真正的选择价值是否会影响瘤学家的治疗建议? 美国瘤学家的调查
Meng Li1, Zizi Elsisi2, William Wong3
1Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
概括
抗癌治疗决策受到未来创新的潜力的影响. 瘤学家更有可能推治疗,如果未来的癌症疗法提供显著的生存益处,并更早到达.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 决策科学 决策科学 决策科学
背景情况:
- 抗癌治疗提供了生存益处,为患者创造了真正的选择价值,让他们获得未来的创新.
- 缺乏关于未来创新对瘤学家治疗建议的影响的经验证据.
研究的目的:
- 评估潜在的未来创新对瘤学家治疗建议的影响.
- 评估未来创新的预期疗效和到达时间如何影响治疗决策.
主要方法:
- 全国在线调查201名医疗和血液瘤学家.
- 介绍一个假设的转移性癌症患者场景,与不同的决策因素.
- 多变量逻辑回归分析以确定影响因素.
主要成果:
- 76%的瘤学家会讨论未来的创新,如果他们提供一个6个月的生存改善在6个月内.
- 68%的瘤学家表示,未来的创新将影响他们目前的治疗建议.
- 未来创新的生存率提高和到达时间缩短显著增加了讨论的可能性.
结论:
- 潜在的未来创新似乎会影响瘤学家的治疗建议.
- 临床指南和价值评估应纳入实际期权价值影响.
- 有信息的治疗决策需要有关未来创新影响的数据.
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