文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

患者报告的与医疗团队就慢性淋巴细胞白血病新治疗方案的沟通情况。

Patient-Reported Communication With Their Health Care Team About New Treatment Options for Chronic Lymphocytic Leukemia.

作者信息

Kranzler Elissa C, Olson Julie S, Nichols Helen M, Yuen Eva Yn, McManus Shauna, Buzaglo Joanne S, Zaleta Alexandra K

机构信息

Cancer Support Community, Research and Training Institute, Philadelphia, PA, USA.

Cancer Support Community, Washington, DC, USA.

出版信息

J Patient Exp. 2021 Aug 25;8:23743735211034967. doi: 10.1177/23743735211034967. eCollection 2021.


DOI:10.1177/23743735211034967
PMID:34458567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8392805/
Abstract

Chronic lymphocytic leukemia (CLL) often requires consideration of multiple treatment options. Shared decision-making (SDM) is important, given the availability of increasingly novel therapies; however, patient-provider treatment conversations vary. We examined relationships between patient-provider discussions of new CLL treatment options and sociodemographic, clinical, and patient-provider communication variables among 187 CLL patients enrolled in Cancer Support Community's Cancer Experience Registry. Factors significantly associated with self-reports of whether patients' providers discussed new CLL treatment options with them were examined using χ tests, tests, and hierarchical logistic regression. Fifty-eight percent of patients reported discussing new treatment options with their doctor. Patients with higher education were 3 times more likely to discuss new treatment options relative to those with lower education (OR = 3.06, < .05). Patients who experienced a cancer recurrence were 7 times more likely to discuss new treatment options compared to those who had not (OR = 7.01, < .05). Findings offer insights into the correlates of patient-provider discussions of new CLL treatment options. As novel therapies are incorporated into standards of care, opportunities exist for providers to improve patient care through enhanced SDM.

摘要

慢性淋巴细胞白血病(CLL)通常需要考虑多种治疗方案。鉴于越来越多新疗法的出现,共同决策(SDM)很重要;然而,医患之间关于治疗的对话存在差异。我们在癌症支持社区癌症经验登记处登记的187例CLL患者中,研究了医患关于新的CLL治疗方案的讨论与社会人口统计学、临床以及医患沟通变量之间的关系。使用χ检验、检验和分层逻辑回归分析了与患者关于其医生是否与他们讨论新的CLL治疗方案的自我报告显著相关的因素。58%的患者报告与医生讨论了新的治疗方案。与低学历患者相比,高学历患者讨论新治疗方案的可能性高出3倍(OR = 3.06,< .05)。与未经历癌症复发的患者相比,经历癌症复发的患者讨论新治疗方案的可能性高出7倍(OR = 7.01,< .05)。研究结果为医患关于新的CLL治疗方案讨论的相关因素提供了见解。随着新疗法被纳入护理标准,医疗服务提供者有机会通过加强共同决策来改善患者护理。

相似文献

[1]
Patient-Reported Communication With Their Health Care Team About New Treatment Options for Chronic Lymphocytic Leukemia.

J Patient Exp. 2021-8-25

[2]
Improving shared decision-making in chronic lymphocytic leukemia through multidisciplinary education.

Transl Behav Med. 2018-3-1

[3]
Simulated Conversations With Virtual Humans to Improve Patient-Provider Communication and Reduce Unnecessary Prescriptions for Antibiotics: A Repeated Measure Pilot Study.

JMIR Med Educ. 2017-4-19

[4]
An Exploratory Pilot Study to Describe Shared Decision-Making for PTSD Treatment Planning: The Provider Perspective.

Mil Med. 2019-3-1

[5]
Shared Decision Making in Primary Care Based Depression Treatment: Communication and Decision-Making Preferences Among an Underserved Patient Population.

Front Psychiatry. 2021-7-12

[6]
Promoting and supporting self-management for adults living in the community with physical chronic illness: A systematic review of the effectiveness and meaningfulness of the patient-practitioner encounter.

JBI Libr Syst Rev. 2009

[7]
Chronic lymphocytic leukemia (CLL) treatment: So many choices, such great options.

Cancer. 2019-2-26

[8]
Patient and provider perspectives on uptake of a shared decision making intervention for asthma in primary care practices.

J Asthma. 2019-5

[9]
The Association of Patient Chronic Disease Burden and Self-Management Requirements With Shared Decision Making in Primary Care Visits.

Health Serv Res Manag Epidemiol. 2014-1

[10]
Patient and provider experiences with active surveillance: A scoping review.

PLoS One. 2018-2-5

本文引用的文献

[1]
Communication and Shared Decision Making in the Breast Cancer Treatment Consultation: A Comparative Analysis of English- and Spanish-Speaking Patients.

MDM Policy Pract. 2019-10-28

[2]
Current Prevalence of Major Cancer Risk Factors and Screening Test Use in the United States: Disparities by Education and Race/Ethnicity.

Cancer Epidemiol Biomarkers Prev. 2019-4

[3]
Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.

Support Care Cancer. 2019-2-8

[4]
Improving shared decision-making in chronic lymphocytic leukemia through multidisciplinary education.

Transl Behav Med. 2018-3-1

[5]
Patient and physician views of shared decision making in cancer.

Health Expect. 2017-5-2

[6]
The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature.

J Racial Ethn Health Disparities. 2017-3-8

[7]
NCCN Guidelines Insights: Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, Version 1.2017.

J Natl Compr Canc Netw. 2017-3

[8]
New Pharmacotherapies in Chronic Lymphocytic Leukemia.

P T. 2017-2

[9]
Targeted therapies for CLL: Practical issues with the changing treatment paradigm.

Blood Rev. 2016-5

[10]
Fludarabine, cyclophosphamide, and rituximab treatment achieves long-term disease-free survival in IGHV-mutated chronic lymphocytic leukemia.

Blood. 2016-1-21

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索