瘤学家关于治疗误解的知识,实践和伦理意见:法国全国调查
Thibaud Haaser1,2,3,4, S Clair5, S Marty5,6
1Health and Research Ethics Centre of Bordeaux, Bordeaux, France. thibaud.haaser@chu-bordeaux.fr.
BMC medical ethics
|July 11, 2025
概括
治疗误解 (TM),研究和临床护理之间的混,在瘤学家中很常见. 加强教育和道德支持对于提高瘤学研究的认识和患者结果至关重要.
科学领域:
- 在瘤学瘤学.
- 临床研究伦理学
- 医学教育 医学教育
背景情况:
- 治疗误解 (TM) 发生在研究参与者将研究目标与临床护理目标混为一谈时.
- 由于瘤学研究的大量,瘤学家经常遇到TM.
研究的目的:
- 评估法国瘤学家关于治疗误解的知识,实践和伦理问题.
- 在瘤学临床试验中评估TM的患病率和管理.
主要方法:
- 在2023年6月1日至7月14日期间,法国288名瘤学家使用问卷进行了全国性调查.
- 进行了描述性统计分析,对利克特比例表的反应进行了描述性统计分析,以评估与TM有关的知识和实践.
主要成果:
- 最初的TM知识很低 (16%),但84%的人表示遇到过它. 只有46%的人积极调查TM,22%的人承认偶尔鼓励它.
- 在研究协议期间,TM意识下降. 伦理教育和研究伦理委员会参与与更好的反应有关.
- 接受TM的程度各不相同,尤其是在最后一线治疗方案中. 大多数瘤学家认识到TM与其双重角色之间的联系,但反对转移责任.
结论:
- 治疗误解是普遍存在的,但往往未被认可,影响瘤学研究中的患者护理.
- 法国瘤学家关于TM的知识,实践和伦理考虑存在显著的差异.
- 改善教育和道德支持是必要的,以提高TM意识,并促进适当的瘤学家行为.
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