关于使用风险预测来支持乳腺癌监测决策的患者和医生的观点.
Christine M Gunn1,2, Nancy Boyer3, Sidra Sheikh3
1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, Lebanon, NH, USA.
概括
乳腺癌幸存者面临更高的间隔癌症的风险. 一个新的风险预测工具,补充了患者与医生的沟通,被幸存者和医生积极接受,以加强监测决策.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 与一般查人口相比,乳腺癌幸存者患间歇性癌症的风险较高.
- 在幸存者中预测第二次乳腺癌的风险可以根据原发性癌症和治疗特征得出信息.
- 患者和医生对使用风险预测工具进行监视决策的观点尚不清楚.
研究的目的:
- 探索乳腺癌幸存者和医生对间隔癌症风险预测工具的看法.
- 了解这些工具如何增强乳腺癌护理中的监视决策.
- 确定患者和医生对风险预测工具的设计,相关性和实用性的看法.
主要方法:
- 一项定性研究,涉及与乳腺癌幸存者的半结构焦点小组和与医生的个人访谈.
- 参与者从乳腺癌监测联盟的注册处招募.
- 数据使用专题分析进行分析.
主要成果:
- 两个关键主题出现了: 1) 风险预测工具可以增强以患者为中心的护理,并为监测增加价值.
- 2) 这些工具可以改善关于乳腺复发或新乳腺癌风险的沟通.
- 患者和医生都发现了具有强有力的证据和可访问的成果的工具,对共享决策有价值.
结论:
- 乳腺癌幸存者和医生对监视成像决策的新型风险预测工具的看法是积极的.
- 当该工具作为现有患者与医生关系的补充时,人们对其持好态度.
- 未来的研究应该集中在临床环境中的实施上,以改善共享决策和患者的结果.
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