医生的知识,实践模式,和障碍遇到与指导方针一致使用骨修饰剂的前列腺癌
Aaron P Mitchell1,2, Sonia Persaud1, Paul Palyca3
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
The Prostate
|October 17, 2023
概括
医生们表现出对前列腺癌骨修饰剂 (BMA) 准则的良好认识,但仍存在一些差距. 牙科导航和电子医疗记录 (EMR) 指南是首选的,以改善适当的BMA使用.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 指导方针建议使用骨修饰剂 (BMA) 治疗具有骨转移的耐性前列腺癌 (CRPC).
- 不建议使用BMA治疗割敏感前列腺癌 (CSPC).
- 关于BMA治疗的医生实践和信仰需要进一步了解.
研究的目的:
- 调查医生对前列腺癌BMA治疗的认识和实践.
- 在CRPC和CSPC中识别符合指导方针的BMA使用障碍.
- 确定改善BMA利用的有效干预措施.
主要方法:
- 用嵌入的利克特尺度元素进行定性面试研究.
- 在一个学术中心和社区网络中治疗前列腺癌的医生参与了.
- 参与者讨论了BMA治疗的经验,实践模式,障碍和干预措施.
主要成果:
- 对BMA对CRPC的建议的认识是普遍的;对CSPC和骨矿物密度查的认识是不完整的.
- 常见的障碍包括获得牙科清除和不够的诊所时间.
- 对使用不足的有效干预措施是牙科导航和基于EMR的指导;对于过度使用,优先考虑对等教育和基于EMR的指导.
结论:
- 医生对前列腺癌BMA指南的认识通常很好,但有改进的余地.
- 有针对性的干预措施,如牙科导航,同行教育和EMR支持,可以加强符合指南的BMA使用.
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