护士执业人员的结果为乳腺癌带来了动态压缩系统支程序.
Stephen Trinidad1, Emily McKenna1, Todd Jenkins1
1Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Journal of pediatric surgery
|November 16, 2023
概括
动态压缩系统 (DCS) 支架有效地治疗乳腺癌 (PC). 较高的初始压力变化 (deltaPC1) 预测成功,而较高的初始压力 (PIC) 可能会阻碍它.
科学领域:
- 胸部外科手术 胸部外科手术
- 儿科外科手术 儿科外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 动态压缩系统 (DCS) 支架是一种常见的乳腺癌治疗方法.
- 治疗失败发生在一些患者身上,需要确定预测因素.
- 这项研究评估了护士执业人员领导的DCS支计划的结果.
研究的目的:
- 报告护士执业人员领导的DCS支计划对乳腺癌的结果.
- 为了确定成功的DCS支架治疗的预测因素.
主要方法:
- 对283名用DCS支架治疗的患者进行了回顾性队列研究 (2018年2月至2022年2月).
- 包括至少有三次访问的患者;主要结局是实现中性胸部.
- 分析了患者的年龄,性别,初始调整压力 (PIC) 和压力变化 (deltaPC1) 使用Cox比例危险模型.
主要成果:
- 283名患者中有117名患者实现了纠正,中位数时间为7.5个月.
- 较大的deltaPC1与更高的纠正可能性相关 (HR:2.46).
- 增加PIC与更低的纠正风险相关,直至一年 (HR:0.62).
结论:
- 由高级护理提供者和外科医生管理的DCS支架有效治疗PC.
- 在前两次检查 (deltaPC1) 和初始压力 (PIC) 之间的压力变化是治疗成功的关键预测指标.
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