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患有低风险表面基础细胞癌的患者的共同决策质量和决策遗憾:一个前性的多中心队列研究

Andrea Catalan-Griffiths¹, Paola Pasquali², Salvador Arias-Santiago^3,4

¹Dermatology Service, Medical University of Graz, Graz, Austria / AUVA Rehabilitation Clinic Tobelbad, Tobelbad, Austria.

JAAD international

|October 12, 2023

概括

患有低风险表面基础细胞癌 (lr-sBCC) 的患者往往更喜欢非手术治疗. 在lr-sBCC治疗中,共享决策 (SDM) 可以减少患者的决策冲突和遗憾.

科学领域:

皮肤病学皮肤病学
在瘤学瘤学.
医疗保健服务研究医疗服务研究

背景情况:

低风险表面基细胞癌 (lr-sBCC) 呈现多种治疗选择,可能使共享决策 (SDM) 复杂化.
有效的SDM对于将患者的偏好与皮肤病学中的治疗选择结合起来至关重要.

研究的目的:

评估患者和医生之间的共享决策 (SDM) 过程,用于低风险的表面基细胞癌 (lr-sBCC) 治疗.
为了确定影响SDM过程和患者治疗结果的因素,在lr-sBCC治疗选择.

主要方法:

一个前性的多中心队列研究,涉及107名患者超过18个月.
使用共享决策问卷-患者 (SDM-Q-9) 和医生 (SDM-Q-Doc) 版本来评估SDM质量.
收集了关于患者治疗选择,决策冲突和决策遗憾的数据.

主要成果:

在患者和医生SDM评级之间发现了微弱的正相关性 (r=0.21,P=0.03).
在SDM过程中,71%的患者选择了非手术治疗.
较高的SDM满意度与减少的决策冲突和遗憾相关 (P<0.001);80岁以上的患者和选择手术的患者经历了较高的冲突.

结论:

SDM过程似乎有效地缓解了接受irr-sBCC治疗的患者的决策冲突和遗憾.
在lr-sBCC患者中观察到明显的偏好较少侵入性疗法,这强调了以患者为中心的护理的重要性.

关键词:

瘤学在瘤学方面.分享决策的决策.表面的基底细胞癌,表面的基底细胞癌

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