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患者-家庭和提供者在小儿单纯性阑尾炎管理中的伙伴关系。

Patient-Family and Provider Partnerships in the Management of Pediatric Uncomplicated Appendicitis.

机构信息

Center for Surgical Outcomes Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.

Department of Pediatric Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.

出版信息

Am Surg. 2023 Jun;89(6):2993-2995. doi: 10.1177/00031348221105601. Epub 2022 May 25.

Abstract

In recent years, studies have demonstrated non-operative management with antibiotics alone to be a safe and effective treatment option for children with uncomplicated acute appendicitis. Shared decision-making is critical in the treatment of uncomplicated appendicitis due to the markedly different risks and benefits associated with surgery and non-operative management. In this report, we discuss the importance of shared decision-making in surgery using a case of uncomplicated appendicitis as an example. We present both the patient-family and provider perspectives on evaluating and deciding between operative and non-operative management and discuss the value of shared decision-making in the unique setting of an acute pathologic process with surgical and medical treatment options.

摘要

近年来,研究表明,对于患有单纯性急性阑尾炎的儿童,单独使用抗生素的非手术治疗是一种安全有效的治疗选择。由于手术和非手术治疗的风险和益处明显不同,因此在单纯性阑尾炎的治疗中,共同决策至关重要。在本报告中,我们将通过一个单纯性阑尾炎的病例来讨论手术中共同决策的重要性。我们从患者-家庭和提供者的角度来评估和决定手术和非手术治疗,并讨论在具有手术和药物治疗选择的急性病理过程的特殊情况下共同决策的价值。

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