利用研究成果来优化前列腺癌护理
Brock O'Neil1, Matthew J Resnick1,2
1Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Urology practice
|August 18, 2023
概括
将患者报告的结果措施 (PROM) 和决策辅助工具整合到局部性前列腺癌护理中,可以提高患者的决策能力. 推使用扩张前列腺指数复合短形式 (EPIC-SF) 等工具来跟踪结果.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 局部性前列腺癌的治疗涉及多种选择,具有不同的副作用,使患者的偏好至关重要.
- 患者报告的结果措施 (PROM) 和决策辅助工具可以增强共享决策并改善患者的结果.
- 当前的临床实践面临着整合这些宝贵的以患者为中心的工具的障碍.
研究的目的:
- 审查关于PROMs和局部前列腺癌管理的决策辅助工具的文献.
- 讨论这些工具在临床实践中的重要性和实施挑战.
- 推特定的工具和策略,以实现成功的整合.
主要方法:
- 对PROMs和局部前列腺癌的决策辅助器的研究进行系统文献综述.
- 综合了关于这些工具的影响和实用性的关键发现.
- 确定临床实施的障碍和促进因素.
主要成果:
- 高质量的PROM,如扩大前列腺指数复合短形式 (EPIC-SF),在临床环境中越来越多地被采用.
- 决策辅助可明显提高患者的知识和满意度,并减少不确定性.
- 提供商的参与和建立的办公协议可以克服实施障碍.
结论:
- 将PROM和决策辅助工具纳入临床实践对于改善前列腺癌护理中共享决策质量至关重要.
- 为了成功整合这些以患者为中心的工具,需要周到的实施策略.
- 建议使用EPIC-SF用于局部性前列腺癌的标准化结果测量.
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