主题映射以告知在前列腺癌共享决策中讨论的内容
Nadine A Friedrich1, Paul Kokorowski2, Michael Luu3
1Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA; Center for Integrated Research in Cancer and Lifestyle, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
Urology
|May 30, 2025
概括
本研究确定了前列腺癌 (PC) 护理中共享决策 (SDM) 的关键主题. 一个新的框架,包括描述决策过程,可以改善SDM讨论和患者的理解.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 是前列腺癌 (PC) 治疗的护理标准.
- 当前PC咨询中的SDM内容非常多变.
- 缺乏SDM讨论的标准化框架.
研究的目的:
- 通过确定关键讨论主题,制定前列腺癌 (PC) 中SDM的框架.
- 建立关于SDM商的基本内容的共识.
主要方法:
- 转录了50名男性局部PC的咨询.
- 与SDM相关的提取和主题编码的引文.
- 将主题汇总成类别和计算内容频率.
主要成果:
- 与SDM相关的内容出现在78%的咨询中.
- 出现了三个主要主题:决策过程 (90%),患者偏好 (79%) 和医生偏好 (77%).
- 决策过程的主题在当前的指导方针中不存在,包括描述SDM,角色,决策顺序和潜在的危险.
结论:
- 为PC SDM内容开发了一个主题映射框架.
- 这个框架可以指导提供者在SDM讨论中.
- 包括决策过程的描述对于未来的SDM指南至关重要.
相关概念视频
Cancer Survival Analysis
334
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
334
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K


