Establishment of multidisciplinary diagnosis and treatment model for breast cancer based on doctor-patient shared decision-making:a prospective randomized controlled study
Objective To evaluate the effects of multi-disciplinary diagnosis and treatment model based on doctor-patient shared decision making on treatment outcomes,quality of life and postoperative complications of breast cancer patients.Methods A total of 100 breast cancer patients were included in this study through a prospective randomized controlled design,and were randomly divided into control group and intervention group,with 50 patients in each group.The control group received traditional treatment mode,while the intervention group implemented a multidisciplinary treatment mode based on doctor-patient sharing decision making.The results of treatment,quality of life and postoperative complication rate were compared between the two groups.Results The completion rate of adjuvant radiotherapy and chemotherapy in the intervention group was 94.0％,which was higher than that in the control group(80.0％),and the difference was statistically significant(P=0.037).The satisfaction rate of postoperative breast appearance in the intervention group was 90.0％,which was higher than that in the control group(60.0％),with statistical significance(P＜0.001).There was no significant difference in grade Ⅲ/Ⅳ toxicity between the two groups(P＞0.05).After treatment,the scores of patients'quality of life in the intervention group were higher than those in the control group,and the difference was statistically significant(P＜0.05).The incidence of postoperative complications in the intervention group was 6.0％,which was lower than that in the control group(22.0％),and the difference was statistically(P=0.021).Conclusions The application of multidisciplinary diagnosis and treatment model based on doctor-patient sharing decision-making in the treatment of breast cancer patients has significantly improved the treatment effect and quality of life,and effectively reduced the rate of postoperative complications.This model provides a new approach to the treatment of breast cancer that is more personalized,comprehensive and efficient.
breast cancerdoctor-patient sharing decision-makingmultidisciplinary diagnosis and treatment modeltherapeutic effectquality of lifePostoperative complication
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