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膜炎的治疗偏好是常见的,在诊所访问后很少发生变化
Anna A Melio1, Meredith Johnson1, Jennifer A Kaplan1,2
1Department of Surgery, Virginia Mason Medical Center, Seattle, WA, United States.
Surgery open science
|May 30, 2024
概括
外科医生通常更喜欢对膜炎进行手术,无论疾病的复杂性如何. 这种偏见经常在访问后持续存在,影响患有分泌炎的患者的共同决策.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 临床决策 临床决策
背景情况:
- 发炎的患病率正在上升,需要个性化治疗方法.
- 外科医生和患者的治疗偏好显著影响分泌炎的管理.
- 这些偏好对临床决策的影响仍未得到充分研究.
研究的目的:
- 调查外科医生在分泌炎管理中的治疗偏好.
- 评估患者与外科医生的互动对治疗建议的影响.
- 评估外科医生是否有能力随机将患者分为医疗或手术治疗.
主要方法:
- 对连续27次与3位结肠直肠外科医生进行的患者访问的综述.
- 使用标准化访问前和访问后问卷.
- 分析影响外科医生治疗决策的因素和随机化平衡.
主要成果:
- 外科医生表现出一种实践偏见,倾向于对分泌体炎进行手术管理.
- 这种偏见扩展到复杂和不复杂的分泌体炎病例.
- 外科医生的偏好在患者访问诊所后经常保持不变.
结论:
- 外科医生偏好在膜炎中进行手术是普遍存在的,并且可以抵抗变化.
- 这种持续的偏见对实现分炎护理的共享决策具有重大意义.
- 需要进一步的研究,以了解和减轻多炎治疗建议中的实践偏见.
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