几十年的旅程:治疗和共享决策的进化对于局部先进的直肠癌
Racquel S Gaetani1, Keren Ladin2, Jonathan S Abelson1
1Department of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, MA 01805, USA.
Cancers
|August 29, 2024
概括
对局部晚期直肠癌的治疗已经发展,强调以患者为中心的护理. 一个新的决策辅助工具支持在完整的临床反应后符合观察和等待方法的患者的共享决策.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 辐射瘤学 辐射瘤学
背景情况:
- 自1908年以来,局部晚期直肠癌的管理已经显著发展.
- 自2004年以来,主要的进展包括手术技术,化疗/辐射时间和器官保存 (观察和等待).
- 以患者为中心的护理和共享决策日益重要.
研究的目的:
- 审查局部晚期直肠癌治疗选择的演变.
- 讨论共享决策和决策辅助的概念.
- 为具有完全临床响应的患者引入适用于观看和等待的决策辅助.
主要方法:
- 对治疗演变的叙述性审查.
- 讨论共享决策的原则.
- 引入一个特定的决定援助.
主要成果:
- 局部晚期直肠癌的治疗选择已经扩大.
- 由于治疗的可变性,共享决策至关重要.
- 建议为选定的患者提供决策辅助.
结论:
- 局部晚期直肠癌的最佳治疗方法正在不断发展.
- 需要标准化共享决策.
- 开发的决策辅助工具可以帮助考虑观察和等待的患者.
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