Department of Surgery, The University of Chicago Medical Center, Chicago, IL 60637, USA.
Thorac Surg Clin. 2012 Nov;22(4):497-508. doi: 10.1016/j.thorsurg.2012.07.005. Epub 2012 Sep 4.
Examination of the preferences of patients with lung cancer suggests that the ideal therapy may not be based on standard outcome measures such as survival, but should also consider the morbidity, adverse effects, and convenience of the treatment. Functional outcomes after lung resection have particular importance in guiding decision making in high-risk operative candidates. In this article, quality-of-life measures are reviewed in the context of guiding choices between operative and nonoperative therapies in a shared decision-making model for high-risk candidates for lung resection.
对肺癌患者偏好的研究表明,理想的治疗方法可能不基于生存等标准的结果指标,还应考虑治疗的发病率、不良反应和便利性。肺切除术后的功能结果在指导高危手术候选者的决策中具有特别重要的意义。本文回顾了在高危肺切除术候选者的共享决策模型中,在手术和非手术治疗之间进行选择时,生活质量测量的作用。