一个修改的Delphi共识声明关于活检在小质中的作用
Darryl E Bernstein1,2, Hannah Warren1,2, Joseph Santiapillai1,2
1Specialist Centre for Kidney Cancer Royal Free London NHS Foundation Trust London UK.
BJUI compass
|April 23, 2025
概括
这份共识声明提供了针对小瘤的脏瘤活检的指导. 它提供了活检使用的最佳实践,并确定了研究缺口,以改善基于证据的护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 小型质 (SRM) 存在诊断方面的挑战.
- 对SRMs的诊断活检的利用在泌尿科医生之间有所不同.
- 为了规范活检实践,需要专家的共识.
研究的目的:
- 制定关于SRM诊断活检的作用的共识声明.
- 发现SRM活检利用的研究缺口.
- 为临床医生和患者提供最佳实践指导.
主要方法:
- 第一阶段:定性采访以确定关键陈述.
- 第二阶段:修改了Delphi过程,由专家小组 (临床医生和患者) 组成.
- 三轮网络调查以达成共识 (≥70%的同意).
主要成果:
- 35名参与者 (23名临床医生,12名患者) 参与其中.
- 18个声明达到了共识.
- 11个关于在SRM管理中使用活检的陈述; 7个研究建议.
结论:
- 联合制作的共识声明提供了关于脏瘤活检的最佳实践指南.
- 建议在治疗前进行活检,如果它影响管理.
- 建议第二次活检尝试,如果第一个是非诊断性的.
- 强调对活检对治疗选择和患者焦虑的影响的研究需求.
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