Rosália do Prado Padovani, Isabella Fagian Pansani, Marília Martins Silveira Marone, Fernanda Vaisman, Ana Luiza Silva Maia, José Miguel Silva Dora, Helton Estrela Ramos, Ana Amélia Fialho de Oliveira Hoff, George Barbério Coura
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引用次数: 0
摘要
研究目的这项横断面观察性研究旨在调查巴西医生对分化型甲状腺癌（DTC）患者接受放射性碘（RAI）治疗的偏好以及影响 RAI 适应症的因素：为了解影响 RAI 适应症的因素，我们向巴西可能参与 DTC 治疗的医生发放了一份调查问卷。调查收集了医生的概况、工作场所的特点以及他们对三个假设临床病例中 RAI 适应症的偏好。病例 1、2 和 3 描述了 DTC 患者的病例以及病例的变体，其中包括不同的情景，以评估受访者将如何改变 RAI 建议。分析包括不同医学专业的 RAI 适应症：共有 175 名医生回答了调查。在所有三个病例中，RAI 建议都存在相当大的差异。培训背景影响了受访者对 RAI 适应症的偏好以及他们为患者接受 RAI 治疗做准备的方法：这项研究的结果再次证明，巴西需要在多个专科的医生之间达成共识，以帮助指导医护人员治疗巴西的 DTC 患者。
Physicians' preferencesfor radioiodine treatment of differentiated thyroid cancer in Brazil: an observational study.
Objective: The aim of this observational, cross-sectional study was to investigate physicians' preferences for radioiodine (RAI) treatment in patients with differentiated thyroid cancer (DTC) in Brazil and the factors influencing RAI indications.
Materials and methods: A survey was distributed to physicians potentially involved in DTC care in Brazil to understand the factors influencing RAI indications. The survey collected information on the profiles of the physicians, along with the characteristics of their workplaces and their preferences regarding RAI indications in three hypothetical clinical cases. Cases 1, 2, and 3 described the cases of patients with DTC and variations to the case that included different scenarios to assess how the respondents would change their RAI recommendations. The analysis included the RAI indications across different medical specialties.
Results: A total of 175 physicians answered the survey. There was considerable variability in RAI recommendations in all three cases. The training background influenced the respondents' preferences for RAI indications and their approaches to preparing patients for RAI treatment.
Conclusion: The findings of this study reaffirm the need for a Brazilian consensus among physicians across multiple specialties to help guide health care professionals treating patients with DTC in Brazil.
期刊介绍：
The Archives of Endocrinology and Metabolism - AE&M – is the official journal of the Brazilian Society of Endocrinology and Metabolism - SBEM, which is affiliated with the Brazilian Medical Association.
Edited since 1951, the AE&M aims at publishing articles on scientific themes in the basic translational and clinical area of Endocrinology and Metabolism. The printed version AE&M is published in 6 issues/year. The full electronic issue is open access in the SciELO - Scientific Electronic Library Online e at the AE&M site: www.aem-sbem.com.
From volume 59 on, the name was changed to Archives of Endocrinology and Metabolism, and it became mandatory for manuscripts to be submitted in English for the online issue. However, for the printed issue it is still optional for the articles to be sent in English or Portuguese.
The journal is published six times a year, with one issue every two months.
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