在加拿大的染细胞瘤外科手术期间管理的变化
Linda C Qu1, Alexandra C Istl2, Elaine Tang1
1Western University, London, ON, Canada.
概括
加拿大外科医生之间对染细胞瘤手术的管理有很大差异,不一致地遵守基因测试和术后护理的指南. 外科医生的偏好往往决定了患者管理,而不是基于证据的实践.
科学领域:
- 内分泌学 在内分泌学.
- 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:
- 尽管存在指导方针,染细胞瘤的管理显示出显著的变化.
- 评估了加拿大外科医生对黄染色细胞瘤的术后实践.
研究的目的:
- 描述加拿大外科医生目前对染细胞瘤的外科手术管理.
- 确定影响管理变化的因素.
主要方法:
- 一项23项的在线调查分发给加拿大外科医生,他们进行上腺切除手术,以治疗色细胞瘤.
- 调查评估了手术前和手术后的管理实践.
主要成果:
- 全国响应率达到了51.8%,大多数受访者是全科医生.
- 多学科瘤委员会审查 (12%) 和基因测试转诊 (42.3%) 并非常规.
- 手术前的α和β阻塞方法有所不同;一半的患者在手术前入院.
- 常规的术后ICU入院是基于外科医生/机构的偏好 (11.5%).
结论:
- 在加拿大范围内,染细胞瘤手术的外科手术管理非常多样.
- 遵守基因测试指南是不理想的.
- 术前入院和术后ICU护理是由偏好驱动的,而不是证据.
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