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在进行激进前列腺切除术之前,患者的信息行为和知识
Christopher Hirtsiefer1, Anna Vogelgesang1, Fabian Falkenbach2
1Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany.
接受机器人辅助激进前列腺切除术 (RARP) 的患者经常错误地认为它优于开放激进前列腺切除术 (ORP). 这种看法可能源于信息不平衡,强调医疗保健提供者需要明确的沟通,以确保患者做出明智的决定.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 机器人辅助 (RARP) 和开放激进前列腺切除术 (ORP) 是局部前列腺癌的标准治疗方法.
- 无论是RARP还是ORP,都显示出可比的瘤和功能结果.
- 关于这些程序的患者知识和信息行为尚未得到充分理解.
研究的目的:
- 对接受ORP和RARP的患者的信息行为和知识进行比较的检查.
- 调查患者对两种手术的瘤和功能结果的看法.
- 识别与误解程序结果相关的风险因素.
主要方法:
- 展望性,多中心研究,涉及患者在手术前咨询咨询.
- 利用问卷收集有关信息搜索行为和结果评估的数据.
- 使用多变量分析分析误解的风险因素.
主要成果:
- 包括508名患者:307名RARP (60%) 和201名ORP (40%).
- 与ORP患者相比,RARP患者更频繁地获得平衡的信息 (60%对40%).
- RARP患者错误地认为他们的手术在瘤学和功能上优越;预测因素包括年龄,教育,信息搜索平衡,RARP状态和治疗中心类型.
结论:
- 接受RARP的患者经常对其在瘤和功能结果方面比ORP更优越的错误看法.
- 不平衡的信息来源可能会导致这种误解.
- 泌尿科医生和外科中心必须积极解决这些差异,以促进患者的知情决策.
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