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对2型糖尿病管理的共享决策方法.
Blair J MacDonald1, James P McCormack2, Ricky D Turgeon3
1Doctoral candidate in the Faculty of Pharmaceutical Sciences at the University of British Columbia in Vancouver.
概括
一个新的决策辅助工具可以帮助2型糖尿病患者做出明智的药物选择. 它将风险个性化,并比较治疗的好处和危害,支持共享决策,以获得更好的健康结果.
科学领域:
- 内分泌学和新陈代谢学
- 医疗信息学 医疗信息学
- 患者决策辅助工具 患者决策辅助工具
背景情况:
- 2型糖尿病 (T2DM) 影响数百万,增加死亡和心血管/微血管并发症的风险.
- 对于T2DM,有许多药物选择存在,由于患者特定的偏好和结果,复杂化了治疗决策.
- 共享决策对于个性化T2DM治疗至关重要,但由于复杂性而受到阻碍.
研究的目的:
- 开发并提供一个在线交互式决策辅助工具,用于关于T2DM药物选择的共享决策.
- 授权T2DM患者做出自主和知情的治疗决策.
主要方法:
- 对预测模型和药物治疗选择的指南,临床数据库 (DynaMed,UpToDate) 和PubMed进行系统审查.
- 搜索了元分析和随机对照试验,以确定T2DM治疗的益处和危害.
- 开发了PEER糖尿病药物决策辅助,包括个性化风险估计和治疗比较.
主要成果:
- 该决策辅助工具为六个关键糖尿病相关结果提供了个性化10年风险估计.
- 患者可以优先考虑结果,并比较最多12种治疗方法的益处/危害.
- 信息以绝对数表示,包括实用因素,如成本.
结论:
- PEER糖尿病药物决策辅助是T2DM患者的一种实用工具.
- 它促进了自主和知情的药物选择,提高了患者在护理中的参与度.
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