患者对性结肠炎治疗选择的偏好:一个离散选择实验
Tessa Straatmijer1,2, M Elske van den Akker-van Marle3, Cyriel Y Ponsioen2
1Department of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, The Netherlands.
Scandinavian journal of gastroenterology
|December 3, 2023
概括
性结肠炎患者在选择治疗时优先考虑长期减轻症状,而不是其他因素. 患者对性结肠炎疗法的偏好可以为临床决策提供信息.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 性结肠炎 (UC) 的不断扩大的治疗环境对治疗选择提出了挑战.
- 了解患者的偏好对于UC管理中的共享决策至关重要.
研究的目的:
- 为了确定患者对荷兰性结肠炎 (UC) 治疗选择的偏好.
- 确定在治疗失败后考虑手术干预的门.
主要方法:
- 一个多中心的,基于网络的离散选择实验 (DCE) 与成年UC患者进行.
- 选择任务评估了包括给药途径,位置,减少症状和不良事件在内的属性.
- 层次贝叶斯估计被用于数据分析.
主要成果:
- 一年后的症状减轻是药物治疗选择中最关键的因素 (RI 27.7).
- 感染的可能性 (RI 22.3) 和短期症状减轻 (RI 19.5) 也显著.
- 显著的比例的患者犹不决考虑手术,即使在多次治疗失败后.
结论:
- 长期减轻症状是UC患者选择医疗疗法的首要驱动力.
- 患者的偏好和考虑手术的意愿有很大差异,影响治疗途径.
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