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复发性/转移性头颈部鳞状细胞癌治疗算法中患者偏好的影响。

The impact of patient preference in the treatment algorithm for recurrent/metastatic head and neck squamous cell carcinoma.

机构信息

Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, University of Florence, largo Brambilla 3, 50134, Florence, Italy.

Otolaryngology Head & Neck department Meyer Hospital, Florence, Italy.

出版信息

Radiol Med. 2022 Aug;127(8):866-871. doi: 10.1007/s11547-022-01509-1. Epub 2022 Jun 25.

Abstract

The advent of immune checkpoint inhibitors for recurrent/metastatic head and neck squamous cell carcinoma (RM-HNSCC) has revolutionized the standard of care approach in first-line treatment. The heterogeneity of disease presentation and treatment-related toxicities can be associated with suboptimal patient compliance to oncologic care. Hence, prioritizing quality of life and well-being are crucial aspects to be considered in tailoring the best treatment choice. The aim of our work is to present a short report on the topic of the patient's preference in regard to treatment and its consequences on quality of life in the recurrent/metastatic setting. According to the literature, there's an unmet need on how to assess patient attitude in respect to the choice of treatment. In view of the availability of different therapeutic strategies in first-line management of RM-HNSCC, increasing emphasis should be put on integrating patient preferences into the medical decision-making.

摘要

免疫检查点抑制剂在复发性/转移性头颈部鳞状细胞癌(RM-HNSCC)中的应用改变了一线治疗的标准方法。疾病表现的异质性和治疗相关的毒性可能与患者对肿瘤治疗的依从性差有关。因此,优先考虑生活质量和幸福感是在制定最佳治疗选择时需要考虑的关键方面。我们的工作旨在就治疗选择方面患者的偏好及其对复发性/转移性疾病患者生活质量的影响这一主题提出简短报告。根据文献,在评估患者对治疗选择的态度方面存在未满足的需求。鉴于 RM-HNSCC 一线治疗中存在多种治疗策略,应更加重视将患者的偏好纳入医疗决策中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df64/9349154/26542f669cf2/11547_2022_1509_Fig1_HTML.jpg

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