所有前列腺癌患者都希望,并经历治疗治疗前的共同决策吗?
Mona Otrebski Nilsson1, Kirsti Aas2, Tor Å Myklebust3
1Cancer Registry of Norway, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway. moni@kreftregisteret.no.
Scandinavian journal of urology
|December 20, 2023
概括
大多数前列腺癌患者希望在治疗选择中分享决策 (SDM). 虽然许多人经历了SDM,但年轻,受过教育的男性选择激进前列腺切除术 (RP) 更有可能实现他们的愿望.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 激进前列腺切除术 (RP),放射治疗 (RAD) 和积极监测 (AS) 对非转移性前列腺癌的存活率相似,但副作用不同.
- 共享决策 (SDM) 对医疗保健专业人员至关重要,但患者对SDM的看法不太了解.
研究的目的:
- 调查前列腺癌 (PCa) 患者对共享决策的愿望 (SDMwish) 和他们与SDM的经验 (SDMexp).
主要方法:
- 这是一项由挪威癌症登记处 (2017-2019) 进行的基于登记册的调查.
- 5,063个治疗治疗的PCa患者报告了他们治疗前的SDMwish和SDMexp诊断后的一年.
- 用多变量分析来确定与SDM相关的因素,显著程度为p < 0.05.
主要成果:
- 78%的PCa患者希望参与SDM (SDMwish),而83%的人经历了它 (SDMexp).
- SDMwish和SDMexp与年轻年龄,高等教育和与伴侣生活有显著联系.
- 接受RAD或AS的患者与接受RP的患者相比,SDMwish和SDMexp的几率大约降低了40%.
结论:
- 大多数治疗前列腺癌患者希望参与SDM,并且大多数人都经历过它.
- 年轻的高学历的患者,在一段关系中,并选择了RP,对SDM的渴望和经验更强烈.
- 有效的SDM需要医生考虑个体患者的特征和需求.
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