Robinson S M, Forrest A P, Stewart H J
Scottish Cancer Trials Office, Medical School, University of Edinburgh.
Scott Med J. 1994 Apr;39(2):45-9. doi: 10.1177/003693309403900204.
This report gives the responses of general surgeons in Scotland to two questionnaires. Satisfactory rates were obtained: 82% for the more detailed survey in 1988 and 62% for the second survey (1991), where nonrespondents were not followed up. In 1988 the rationale was the poor participation in the Scottish breast conservation trial while the 1991 survey further investigated the diversity of surgical opinion identified in the first. The limited trial support in 1988 was mainly due to reluctance to accept all treatment options. The majority were prepared to consider trial participation although 47% believed this compromised doctor-patient relationships. Although breast-conserving therapy was widely supported, many different views on management were encountered, both in the degree of influence of specific factors and in the decisions taken in relation to them. We believe these surveys have re-inforced a need for management guidelines, particularly as around half the patients with symptomatic breast cancer were being treated in non-specialist units.
本报告呈现了苏格兰普通外科医生对两份调查问卷的答复。得到了令人满意的答复率：1988年更详细调查的答复率为82%，第二次调查（1991年）的答复率为62%，未对未答复者进行跟进。1988年进行调查的基本原理是苏格兰保乳试验的参与度较低，而1991年的调查进一步探究了首次调查中发现的手术意见的多样性。1988年试验支持有限主要是因为不愿接受所有治疗方案。大多数人准备考虑参与试验，尽管47%的人认为这会损害医患关系。尽管保乳治疗得到广泛支持，但在管理方面遇到了许多不同观点，涉及特定因素的影响程度以及与之相关的决策。我们认为这些调查强化了对管理指南的需求，特别是鉴于约一半有症状的乳腺癌患者在非专科单位接受治疗。
