在治疗低风险甲状腺癌的外科医生和内分泌学家之间,在接受主动监测方面存在认知上的分歧
Qingqing Huang1,2, Cheng Tang3,4, Zhiqiang Sun5,6
1Department of Thyroid Surgery, Jiangsu Institute of Nuclear Medicine JiangYuan Hospital of Jiangsu Province, Wuxi, 214063, Jiangsu, China. huangqingqing@jsinm.org.
Scientific reports
|February 12, 2026
概括
对于甲状腺癌的积极监测 (AS) 的医生态度因专业而异,主治医生比教授更有可能推它. 弥合这一差距需要有针对性的干预措施来改善AS采用.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 甲状腺癌的积极监测 (AS) 是指南推的低风险病例的方法.
- 医生的态度和专业特定的看法代表了AS临床采用的关键障碍.
- 了解这些决定因素对于改善患者管理策略至关重要.
研究的目的:
- 量化对甲状腺癌主动监测 (AS) 的专业特定感知.
- 确定影响医生AS建议的可修改决定因素.
- 探索职业称号层次对AS认可的影响.
主要方法:
- 在江苏省八家大量医院的手术,内分泌学,超声波,病理学和核医学部门的58名医生中进行了一项调查.
- 医生符合年度病例数量和诊断/报告频率的特定标准.
- 统计分析包括克鲁斯卡尔-瓦利斯测试和顺序逻辑回归.
主要成果:
- 高指南熟悉度 (85.37%) 与AS的临床采用率较低形成对比.
- 只有53.66%的医生会对符合AS条件的患者进行活检,而90.2%的医生会在证实乳头癌后三个月内建议进行手术.
- 内分泌学家 (75%) 更有可能为焦虑患者推适合AS的手术.
- 与会医生比教授支持AS的可能性高4.2倍 (P=0.006).
结论:
- 在医学专业的AS建议中存在显著的差异,受专业特定的认知框架的影响.
- 需要有针对性的干预措施,例如对外科医生的医疗法律支持和内分泌学家的焦虑管理协议,以提高AS采用率.
- 解决医生态度对于弥合AS指南和临床实践之间的差距至关重要.
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