Ann Surg:手术中的姑息治疗

2017-05-06 MedSci MedSci原创

鉴于手术类疾病的紧急性和一定的生命受限性,且通过手术治疗常诱发患者进一步的痛苦,因此,手术患者具有一定的姑息治疗方式的需求。然而,与其医疗者相比,这些患者不太可能接受姑息治疗;当死亡即将到来时,往往咨询姑息治疗;这在一定程度上反映了护理质量较差。近期,一项发表在杂志Ann Surg上的研究评估了在三个领域内现有的姑息治疗手术现状,并揭示该领域的具体差距。国立卫生研究院和国家姑息治疗研究中心召集了几

鉴于手术类疾病的紧急性和一定的生命受限性,且通过手术治疗常诱发患者进一步的痛苦,因此,手术患者具有一定的姑息治疗方式的需求。然而,与其医疗者相比,这些患者不太可能接受姑息治疗;当死亡即将到来时,往往咨询姑息治疗;这在一定程度上反映了护理质量较差。


近期,一项发表在杂志Ann Surg上的研究评估了在三个领域内现有的姑息治疗手术现状,并揭示该领域的具体差距。

国立卫生研究院和国家姑息治疗研究中心召集了几个医学亚专科研究人员,制定了姑息治疗研究的国家议程。外科医生工作组回顾了现有的手术文献,并确定了关键知识的差距。

此项研究结果显示:迄今为止,支持姑息治疗在外科手术中的作用的相关证据很少,手术中的姑息治疗研究受到方法学挑战,根深蒂固的文化规范妨碍了提供适当的姑息治疗。未来对手术中姑息治疗的研究重点应包括:1)评估与患者相关的结果,2)沟通和决策; 3)对外科手术患者进行姑息治疗。

外科手术的患者可能会从早期的姑息治疗中获益,同时进行手术治疗,以促进目标一致的决策,并改善患者的身体、情感、社会和精神健康以及生活质量。此项研究提出研究议程,以解决文献中的重大漏洞,并提供了未来研究的路线图。

原始出处:
Lilley EJ, Cooper Z, et al. Palliative Care in Surgery: Defining the Research Priorities. Ann Surg. 2017 May 3. doi: 10.1097/SLA.0000000000002253.

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    2017-05-14 lou.minghong

    学习了

    0

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    2017-05-09 lou.minghong

    学习

    0

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channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 sy3923582

    不错哦,学习了

    0

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channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 榄枷檬

    未来对手术中姑息治疗的研究重点应包括:1)评估与患者相关的结果,2)沟通和决策;3)对外科手术患者进行姑息治疗。

    0

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channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 王国安

    学习了,也分享了。

    0

  7. 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createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83epr1MZHfgreGEFrpiapjCGIQGZhkpjicialc8h7VoU0AjNiaSgpaZjNuIqq1KVbmI19JwrN2sdwTdWVSw/132, createdBy=f6692009961, createdName=sy3923582, createdTime=Sun May 07 11:22:42 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194907, encodeId=f34519490e2d, content=未来对手术中姑息治疗的研究重点应包括:1)评估与患者相关的结果,2)沟通和决策;3)对外科手术患者进行姑息治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun May 07 08:41:21 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194880, encodeId=c6111948805c, content=学习了,也分享了。, beContent=null, objectType=article, 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content=学习了,感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sun May 07 05:54:09 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194777, encodeId=19ac194e77c5, content=学习了分享了!!:, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sun May 07 05:42:43 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194710, encodeId=89a3194e1091, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 执着追梦

    学习,感谢分享!

    0

  8. 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channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 1e0f8808m18(暂无匿称)

    学习了,感谢分享。

    0

  9. 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content=学习了,感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sun May 07 05:54:09 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194777, encodeId=19ac194e77c5, content=学习了分享了!!:, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sun May 07 05:42:43 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194710, encodeId=89a3194e1091, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-07 大爰

    学习了分享了!!:

    0

  10. 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channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sun May 07 07:59:19 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194851, encodeId=16a3194851c0, content=学习,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Sun May 07 07:15:47 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194786, encodeId=02b7194e8606, content=学习了,感谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sun May 07 05:54:09 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194777, encodeId=19ac194e77c5, content=学习了分享了!!:, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sun May 07 05:42:43 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194710, encodeId=89a3194e1091, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Sat May 06 22:40:50 CST 2017, time=2017-05-06, status=1, ipAttribution=)]
    2017-05-06 daiyaozu

    学习了,不错

    0

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