患者对巴雷特食道内镜治疗的价值观和偏好:一个横截面调查研究
Bashar J Qumseya1, David Estores1, Venkata Gorripati1
1Division of Gastroenterology, Hepatology and Nutrition University of Florida Gainesville Florida USA.
DEN open
|February 12, 2024
概括
患者愿意接受巴雷特食道内除疗法 (EET) 与优先考虑癌症预防和信任胃肠科医生有关. 这种微创治疗为患者提供了有效的选择.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗决策的制定 医疗决策的制定
背景情况:
- 巴雷特的食道患有发育不良需要治疗.
- 内镜根除疗法 (EET) 是一种微创的选择.
- 患者的价值观和偏好对于接受治疗至关重要.
研究的目的:
- 评估患者对EET的价值观和偏好,用于巴雷特失生性食道.
- 为了确定接受EET的意愿的预测因素.
主要方法:
- 一项横截面研究调查了101名巴雷特食道患者.
- 接受EET的意愿是主要结果.
- 多变量逻辑回归分析了预测器.
主要成果:
- 68%的患者愿意接受EET.
- 对癌症预防的高度重视 (OR 2.9) 和胃肠道学家的积极关系 (OR 4.7) 预测了意愿.
- 30%的患者平衡了预防癌症和避免不良事件.
结论:
- 巴雷特食道患者对EET的意愿与优先考虑癌症预防有显著联系.
- 与胃肠科医生建立牢固的患者与医生的关系,可以提高EET的接受度.
- 了解患者价值观是成功内镜治疗策略的关键.
相关概念视频
Barrett Esophagus-II: Clinical Manifestations and Management
154
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
154
Barrett Esophagus-I: Introduction
98
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
98
Endoscopic Procedures I: Esophagogastroduodenoscopy
116
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
116
Esophageal Strictures-II: Clinical Features and Management
72
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
72
Gastroesophageal Reflux Disease II: Clinical Features and Management
85
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
85
Endoscopic Procedures V: ERCP
228
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
228


