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在临床实践中实施低风险甲状腺癌的积极监测:拉丁美洲的合作建议

Alvaro Sanabria^1,2, Carolina Ferraz³, Chih Hao Chen Ku⁴

¹Universidad de Antioquia Facultad de Medicina Departamento de Cirugía Medellín Colombia Departamento de Cirugía, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

Archives of endocrinology and metabolism

|October 18, 2024

概括

积极监测对低风险甲状腺癌患者有益. 改善其在拉丁美洲的采用需要患者教育风险,益处和监测,解决文化和地理因素.

科学领域:

内分泌学在内分泌学.
在瘤学瘤学.
公共卫生公共卫生

背景情况:

全球甲状腺癌发病率正在上升,但死亡率仍然稳定.
甲状腺癌的很大一部分是低风险的甲状腺内瘤.
尽管有证明的好处,但在拉丁美洲,主动监测的利用不足.

研究的目的:

确定加强拉丁美洲低风险甲状腺癌积极监测的战略.
解决积极监控实施的文化和地理障碍.
概述一种以患者为中心的方法,用于对甲状腺癌的积极监测.

主要方法:

审查目前关于低风险甲状腺癌的积极监测建议.
分析影响患者参与和决策的因素.
开发一种三步方法,包括患者教育和量身定制的监测.

主要成果:

有效实施需要管理患者的焦虑,并解释"过度诊断"和"过度治疗"等术语.
对于疾病的非进展性质的明确沟通至关重要.
灵活的监测和对超声波发现的患者教育是关键组成部分.

结论:

一种结构化,以患者为中心的方法可以改善拉丁美洲甲状腺癌的积极监测.
解决患者的担忧和提供明确的信息对于成功实施至关重要.
量身定制的监测和医生指导提高了积极监测的有效性.

关键词:

甲状腺癌是一种甲状腺癌.积极监督是指积极的监督.决策是做出决策的过程.患者的偏好,患者的偏好.危险的风险危险的风险超声波学超声波学超声波学

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