多学科儿科甲状腺计划的组成和优先事项:一个共识声明
Ronik Kothari1, Julia R Donner2,3, Karthik Balakrishnan2,4
1California University of Science and Medicine, Colton, California, USA.
Thyroid : official journal of the American Thyroid Association
|February 14, 2025
概括
为儿童甲状腺癌护理建立多学科团队对于标准化治疗至关重要. 在关键的团队成员和服务上达成共识,以改善患有甲状腺疾病的儿童的结果.
科学领域:
- 儿科瘤学 儿科瘤学
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童甲状腺癌的发病率不断增加,需要标准化的护理方案.
- 现有的社会经济差异和实践差异影响了小儿甲状腺癌的治疗.
- 临床指南建议多学科团队 (MDTs) 提供最佳的儿科癌症护理.
研究的目的:
- 定义儿童甲状腺程序的多学科团队的最佳结构和功能.
- 为了在小儿甲状腺癌护理模型的基本组成部分上达成专家共识.
主要方法:
- 在两轮专家调查中,采用了经过修改的Delphi方法.
- 跨越各个学科的21名专家使用9点利克特级别对共识陈述做出了回应.
- 共识是由特定的响应标准定义的,声明的代改进.
主要成果:
- 在儿童甲状腺患者的独特,可定义的护理模式上达成共识.
- 主要团队成员包括甲状腺外科医生,儿科内分泌学家,瘤学家和专业放射学家/病理学家.
- 确定了必要的支持服务:护理协调,多学科瘤委员会,超声波引导细针吸收 (FNA) 和分子检测.
结论:
- 共识声明为改善和标准化儿科甲状腺计划中的多学科护理提供了一个框架.
- 对于儿科甲状腺中心来说,具有定义的团队成员,服务和研究优先级的综合护理模型是必不可少的.
- 通过这些模型的标准化可以提高患者的治疗结果,医疗保健服务和学术合作.
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