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Treatment decisions in end stage cancer

机译:癌症治疗的决定结束阶段

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摘要

Buiting and colleagues' study suggests that medical oncologists' treatment decisions in end stage cancer are based mostly on rational considerations regarding (side) effects. This contrasts with the findings ofourqualitative interview study with medical oncologists that explored the factors contributing to such decisions.All 17 doctors interviewed reported numerous "non-medical" factors that they deemed relevant for treatment decisions in end stage cancer. They cited personal (for example, own clinical experience), situational (for example, time pressure), and other contextual (for example, available resources) factors. Moreover, several doctors acknowledged that such decisions are not necessarily determined by patients' preferences but often reflect their own perceptions and values.
机译:在和他的同事的研究表明医疗肿瘤学家的治疗决定癌症主要是基于理性的阶段考虑(边)的效果。与研究结果ofourqualitative形成鲜明对比访谈研究与医学肿瘤学家,探索这样的因素决策。他们认为众多“非医疗因素相关的治疗决策阶段结束癌症。临床经验)、环境(例如,时间压力),和其他上下文(例子中,可用资源)的因素。几个医生承认,这样的决定不一定是由病人的但常常反映出自己的偏好观念和价值观。

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