量化患者风险值在管理胰腺内导管性乳头性粘性新生体的管理
Sarah R Kaslow1, Acacia R Sharma1, D Brock Hewitt1
1Department of Surgery, NYU Langone Health, New York, NY.
Annals of surgery
|May 29, 2024
概括
患者对导管内 papillary 粘膜瘤 (IPMNs) 的偏好各不相同. 了解个体的癌症风险值和焦虑水平对于IPMN管理中的共享决策至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医疗决策的制定 医疗决策的制定
背景情况:
- 导管内 papillary 粘膜瘤 (IPMNs) 的管理是复杂的.
- 调整治疗决策与患者偏好是需要改进的领域.
研究的目的:
- 了解患者对偶然发现的IPMNs的治疗偏好.
- 量化癌症风险门,在这个门上偏好会发生变化.
- 为患者咨询和共享决策提供信息.
主要方法:
- 对520名健康志愿者进行调查,模拟偶发的IPMN诊断.
- 评估治疗偏好 (手术与监测) 在5%的癌症风险.
- 量化个体癌症风险值治疗变化.
- 测量癌症焦虑使用5分利克特尺度.
- 使用多变量线性回归来分析关联.
主要成果:
- 中位风险值为25%,具有双式分布.
- 在5%的风险下,62%的人更喜欢监视,38%的人更喜欢手术.
- 更高的癌症焦虑与明显较低的风险值相关.
结论:
- 在IPMN治疗偏好和风险值方面存在显著的变化.
- 患者对恶性瘤的焦虑影响了他们的风险值.
- 了解患者特异性风险值是IPMN管理中共享决策的关键.
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