患者对治疗晚期癌症的息系统疗法的益处的看法
Shalini Subramaniam1,2,3,4, Diana H Adams5,6, Annette Tognela5,6
1NHMRC Clinical Trials Centre, Sydney, New South Wales, Australia.
Internal medicine journal
|January 11, 2024
概括
许多晚期癌症患者希望通过息疗法治愈,误解预后. 大多数患者和瘤学家在治疗决策中均优先考虑生活质量和寿命.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医学预后 医学预后
背景情况:
- 患有晚期癌症的患者经常误解他们的预后,并高估了息系统治疗的好处.
- 这种误解可能会导致对治疗和治疗结果的不切实际期望.
研究的目的:
- 调查患者对治疗晚期癌症的息性全身疗法的益处的看法.
- 为了确定患者和瘤学家对治疗结果的期望之间的差异.
主要方法:
- 调查对104名晚期癌症门诊患者及其瘤学家进行了调查.
- 患者和瘤学家报告了治疗预期的治愈,症状改善,预期寿命和对生活质量 (QOL) 和寿命 (LOL) 的偏好.
- 不一致性被定义为QOL/LOL估值≥4点的差异.
主要成果:
- 很大一部分患者 (36%) 预计从息治疗中治愈,其中20%的人表示很可能/有点可能.
- 大多数患者 (84%) 认为治疗可以延长生命,而76%的患者预计症状会改善.
- 观察到患者和瘤学家在预期寿命估计中的不一致性,62%的患者选择比他们的瘤学家更长的时间框架.
结论:
- 至少有20%的接受全身治疗的晚期癌症患者预计能治愈.
- 患者和瘤学家在做出关键治疗决策时,通常都同样重视生活质量和寿命.
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