将研究成果转化为临床实践:让您的患者和临床实践蓬勃发展 了解并设定转移性脊柱肿瘤患者的治疗预期。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1177/21925682241264406
Jeremy J Reynolds, Raphaële Charest-Morin, Annemarie L Versteeg, Michael Galgano, Daniel Lubelski, W Christopher Newman, Shalin S Patel, Patricia L Z Sullivan, Nicolas Dea, Alessandro Gasbarrini, Aron Lazary, Laurence D Rhines, Arjun Sahgal, Jorrit-Jan Verlaan, Charles G Fisher, Ilya Laufer
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引用次数: 0

摘要

研究设计文献综述与临床建议:简明扼要地整理最新脊柱文献,探讨转移性脊柱疾病(MSD)患者的期望值与满意度之间的关系。向临床医师提供有关解释和利用这些证据的建议:就影响 MSD 患者期望值的因素这一主题,对最新的脊柱文献进行了回顾,并制定了临床建议。建议分为 "强 "和 "有条件 "两个等级:结果:选取了 5 篇文章。第 1 条:从 362 名 MSD 患者队列中得出的产生不满意的风险因素。强烈建议在考虑治疗时纳入风险因素评估。第 2 条:评估术前患者期望与术后联合学科满意度之间关系的系统性综述。有条件地建议优化患者期望,以积极改变患者满意度。第 3 条:对不同专科的临床医生如何为 MSD 患者提供治疗前咨询的定性研究。强烈建议采用多学科方法。第 4 条:定性研究 MSD 患者如何体验治疗前咨询,以及咨询如何影响他们对治疗成功的评价。有条件地建议在系统进展的背景下为患者提供量身定制的预期结果。第 5 条 设计并验证针对 MSD 的治疗前问卷。结论:结论:MSD 患者即将接受生命末期护理,在此关头,高水平的治疗满意度至关重要。期望管理和全面咨询的作用至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Streamlining the Journey of Research Into Clinical Practice: Making Your Patients and Practice Flourish Understanding and Setting Treatment Expectations for Patients With Metastatic Spine Tumors.

Study design: Literature review with clinical recommendation.

Objective: A concise curation of the latest spine literature exploring the relationship between expectations and satisfaction for patients with metastatic spinal disease (MSD). Deliver recommendations to practicing clinicians regarding interpretation and utilisation of this evidence.

Methods: The latest spine literature in the topic of factors affecting the expectations of patients with MSD was reviewed and clinical recommendations were formulated. Recommendations are graded as strong or Conditional.

Results: 5 articles were selected. Article 1: risk factors for the development of dissatisfaction from a cohort of 362 MSD patients. Strong recommendation to incorporate risk factor assessment when considering treatment. Article 2: systematic review assessing the relationship between pre-operative patient expectations and subsequent satisfaction in allied disciplines. Conditional recommendation to optimize patient expectation to positively modify patient satisfaction. Article 3: qualitative study of how clinicians, from different specialties, counsel patients with MSD pre-treatment. Strong recommendation to use a multidisciplinary approach. Article 4 qualitative study of how MSD patients experience their pre-treatment counselling and how that affected their appreciation of treatment success. Conditional recommendation to furnish patients with tailored, expected outcomes in the context of systemic progression. Article 5 Design and validation of a pre-treatment questionnaire specific to MSD. A conditional recommendation to incorporate this questionnaire in clinical and research MSD practice.

Conclusion: Patients with MSD are approaching end of life care and high levels of treatment satisfaction are crucial at this juncture. The role of expectation management and comprehensive counselling is critical.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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