探讨在寻求第二意见时的患者保留:回顾性队列研究
Alec McCranie1, Anna D Lee1, Laura Leonard1
1Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
The Journal of surgical research
|May 29, 2024
概括
寻求第二次外科意见的癌症患者更有可能继续与第二个提供者治疗,如果提供不同的计划. 多学科咨询也可以改善乳腺癌患者的留学时间.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 出于各种原因,癌症患者经常寻求第二意见.
- 了解影响第二意见后保留治疗的因素对于优化护理至关重要.
- 这项研究侧重于寻求第二次手术意见的乳腺,结肠和胰腺癌患者.
研究的目的:
- 为了确定与第二意见保留相关的患者,疾病和治疗特征.
- 发现改进第二意见程序的机会.
主要方法:
- 在一个学术医疗保健系统中对237名患者进行了回顾性队列研究.
- 对电子病历进行审查,以获得第二意见.
- 保持和非保留组之间的患者人口统计和特征的比较.
主要成果:
- 在第二次意见中提出不同的治疗计划的患者更有可能在胰腺癌 (P=.009) 和结肠癌 (P=.003) 中保留治疗.
- 与放射瘤学家 (P=.007) 或整形外科医生 (P=.02) 的咨询增加了乳腺癌患者的保留率.
结论:
- 患者的特征和治疗因素有助于确定那些可能在第二次意见后被保留的患者.
- 了解保留因素可以指导医生为第二意见评估提供最佳资源.
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