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患者报告的结果和与治疗相关的并发症作为选择局部性前列腺癌管理的考虑因素

Tivoli Nguyen¹, Christine Lightfoot¹, David May¹

¹Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.

Research and reports in urology

|June 18, 2025

概括

患者报告的结果 (PROs) 对于管理局部性前列腺癌 (PCa) 至关重要. 整合PRO可确保个性化治疗计划,平衡癌症控制与生活质量,以提高患者满意度.

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.
以患者为中心的护理

背景情况:

局部性前列腺癌 (PCa) 是男性常见的恶性瘤,有各种治疗选择.
当前的管理策略不仅要考虑瘤疗效,还要考虑长期的生活质量.
患者报告的结果 (PROs) 为PCa治疗的功能影响提供了宝贵的见解.

研究的目的:

审查PROs在指导局部性前列腺癌管理中的作用.
检查各种PCa治疗对长期生活质量的影响.
强调由PROs为个性化治疗选择提供信息的共享决策.

主要方法:

对本地化PCa的标准疗法 (根性前列腺切除术,放射疗法,积极监测) 和新兴的焦点疗法进行文献综述.
分析与治疗相关的风险,包括尿失禁,勃起功能障碍,肠道问题和癌症复发.
专注于将PRO纳入临床决策和患者咨询.

主要成果:

对于了解与治疗相关的对生活质量的不良影响而言,PROs至关重要.
由PROs提供信息的共享决策,促进了个性化治疗计划.
必须平衡瘤控制与功能结果 (性,肠道,尿道健康) 的平衡.

结论:

针对局部PCa的个性化,基于证据的管理策略应纳入PROs.
在PRO的指导下,加强患者与临床医生的沟通,提高了治疗满意度,并最大限度地减少了后悔.
优化生存和生活质量是局部PCa管理的最终目标.

关键词:

并发症可能导致并发症.焦点治疗焦点治疗患者报告的结果.前列腺癌是前列腺癌.进行激进的前列腺切除术.辐射疗法辐射疗法治疗治疗治疗治疗治疗治疗

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