在前列腺癌治疗咨询中,关于副作用的沟通变化
Timothy J Daskivich1,2, Aurash Naser-Tavakolian3, Rebecca Gale4
1Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Timothy.Daskivich@csmc.edu.
Prostate cancer and prostatic diseases
|February 23, 2024
概括
医生经常无法充分沟通前列腺癌治疗副作用,省略细节或时间表. 量化和详细说明副作用对于有效的共同决策至关重要.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 共享决策 - - 分享决策
背景情况:
- 对治疗副作用 (SE) 的有效沟通对于局部性前列腺癌的共享决策 (SDM) 至关重要.
- 在咨询中,SE的医生沟通得到了定性特征.
研究的目的:
- 定性地描述医生在局部性前列腺癌咨询期间如何传达治疗副作用 (SE).
- 评估与医生专业和瘤风险相关的SE通信的细节性.
主要方法:
- 从九个多学科的提供者转录了50次前列腺癌治疗初始咨询.
- 使用归纳编码来建立SE通信细节的层次结构 (省略了精确估计).
- 分析了跨专业和瘤风险水平的通信模式.
主要成果:
- 对于手术,勃起功能障碍 (ED) 和尿失禁 (UI) 经常被遗漏或没有量化 (47%的ED,30%的UI).
- 对于辐射,SE经常被遗漏或未定量 (例如,61%的刺激性尿路症状).
- 对手术和辐射SE的时间表进行量化是罕见的;特种一致性提高了颗粒度,但量化仍然是一个挑战.
结论:
- 治疗副作用经常被遗漏,没有量化,或在咨询中缺乏时间表.
- 医生应该明确,量化和分配SE的时间表,以优化共享决策.
- 改善SE沟通对于前列腺癌治疗中以患者为中心的护理至关重要.
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