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在结肠直肠癌查中共享决策:一个范围审查

Sarina Schrager¹, Lashika Yogendran², Hunter Wakefield²

¹From the Department of Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health (SS, LY); University of Wisconsin-Madison School of Medicine and Public Health (HW); and Ebling Library, University of Wisconsin-Madison School of Medicine and Public Health (LC). sbschrag@wisc.edu.

Journal of the American Board of Family Medicine : JABFM

|October 6, 2025

概括

在结直肠癌 (CRC) 查中,共享决策 (SDM) 涉及了解测试选择,临床医生的建议,情绪和外部因素. 患者的决策受到家庭投入和后勤考虑的影响.

科学领域:

在瘤学瘤学.
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

结肠直肠癌 (CRC) 查至关重要,但未得到充分利用,超过三分之一的符合条件的个人没有参与.
关于适当的选试验类型的混对适当的CRC选构成了重大障碍.
共享决策 (SDM) 促进了患者对CRC查和测试选择的知情选择.

研究的目的:

在结直肠癌 (CRC) 查中对共享决策 (SDM) 的文献进行范围审查.
确定影响患者关于CRC查测试的决定的关键因素.

主要方法:

从2010年1月1日到2024年5月18日,搜索了四个数据库,查找同行评审的英语出版物.
包括的研究集中在美国和加拿大的平均风险成年人 (45-75) 的CRC查中的SDM.
两位研究人员选了标题,摘要和全文文章,分析了影响选测试选择的主题.

主要成果:

从5672个独一无二的记录中,包括了28项研究.
在SDM中,CRC查出现了四个主要主题:测试知识,临床医生建议,情绪考虑和外部因素.
患者的决策受到家庭信息和所选择查测试的后勤方面的影响.

结论:

未来的研究应该探索外部因素对查决策的影响.
解决患者的情绪和承认其在CRC查决策中的重要性至关重要.

关键词:

癌症查癌症查结肠直肠癌是什么意思信息传播信息传播信息传播共享的决策方式

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