疗选择方面越来越有价值.

关键词:

患者咨询咨询患者咨询共享决策 (SDM) 是一种共享决策.头骨的基础骨的基础骨的基础前立腺神经瘤 (VS)

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