Leech Michelle, Katz Matthew S, Kazmierska Joanna, McCrossin Julie, Turner Sandra
Applied Radiation Therapy Trinity Research Group, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland.
Department of Radiation Medicine, Lowell General Hospital, MA, USA.
Mol Oncol. 2020 Jul;14(7):1442-1460. doi: 10.1002/1878-0261.12675. Epub 2020 Apr 13.
The decision as to whether or not a patient should receive radiation therapy as part of their cancer treatment is based on evidence-based practice and on recommended international consensus treatment guidelines. However, the merit of involving the patients' individual preferences and values in the treatment decision is frequently overlooked. Here, we review the current literature pertaining to shared decision-making (SDM) in the field of radiation oncology, including discussion of the patient's perception of radiation therapy as a treatment option and patient involvement in clinical trials. The merit of decision aids during the SDM process in radiation oncology is considered, as are patient preferences for active or passive involvement in decisions about their treatment. Clarity of terminology, a better understanding of effective strategies and increased resources will be needed to ensure SDM in radiation oncology becomes a reality.
患者是否应接受放射治疗作为其癌症治疗的一部分，这一决定基于循证医学实践以及推荐的国际共识治疗指南。然而，在治疗决策中纳入患者个人偏好和价值观的益处却常常被忽视。在此，我们回顾了当前放射肿瘤学领域中有关共同决策（SDM）的文献，包括讨论患者对放射治疗作为一种治疗选择的认知以及患者参与临床试验的情况。我们考虑了放射肿瘤学共同决策过程中决策辅助工具的益处，以及患者对于积极或被动参与治疗决策的偏好。为确保放射肿瘤学中的共同决策成为现实，需要术语清晰、更好地理解有效策略并增加资源。
