导航肺癌监测实践的复杂性:提供者观点的定性试点研究
Jenny M Woo1,2, Sydney Conover3, Caroline Gray3
1Division of Vascular Surgery, Stanford School of Medicine, 780 Welch Rd CJ350, Palo Alto, CA, 94304, United States, 1 408-759-0291.
JMIR cancer
|February 5, 2026
概括
肺癌监测是复杂的,提供者考虑许多因素. 风险分层工具可以帮助做出决定,但对于复发和第二原发性肺癌 (SPLC) 检测,需要提高准确性和患者沟通.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 定性研究是指质量研究.
背景情况:
- 肺癌生存率监测对于早期检测复发和第二原发性肺癌 (SPLC) 是至关重要的.
- 目前的监控指南存在争议,缺乏定义和一致应用的提供商决策因素.
研究的目的:
- 了解影响肺癌监测实践的因素.
- 探索提供者关于使用风险分层工具进行监控的观点.
主要方法:
- 与13名美国肺癌提供者 (医生和高级实践提供者) 进行半结构化采访.
- 利用定性诱导性内容分析,从转录的采访中识别主题.
- 从帕洛阿尔托退伍军人事务医疗中心和斯坦福医学院招募了提供者.
主要成果:
- 确定了当前监督和风险分层工具的3个关键主题.
- 主题1:临床医生在决策中考虑各种临床和非临床因素.
- 主题2:提供者对风险分层工具的概括性,准确性和有效性表示担忧.
- 主题3:在提供风险分层数据时,人们对患者的焦虑,误解和坚持存在担忧.
结论:
- 肺癌监测决策是复杂的,提供者担心工具准确性和数据交付.
- 进一步开发风险分层工具必须解决数据质量,各种因素的准确性和有效的患者沟通问题.
- 改进的工具可以加强实际实施,以改善SPLC和复发监测.
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