在直肠癌中共享决策的临床背景:器官保存,关节节能手术和定制立体术政策
Barbara Noiret1, Chee Hoe Koo1, Manon Bacci2
1Bordeaux Colorectal Institute, Tivoli Clinic, Bordeaux, 33000, France.
在直肠癌护理中,共享决策 (SDM) 有助于平衡瘤安全,生活质量和功能结果. 它指导患者通过复杂的选择,如器官保存和口腔政策,以提供个性化的治疗.
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:
- 结直肠癌的管理越来越多地侧重于以患者为中心,多学科的护理.
- 共享决策 (SDM) 对于平衡瘤安全,生活质量 (QoL) 和功能结果至关重要.
- 患者的偏好显著影响直肠癌的治疗决策.
研究的目的:
- 探索临床场景,在临床场景中,SDM可以提高直肠癌治疗中的决策.
- 专注于器官保护,关节保护和临时静脉门口政策.
- 突出SDM如何支持个性化和个性化的治疗规划.
主要方法:
- 这篇叙述性综述检查了SDM应用的临床情况.
- 专注于治疗领域:器官保护,关节保护和临时静脉门口政策.
- 讨论了新兴的策略,如"观察和等待"和局部切除,以及关节保护技术.
主要成果:
- 像"观察和等待"和局部切除等新兴策略显示,在不影响瘤结果的情况下,对直肠保存有希望.
- 护技术为永久性口腔提供了替代方案,但像LARS这样的功能影响需要考虑.
- 临时静脉管管管理方面的创新旨在减少并发症并改善QOL.
结论:
- SDM对于导航复杂的直肠癌治疗决策至关重要,特别是在有关器官和关节的保存和管管理方面.
- 将SDM整合到临床途径中,有助于医疗团队和患者之间的协作决策.
- 通过SDM进行个性化治疗规划,可以改善患者的治疗结果和满意度.
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