息手术:科学现状和未来的方向
Elizabeth J Lilley1,2,3,4, Orly N Farber1,2,4, Zara Cooper1,2,4
1Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
The British journal of surgery
|March 19, 2024
概括
息手术可以缓解严重病患者的症状. 需要更多高质量的研究来了解这些关键瘤手术的长期益处和风险.
科学领域:
- 手术瘤学手术瘤学
- 抚慰性护理是一种缓解性护理.
- 基于证据的医学基于证据的医学.
背景情况:
- 息性外科手术在外科瘤学中很常见,用于缓解临终性疾病的症状.
- 有限的高质量的研究存在于症状改善的持久性和息手术后的生活质量.
- 现有的研究往往过时,并使用不一致的息性手术定义,阻碍临床决策.
研究的目的:
- 为了解决关于息性手术的好处,风险和权衡的强有力的证据的缺乏.
- 突出需要更好地了解缓解干预后症状持久性的需要.
- 为患者和外科医生提供有关息性手术选择的临床决策信息.
主要方法:
- 审查现有关于息手术结果的文献.
- 分析当前研究中的定义和方法的质量和一致性.
- 评估有关减轻症状和减少医疗负担的证据.
主要成果:
- 很少有高质量的研究足够衡量缓解性手术改善的持久性.
- 在现有的证据中,不一致的定义和过时的方法普遍存在.
- 有证据表明,当护理目标明确,患者经过仔细选择时,息性手术可以提供症状缓解,并减少医疗负担.
结论:
- 显著需要对息性手术的长期影响进行更严格的研究.
- 关于护理目标的明确沟通和细致的患者选择对于成功的息手术结果至关重要.
- 息性手术,当适当地应用时,可以成为管理症状和改善严重疾病的选择患者的生活质量的宝贵工具.
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