在选择性结直肠癌手术中,患者报告的表现状况和术后并发症
Helin Yikilmaz Pardes1,2, Niclas Dohrn3,4, Troels Gammeltoft Dolin5
1Department of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark. heyi@regionsjaelland.dk.
International journal of colorectal disease
|November 20, 2024
概括
在结直肠癌手术中,患者报告的绩效状态 (prPS) 与外科医生报告的绩效状态 (srPS) 的一致性较差. 无论是prPS还是srPS,都与术后并发症相关,而srPS显示出稍微更强的联系.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者研究成果研究结果
背景情况:
- 准确评估患者表现状况 (PS) 对结直肠癌 (CRC) 患者的手术决策至关重要.
- 患者报告的绩效状态 (prPS) 和外科医生报告的绩效状态 (srPS) 之间的差异可能会影响手术适宜性和结果.
- 了解这些评估与术后并发症的一致性和相关性对于优化患者护理至关重要.
研究的目的:
- 在接受选择性结直肠癌手术的患者中评估prPS和srPS之间的一致性.
- 评估srPS,prPS和30天术后并发症之间的相关性.
- 确定prPS是否可以协助外科医生进行手术前决策.
主要方法:
- 对524名接受结直肠癌手术的患者进行了回顾性分析.
- 通过调查问卷收集prPS和从手术记录中收集srPS.
- 使用线性加权的kappa统计数据来评估协议,以及用于并发症分析的等级-二进制相关性.
主要成果:
- 在prPS和srPS之间观察到71%的一致性,近三分之一的案例存在显著的分歧.
- 无论是prPS还是srPS,都与整体术后并发症,轻微手术并发症和医疗并发症有显著的相关性.
- 与prPS相比,srPS与术后并发症,特别是重大手术并发症的相关性更强.
结论:
- 患者报告和外科医生报告的绩效状态之间的一致性在结直肠癌手术中很差.
- 患者和外科医生对表现状况的评估都与术后并发症有关.
- 外科医生报告的绩效状态显示,对并发症的预测值略高于患者报告的状态.
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