胰腺导管内乳头状黏液性肿瘤的决定性控制偏好。

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Bryce England, Joseph R Habib, Acacia R Sharma, D Brock Hewitt, John F P Bridges, Ammar A Javed, Christopher L Wolfgang, R Scott Braithwaite, Greg D Sacks
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引用次数: 0

摘要

目的:评估患者在胰腺导管内乳头状粘液瘤(IPMNs)治疗决策中的偏好,并确定与这些偏好相关的个体特征。背景:IPMNs的管理植根于不确定性,目前的指南未能纳入患者的偏好和价值观。方法:40-70岁参与者的代表性样本被招募来评估临床小插曲,他们被给予选择接受监测或手术切除他们的IPMN。使用控制偏好量表评估他们在小插曲决策过程中的首选角色。分析控制偏好与癌症焦虑、健康素养、文化程度等变量的关系。结果:在这项研究的520名参与者中,最喜欢在决策过程中扮演积极角色(65%),其次是分享角色(29%)和被动角色(6%)。较低的健康素养与更被动的控制偏好显著相关(p = 0.003)。在多变量分析中,与白人相比,非运动偏好与拉丁裔种族显著相关(优势比= 0.52,p = 0.009)。我们发现控制偏好与教育水平或癌症焦虑之间没有显著关联。结论:大多数患者希望在IPMN治疗决策中发挥积极作用。较低的健康素养和拉丁裔种族与非积极决策角色的偏好有关。临床医生应努力使患者参与IPMN治疗决策与患者的首选角色保持一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Decisional Control Preferences in Managing Intraductal Papillary Mucinous Neoplasms of the Pancreas.

Objectives: To evaluate patient preferences for decision-making role in the management of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas and to identify individual characteristics associated with those preferences.

Background: Management of IPMNs is rooted in uncertainty with current guidelines failing to incorporate patients' preferences and values.

Methods: A representative sample of participants aged 40-70 were recruited to evaluate a clinical vignette where they were given the option to undergo surveillance or surgical resection of their IPMN. Their preferred role in the decision-making process for the vignette was evaluated using the Control Preference Scale. The relationship between control preference and variables including cancer anxiety, health literacy, and education level was analyzed.

Results: Of the 520 participants in the study, most preferred an active role (65%), followed by shared (29%), and passive roles (6%) in the decision-making process. Lower health literacy was significantly associated with a more passive control preference (p = 0.003). Non-active preference was significantly associated with Latino race compared to White race (odds ratio = 0.52, p = 0.009) in multivariate analysis. We found no significant association between control preference and education level or cancer anxiety.

Conclusions: Most patients preferred an active role in IPMN treatment decisions. Lower health literacy and Latino race were associated with a preference for non-active decision roles. Clinicians should strive to align patient involvement in IPMN treatment decisions with their patient's preferred role.

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来源期刊
Pancreas
Pancreas 医学-胃肠肝病学
CiteScore
4.70
自引率
3.40%
发文量
289
审稿时长
1 months
期刊介绍: Pancreas provides a central forum for communication of original works involving both basic and clinical research on the exocrine and endocrine pancreas and their interrelationships and consequences in disease states. This multidisciplinary, international journal covers the whole spectrum of basic sciences, etiology, prevention, pathophysiology, diagnosis, and surgical and medical management of pancreatic diseases, including cancer.
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