关于免疫检查点抑制剂 (COACH) 的瘤学家-患者沟通的混合方法分析
Wenwen Chen1, Julia Majovski1, Shailender Bhatia1,2
1Department of Medicine, Division of Hematology and Oncology, University of Washington, Seattle, WA, USA.
The oncologist
|July 7, 2025
概括
瘤学家使用详细信息,隐喻和概率来解释免疫检查点抑制剂 (ICI). 患者更喜欢这种深度,发现解释与他们关于癌症治疗益处和毒性的信息需求保持一致.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 医学沟通 医学沟通
背景情况:
- 免疫检查点抑制剂 (ICI) 提供了更好的结果,但由于患者的益处和毒性变化,存在沟通挑战.
- 了解瘤学家如何与患者讨论ICI对于有效的癌症治疗至关重要.
研究的目的:
- 调查有关免疫检查点抑制剂 (ICI) 的瘤学家-患者沟通实践.
- 分析临床环境中关于ICI的讨论内容和患者接收情况.
主要方法:
- 一项混合方法研究,涉及瘤学家和晚期癌症患者之间在诊所内录制的音频对话.
- 讨论的定性主题分析和讨论后的患者调查的定量分析.
主要成果:
- 分析了8名瘤学家和13名患者之间的13次对话.
- 讨论包括对免疫功能,癌症,ICI机制以及益处-毒性权衡的详细解释,通常使用隐喻和概率.
- 患者报告说,他们收到了最喜欢的信息深度,并对详细的解释感到满意.
结论:
- 瘤学家有效地传达有关ICI的复杂信息,包括免疫学,机制和风险-收益概况,经常使用隐喻和概率语言.
- 瘤学家提供的详细信息与患者的偏好保持一致,以全面了解他们的癌症治疗方法.
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