Basler Joseph W, Jenkins Carol, Swanson Gregory
Department of Urology, University of Texas Health Sciences Center, MC7845, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA.
Curr Urol Rep. 2005 May;6(3):228-34. doi: 10.1007/s11934-005-0012-7.
Most urologic malignancies are diagnosed initially and managed by urologists. However, better outcomes may be attained by integrating the surgical, medical, and radiologic disciplines. The primary care physician remains an important cornerstone whose talents should not be underestimated in the overall patient management scheme. Additional services such as endocrinology, physical therapy, pain control, hospice, nutrition, biofeedback, and hyperbarics, among others, should be considered in the overall health care team. The organization of the team, including definition of the duties of key personnel and even the physical framework of the clinic, contribute to its success in treating patients with prostate cancer. Pitfalls of the process also are discussed in this article.
大多数泌尿系统恶性肿瘤最初由泌尿外科医生诊断和处理。然而，通过整合外科、内科和放射学科可能会取得更好的治疗效果。初级保健医生仍然是重要的基石，在整体患者管理方案中，其才能不应被低估。在整体医疗团队中，应考虑其他额外的服务，如内分泌学、物理治疗、疼痛控制、临终关怀、营养、生物反馈和高压氧治疗等。团队的组织，包括关键人员职责的界定甚至诊所的物理架构，都有助于其在治疗前列腺癌患者方面取得成功。本文还讨论了该过程中的陷阱。
