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[前列腺癌的诊断:谁做出治疗决策以及选择哪种治疗方法?前列腺癌患者支持小组的意见调查]

[Diagnosis prostate cancer: who makes the treatment decision and which treatment is selected? Opinion survey in a prostate cancer patient support group].

作者信息

Schnell D, Fiebrandt H, Weissbach L

机构信息

Stiftung Männergesundheit, Reinhardtstraße 2, 10117 Berlin, Deutschland.

出版信息

Urologe A. 2012 Feb;51(2):238-41. doi: 10.1007/s00120-011-2725-1.

DOI:10.1007/s00120-011-2725-1
PMID:21979906
Abstract

BACKGROUND

It is challenging to decide in which way we should care for localized prostate cancer. The current guideline can be accepted as an appropriate foundation. However, there are doubts if guideline recommendations are implemented.

RESULTS

The presented opinion survey of prostate cancer support groups shows that we have too many prostatectomies in senior patients. It reveals deficiencies in the guidance of the patients. They are not sufficiently embedded in the process of decision-making. More attention should be paid to initiatives of patient support groups.

摘要

背景

决定以何种方式治疗局限性前列腺癌具有挑战性。当前的指南可被视为一个合适的基础。然而,对于指南建议是否得到实施存在疑问。

结果

所呈现的前列腺癌支持小组的意见调查表明,我们在老年患者中进行了过多的前列腺切除术。这揭示了患者指导方面的不足。他们在决策过程中的参与度不够。应更多关注患者支持小组的倡议。

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引用本文的文献

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本文引用的文献

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[Urinary incontinence after radical prostatectomy: do older patients have an increased risk?].[根治性前列腺切除术后尿失禁:老年患者风险更高吗?]
Urologe A. 2011 Apr;50(4):457-61. doi: 10.1007/s00120-011-2523-9.
2
Prostate cancer in the older man: conflict between tumor biology and medical advancement.老年男性前列腺癌:肿瘤生物学与医学进步之间的冲突。
Clin Geriatr Med. 2010 May;26(2):241-7. doi: 10.1016/j.cger.2010.02.004.
3
Quality of life three years after diagnosis of localised prostate cancer: population based cohort study.
局限性前列腺癌确诊三年后的生活质量:基于人群的队列研究。
BMJ. 2009 Nov 27;339:b4817. doi: 10.1136/bmj.b4817.
4
Background for the proposal of SIOG guidelines for the management of prostate cancer in senior adults.为制定老年男性前列腺癌管理 SIOG 指南而提出的背景。
Crit Rev Oncol Hematol. 2010 Jan;73(1):68-91. doi: 10.1016/j.critrevonc.2009.09.005.
5
An analysis of sexual health information on radical prostatectomy websites.根治性前列腺切除术网站上的性健康信息分析。
BJU Int. 2010 Jan;105(1):68-72. doi: 10.1111/j.1464-410X.2009.08762.x. Epub 2009 Jul 20.
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'As long as the doctors know what they are doing': trust or ambivalence about patient information among elderly men with prostate cancer?“只要医生知道他们在做什么”:老年前列腺癌患者对自身信息的信任或矛盾态度?
Eur J Cancer Care (Engl). 2009 Sep;18(5):470-6. doi: 10.1111/j.1365-2354.2008.00992.x.
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Radical prostatectomy versus watchful waiting in localized prostate cancer: the Scandinavian prostate cancer group-4 randomized trial.局限性前列腺癌根治性前列腺切除术与观察等待治疗的比较:斯堪的纳维亚前列腺癌研究组-4随机试验
J Natl Cancer Inst. 2008 Aug 20;100(16):1144-54. doi: 10.1093/jnci/djn255. Epub 2008 Aug 11.
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Systematic review: comparative effectiveness and harms of treatments for clinically localized prostate cancer.系统评价:临床局限性前列腺癌治疗方法的比较效果与危害
Ann Intern Med. 2008 Mar 18;148(6):435-48. doi: 10.7326/0003-4819-148-6-200803180-00209. Epub 2008 Feb 4.