确定研究重点,改善为乳腺癌手术患者提供的信息和支持:英国一项以患者为中心的优先事项确定项目。

IF 3 3区 医学 Q2 ONCOLOGY
Breast Cancer Research and Treatment Pub Date : 2024-11-01 Epub Date: 2024-06-24 DOI:10.1007/s10549-024-07413-8
Emma Johnston, Katherine Cowan, Mairead MacKenzie, Sonia Patton, Lesley Turner, Patricia Fairbrother, Stuart A McIntosh, Shelley Potter
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引用次数: 0

摘要

目的:采用稳健的共识方法,与有乳腺癌生活经验的个人共同商定十大研究重点,以改善英国乳腺癌手术患者的信息和支持:方法: 对患者和护理人员提交的与乳腺癌手术信息和支持相关的研究不确定性进行专题分析,以生成摘要问题,并将其纳入在线德尔菲调查。有乳腺癌生活经验的个人完成了两轮德尔菲调查,其中包括反馈意见,他们从提供的清单中选出了他们认为最重要的 10 个研究重点。调查中排名最靠前的优先事项在现场优先事项研讨会上进行了讨论,并就最终的 10 大优先事项达成了一致意见:156 名患者/护理人员提交的 543 个不确定因素被归类为 63 个摘要问题,以纳入德尔菲调查。在完成第一轮调查的 237 人中,有 190 人(80.2%)参加了第二轮调查。来自英国各地的 17 名参与者在此次研讨会上商定了最终的 10 大研究重点。关键主题包括:确保患者充分了解所有治疗方案,并为其提供均衡、有针对性的信息,以支持其做出知情决策,增强其康复能力。公平获得包括对侧乳房对称性切除术在内的治疗也被视为研究重点:这一过程确定了十大研究重点,以改善为乳腺癌手术患者提供的信息和支持。现在需要针对这些重要问题开展研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Identifying research priorities for improving information and support for patients undergoing breast cancer surgery: a UK patient-centred priority setting project.

Identifying research priorities for improving information and support for patients undergoing breast cancer surgery: a UK patient-centred priority setting project.

Purpose: To use robust consensus methods with individuals with lived breast cancer experience to agree the top 10 research priorities to improve information and support for patients undergoing breast cancer surgery in the UK.

Methods: Research uncertainties related to information and support for breast cancer surgery submitted by patients and carers were analysed thematically to generate summary questions for inclusion in an online Delphi survey. Individuals with lived breast cancer experience completed two Delphi rounds including feedback in which they selected their top 10 research priorities from the list provided. The most highly ranked priorities from the survey were discussed at an in-person prioritisation workshop at which the final top 10 was agreed.

Results: The 543 uncertainties submitted by 156 patients/carers were categorised into 63 summary questions for inclusion in the Delphi survey. Of the 237 individuals completing Round 1, 190 (80.2%) participated in Round 2. The top 25 survey questions were carried forward for discussion at the in-person prioritisation workshop at which 17 participants from across the UK agreed the final top 10 research priorities. Key themes included ensuring patients were fully informed about all treatment options and given balanced, tailored information to support informed decision-making and empower their recovery. Equity of access to treatments including contralateral mastectomy for symmetry was also considered a research priority.

Conclusion: This process has identified the top 10 research priorities to improve information and support for patients undergoing breast cancer surgery. Work is now needed to develop studies to address these important questions.

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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
342
审稿时长
1 months
期刊介绍: Breast Cancer Research and Treatment provides the surgeon, radiotherapist, medical oncologist, endocrinologist, epidemiologist, immunologist or cell biologist investigating problems in breast cancer a single forum for communication. The journal creates a "market place" for breast cancer topics which cuts across all the usual lines of disciplines, providing a site for presenting pertinent investigations, and for discussing critical questions relevant to the entire field. It seeks to develop a new focus and new perspectives for all those concerned with breast cancer.
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