在新兴治疗时代为非肌肉侵入性膀癌的治疗选择:患者偏好研究
Angela B Smith1, John L Gore2, Stephanie Chisolm3
1University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Urology
|February 13, 2026
概括
患有非肌肉侵入性膀癌 (NMIBC) 的患者优先考虑减少复发和进展风险,而不是副作用. 大多数患者更喜欢膀节约治疗而不是激进的囊切除术,强调需要共享决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 非肌肉侵入性膀癌 (NMIBC) 影响许多患者,需要在治疗决策中平衡疗效,安全性和患者偏好.
- 了解患者的偏好对于NMIBC管理中的共享决策至关重要.
研究的目的:
- 在NMIBC中确定患者对膀节约治疗与激进囊切除术 (RC) 的偏好.
- 确定影响NMIBC管理患者选择的关键治疗属性.
主要方法:
- 在线离散选择实验调查与206名NMIBC患者.
- 对治疗特征的评估,包括复发,进展,给药和副作用.
- 使用SDM-Q-9问卷评估共享的决策经验.
主要成果:
- 减少进展为肌肉侵入性膀癌 (MIBC) 的风险和NMIBC复发是患者最关键的因素.
- 超过70%的患者更喜欢膀节约的选择,而不是RC,除了将重复BCG治疗与RC进行比较.
- 很大一部分患者 (25%以上) 认为他们的医生没有充分地让他们参与治疗决策.
结论:
- 在NMIBC治疗决策中,最大限度地减少癌症复发和进展至关重要.
- 当临床益处与RC相比时,患者偏好倾向于节省膀的治疗方法.
- 加强共享决策对于改善NMIBC护理中的患者满意度和治疗坚持是必不可少的.
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