让患者和护理人员参与开发以患者为中心的日程安排,以比较有效性研究为中心,以治疗复杂的膝关节问题为重点
Lisa A Royse1, Sandi Strother1, Matt Trachsel1
1Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
The journal of knee surgery
|August 21, 2023
概括
患者的意见对于膝盖手术研究至关重要. 合作伙伴计划优先考虑患者的需求,如功能和成本,在生物和人工膝关节手术之间进行选择.
科学领域:
- 整形外科手术 整形外科手术
- 患者为中心的研究结果研究.
- 比较有效性研究比较有效性研究
背景情况:
- 膝关节软骨损失在年轻患者中越来越多地被诊断出来,需要复杂的治疗决策.
- 在以患者为中心的对膝关节手术选择的比较有效性研究中存在一个显著的差距.
- 中年成人在生物膝关节手术和人工膝关节手术之间面临关键选择.
研究的目的:
- 建立以患者为中心的对比膝盖手术的研究优先事项.
- 确定影响患者在生物膝关节手术和人工膝关节手术之间的选择的关键因素.
- 在膝关节置换手术中制定共同决策的框架.
主要方法:
- 在骨科研究 (PARTNORS) 计划中开发了患者咨询团队.
- 招募具有膝关节问题经验的多元患者和护理人员.
- 调整利益相关者参与问题开发和确定优先级的方法来定义研究问题.
主要成果:
- 确定了以患者为中心的研究优先事项的20个问题清单.
- 最优先考虑的包括手术后的日常和娱乐活动的功能水平.
- 第二个最重要的优先事项涉及保险覆盖和财务成本.
结论:
- 将患者和护理人员纳入研究小组,可以提高膝关节手术的比较有效性研究.
- 结合临床指标之外的以患者为中心的因素,可以改善共享决策.
- 通过共同的决策,使患者和医疗团队的目标一致,可以改善外科手术结果.
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