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重新定义手术的成功:患者报告结果的案例
Jacob Rosenberg1, Anders Gram-Hanssen1, Hugin Reistrup1
1Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, 2730 Herlev, Denmark.
Journal of clinical medicine
|September 13, 2025
概括
选择性修复手术成功应优先考虑患者报告的结果,如疼痛和满意度,而不是传统的指标. 这种以患者为中心的方法确保了手术目标与改善生活质量保持一致.
科学领域:
- 手术成果研究的研究结果.
- 患者为中心的护理
- 生活质量评估生活质量的评估.
背景情况:
- 选择性手术的目的是提高患者的生活质量,而不是延长寿命.
- 当前的研究往往优先考虑临床结果 (例如,复发) 而不是患者的经验.
- 在修复中,手术目标和结果测量之间存在脱节.
研究的目的:
- 倡导对评估手术成功的良性疾病的范式转变.
- 强调患者报告结果 (PROs) 在手术中的重要性.
- 在外科实践和研究中促进以患者为中心.
主要方法:
- 这篇观点文章回顾了手术结果当前的做法.
- 它分析了传统手术结果测量的局限性.
- 它提出了一个将PRO纳入外科评估的框架.
主要成果:
- 传统的手术结果 (复发,感染) 并不能完全捕捉患者的益处.
- 患者的满意度,疼痛和功能改善是成功的关键指标.
- 专注于PRO更好地反映了以生活质量为导向的手术的目标.
结论:
- 通过患者报告的结果重新定义外科成功,特别是在选择性手术中.
- 将PRO整合到修复评估中符合患者的优先事项.
- 以患者为中心的方法提高了手术干预的价值和相关性.
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