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Development of a Framework Based on Reflective MCDA to Support Patient–Clinician Shared Decision-Making: The Case of the Management of Gastroenteropancreatic Neuroendocrine Tumors (GEP-NET) in the United States

机译:基于反射性MCDA的框架开发以支持患者-临床医生共同决策:美国胃肠道胰腺神经内分泌肿瘤(GEP-NET)的管理案例

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摘要

IntroductionWell- or moderately differentiated gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are often slow-growing, and some patients with unresectable, asymptomatic, non-functioning tumors may face the choice between watchful waiting (WW), or somatostatin analogues (SSA) to delay progression. We developed a comprehensive multi-criteria decision analysis (MCDA) framework to help patients and physicians clarify their values and preferences, consider each decision criterion, and support communication and shared decision-making.
机译:简介高分化或中分化的胃肠道胰腺神经内分泌肿瘤(GEP-NET)通常生长缓慢,并且一些无法切除,无症状,无功能的肿瘤患者可能会面临等待观察(WW)或生长抑素类似物(SSA)之间的选择进展。我们开发了一个全面的多标准决策分析(MCDA)框架,以帮助患者和医生阐明他们的价值观和偏好,考虑每个决策标准,并支持沟通和共同决策。

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