需要,偏好和患者参与一项随机对照试验后neoadjuvant完整的瘤反应:食道癌患者的定性研究
Manuel Czornik1, Joachim Weis2, Andrea Kiemen3
1Department of Psychiatry and Psychotherapy/Division for Interventional Biological Psychiatry, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
概括
患有食道癌症 (EC) 的患者对手术与主动监测存在担忧. 以患者为中心的信息对于治疗决策和临床试验参与至关重要.
科学领域:
- 在瘤学瘤学.
- 以患者为中心的护理
- 临床试验设计 临床试验设计
背景情况:
- 非转移性食道癌 (EC) 患者面临治疗选择后的新辅助疗法:标准手术或积极监测.
- 这两种选择在总生存率上都被认为是相当的,需要以患者为中心的决策.
研究的目的:
- 为食道癌治疗替代方案开发以患者为中心的信息.
- 探索患者对主动监测和手术的态度,以及参与随机对照试验 (RCT) 的态度.
主要方法:
- 定性前性横截面研究.
- 采访了11名食道癌患者,询问了他们对治疗的偏好和参与RCT的情况.
- 分析患者的担忧和动机.
主要成果:
- 手术的关键问题包括术后损伤和生活质量.
- 在积极监测下,对复发和进展的担忧很突出.
- 参与RCT的动机包括为科学做出贡献和寻求优质疗法;障碍包括缺乏主动治疗选择.
结论:
- 医疗沟通必须适应患者的专业知识和情绪状态.
- 改进以患者为中心的信息可以提高癌症临床试验的招聘.
更多相关视频
04:04Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
10.4K
09:40An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
13.4K
相关概念视频
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
74
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
74
01:21Barrett Esophagus-II: Clinical Manifestations and Management
122
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
122