"共享决策"对于前列腺癌查:这是质量预防性医疗保健的标记吗?
Borivoj Golijanin1, Vikas Bhatt1, Alexander Homer1
1The Minimally Invasive Urology Institute at The Miriam Hospital, Division of Urology, Lifespan Academic Medical Center, the Legorreta Cancer Center at Brown University, Warren Alpert Medical School of Brown University, Providence, RI 02906, United States.
Cancer epidemiology
|December 6, 2023
概括
前列腺癌查中的共享决策 (SDM) 与更高的PSA和结直肠癌查率以及其他预防性健康行为有关. 虽然SDM可以改善整体预防性护理,但在使用SDM方面仍然存在种族差异.
科学领域:
- 预防性医学是一种预防性医学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 共享决策 (SDM) 对前列腺癌 (PCa) 查指南至关重要,平衡利益与过度诊断风险.
- 实施SDM对初级保健提供者 (PCP) 构成挑战,他们需要平衡患者的偏好和风险因素.
- 本研究调查了PCa查的SDM与其他优质预防性医疗保健行为之间的关联.
研究的目的:
- 评估前列腺癌 (PCa) 查和其他预防性健康行为中共享决策 (SDM) 之间的关系.
- 确定SDM是否与PCa和结直肠癌 (CRC) 查率更高有关.
- 探索SDM和PCa查中的潜在种族差异.
主要方法:
- 对2020年行为风险因素监测调查对50-75岁男性的数据进行分析.
- 评估参与SDM,PCa查,CRC查和其他预防性健康行为 (如疫苗接种,运动,吸烟状况).
- 调整的几率比率 (AOR) 的计算,以PSA测试的可能性作为SDM的函数,反之亦然,以及其他预防性行为.
主要成果:
- 在接受PSA查的39.1%的男性中,存在SDM,在使用SDM时,PSA查的几率更高 (AOR=2.68).
- 较高的SDM和PSA测试几率与CRC查 (结肠镜史),定期炼和接种疫苗 (流感,肺炎) 有关.
- 吸烟与SDM和PSA测试有负相关性,而黑人男性的SDM率较高,但与白人男性相比,PSA测试几率降低.
结论:
- 共享决策 (SDM) 与更高的前列腺癌查率,结直肠癌查率和其他预防性健康行为有关.
- 在SDM和前列腺特异性抗原 (PSA) 查中观察到种族差异.
- 作为一个指标,SDM显示出增强偏好敏感护理和改善整体预防性医疗保健结果的潜力.
更多相关视频
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Disorders of the Male Reproductive System
424
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
424
Cancer Vaccines
376
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
376
Nursing Ethical Principles II
984
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
984
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Survival Analysis
356
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
356


