关键词:

决策辅助工具, 前列腺癌, 网络, Meta分析, 治疗决策

Abstract:

Objective　To systematically evaluate the application effect of web-based decision aids (DA) in prostatic cancer treatment decisions. Methods　Randomized controlled trials on the application effect of web-based DA in prostatic cancer treatment decisions were retrieved from databases such as CNKI, Wanfang, VIP, PubMed, the Cochrane Library, Embase, and Web of Science from the establishment of the databases to August 7, 2024, and the references included in the studies were traced. Subject words combined with free words were used to search. Meta-analysis was performed using RevMan 5.3 software, and publication bias was assessed by funnel plot. Results　Finally, 13 articles were included. The results of the meta-analysis showed that the proportion of the patients who chose conservative treatment in the intervention group was higher than that in the conventional group [RR=1.19, 95%CI:(1.02, 1.39), P=0.03]; the impact of web-based DA on the choice of radical prostatectomy [RR=1.01, 95%CI:(0.92, 1.10), P=0.87] and radiotherapy [RR=0.84, 95%CI:(0.62, 1.15), P=0.28] in patients with localized prostate cancer had no statistical significance; for patients with low-risk prostate cancer, the difference in the choice of radical prostatectomy [RR=0.73, 95%CI:(0.54, 0.98), P=0.04] was statistically significant; there were no statistically significant differences between the intervention group and the conventional group in terms of decision conflict [SMD=-0.03, 95%CI:(-0.11, 0.05), P=0.42], decision regret [SMD=0.01, 95%CI:(-0.24, 0.26), P=0.94], or satisfaction [SMD=-0.11, 95%CI:(-0.44, 0.22), P=0.50]. Conclusion　DA has a certain intervention effect on the treatment decisions in patients with prostate cancer.

Key words:

Decision aids, Prostate cancer, Network, Meta-analysis, Treatment  , decision