共享决策,决策辅助工具和患者报告过度活跃膀护理的结果指标:一篇综述
Roshan Paudel1, Maanasa Bommineni2, Giulia M Ippolito3
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215 USA.
Current bladder dysfunction reports
|February 10, 2026
概括
过活性膀 (OAB) 的共享决策 (SDM) 需要患者的偏好. 虽然决策辅助工具 (DAs) 和患者报告的结果 (PROs) 是至关重要的,但很少有DA可访问,AI工具需要用于临床使用的验证.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于过度活性膀 (OAB) 治疗至关重要.
- SDM涉及将患者的价值观和偏好纳入临床选择.
- 决策辅助工具 (DA) 和患者报告的结果 (PRO) 是SDM的关键组成部分.
研究的目的:
- 为OAB审查SDM的文献.
- 评估DA和PRO在OAB护理中的可用性和实用性.
- 探索人工智能 (AI) 在OAB的SDM中的新兴作用.
主要方法:
- 进行了对25篇文章的系统审查.
- 文献搜索集中在OAB中的SDM,DA,PRO和AI上.
- 分析包括DA的可用性和PRO和AI工具的使用.
主要成果:
- 医生的建议很重要,但优先级可能与患者的偏好不一致.
- 没有对OAB进行同行评审的DA可供公开使用;存在一些非同行评审的选项.
- 有许多可用于OAB的PRO,在临床实践中越来越多地使用.
- 人工智能工具显示出增强SDM的潜力,但需要进一步验证.
结论:
- 需要可访问的DA和标准化的PRO来改善OAB的SDM.
- 人工智能技术为增强SDM提供了机会,但需要严格的临床验证.
- 通过改进的SDM工具,可以优化以患者为中心的OAB个性化护理.
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