在患有尾癌的病人中感到遗憾的决定,他们接受了细胞还原性手术和高温腹腔内化学疗法
Alexander Graves1, Javid Sadjadi2, Mikaela Kosich2
1Sunrise Hospital and Medical Center, Las Vegas, NV, USA.
Annals of surgical oncology
|August 27, 2024
概括
大多数患有尾癌的患者并不后悔细胞减小手术和高温腹腔内化疗 (CRS-HIPEC). 收入较低和并发症等因素与CRS-HIPEC后的决策后悔增加有关.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 后悔决策是一个新出现的患者报告的结果.
- 尾癌 (AC) 治疗通常涉及细胞减小手术和高热性腹腔内化疗 (CRS-HIPEC).
研究的目的:
- 评估CRS-HIPEC接受AC患者决策后悔的发生率和相关因素.
主要方法:
- 一项使用决策后悔量表 (DRS) 的匿名调查分发给了122名患者.
- 人口统计,瘤特征,术后结果和生活质量 (QoL) 评分在有遗憾和没有遗憾的患者之间进行了比较.
主要成果:
- 14.8%的患者对CRS-HIPEC表示遗憾.
- 更高的遗憾与较低的收入,严重的术后并发症,长时间住院 (>30天),新的骨头,多次CRS-HIPEC手术,更糟糕的症状评分 (FACT-C) 和更差的QoL (PROMIS-29) 相关.
结论:
- 大多数AC患者并不后悔接受了CRS-HIPEC.
- 较低的收入,术后并发症,骨干,重复手术和更糟糕的胃肠道症状与遗憾增加有关.
- 术后心理支持和症状管理可能有助于减少对决策的遗憾.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
72
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
72
Inflammatory Bowel Disease V: Surgical Management
133
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
133


