在肉瘤护理中临床决策的风险预测模型:在软组织肉瘤临床医生中进行的国际调查
Anouk A Kruiswijk1,2, Lisa A E Vlug3, Ibtissam Acem4
1Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands. a.a.kruiswijk@lumc.nl.
Annals of surgical oncology
|February 1, 2025
概括
软组织肉瘤的临床医生经常使用风险预测模型 (RPM) 进行治疗决策. 然而,他们面临着RPM可靠性和向患者传达预后信息的挑战.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
背景情况:
- 风险预测模型 (RPMs) 在个性化医学中越来越多地使用.
- 它们的整合到常规软组织肉瘤 (STS) 护理中尚不清楚.
- RPM 通过根据临床特征预测结果来帮助决策.
研究的目的:
- 在瘤委员会讨论和患者咨询期间,在肉瘤护理中对RPM的使用进行清单.
- 评估STS临床医生对使用RPM进行共享决策的态度.
主要方法:
- 在国际肉瘤协会成员中分发了一份包含29项项的在线调查.
- 该调查收集了关于RPM使用模式和临床医生的态度的数据.
主要成果:
- 278名临床医生响应,其中68%在瘤委员会使用RPM,65%在患者咨询中使用RPM.
- 使用RPM来评估化疗的益处,预测预后,并指导治疗决策.
- 障碍包括对RPM可靠性的担忧,缺乏指导方针以及沟通预后焦虑.
结论:
- STS临床医生通常使用RPM来告知治疗决策.
- 关于RPM对个体患者的适用性和预后的有效沟通,仍然存在挑战.
- 他们强调了将RPM整合到临床实践和患者咨询中的困难.
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