在结直肠癌治疗中共同决策
Jonathan S Abelson1, Racquel S Gaetani1, Alexander T Hawkins2
1Department of Colorectal Surgery, Lahey Hospital and Medical Center, Burlington, MA 01805, USA.
Journal of clinical medicine
|April 12, 2025
概括
共享决策对于管理局部晚期直肠癌至关重要,平衡手术与器官保存. 它通过将治疗选择与个人价值观和优先级相协调,确保以患者为中心的护理.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 以患者为中心的护理
背景情况:
- 局部晚期直肠癌的管理已经通过新辅助疗法和器官保存 (观察和等待) 进化.
- 这些进展为患者和临床医生创造了复杂的治疗决策.
- 在这种情况下,共享决策 (SDM) 越来越重要.
研究的目的:
- 审查本地高级直肠癌管理的演变.
- 探索SDM在治疗决策中的作用,特别是在手术和观察和等待之间.
- 讨论关于SDM在直肠癌护理中的工具,挑战和未来方向.
主要方法:
- 关于局部晚期直肠癌管理的文献叙事综述.
- 专注于共同决策的原则和应用.
- 探索决策因素和以患者为中心的护理.
主要成果:
- 决策涉及解剖学因素,观察和等待与手术的风险/益处,以及功能结果 (肠道,尿道,性).
- 患者必须考虑长期影响生活质量的因素.
- 讨论SDM工具和实施挑战.
结论:
- 在局部晚期直肠癌中以患者为中心的护理中,共享决策至关重要.
- 它确保治疗与患者的价值观和优先事项保持一致.
- SDM对于导航偏好敏感的治疗选择至关重要.
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