在高风险的前列腺癌中,在手术前处方的雄激素剥夺疗法的影响
Jennifer Dunsmore1, Eilidh Duncan2, Sara J MacLennan1
1Academic Urology Unit University of Aberdeen Aberdeen UK.
BJUI compass
|September 26, 2024
概括
这项研究检查了泌尿科医生在意大利和英国处方的雄激素剥夺疗法 (ADT),确定了对其使用的关键影响. 了解这些因素对于减少不适当的ADT处方至关重要,特别是在资源有限的环境中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在手术前使用安卓素剥夺疗法 (ADT) 需要优化,以减少不适当的处方.
- 了解ADT处方的决定因素对于开发有效的干预措施至关重要.
研究的目的:
- 调查意大利和英国泌尿科医生对手术前ADT处方的影响.
- 探索COVID-19相关的资源限制如何影响ADT处方实践.
- 确定制定战略的关键决定因素,以减少在资源有限的环境中不适当使用ADT.
主要方法:
- 与意大利和英国的泌尿科医生进行半结构化的定性访谈 (2022年2月至7月).
- 采访的重点是通常和COVID-19中断的实践.
- 数据分析涉及的归纳编码映射到理论领域框架.
主要成果:
- 对于ADT处方,在英国确定了10个有影响力的领域,在意大利确定了8个.
- 关键影响因素包括指导,证据,癌症护理环境,患者因素和泌尿科医生的信念/经验.
- 英国和意大利在常规和COVID-19实践方面发现了21个相似之处和22个差异.
结论:
- 减少不适当使用ADT的行为策略应考虑在处方影响中发现的相似性和差异.
- 该研究提供了对常规和中断护理的见解,为资源有限的环境制定未来战略提供了信息.
- 了解这些影响对于目前和未来优化ADT处方的努力至关重要.
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