主页 > 生命科学 >
【社会人文】花时间来决定前列腺癌的治疗方案
Most research on prostate cancer focuses on cure rates, but increasingly researchers are paying attention to the quality of a man’s life after prostate cancer treatment.
Last week, the Well blog highlighted a new study showing that one in five men regrets his treatment choice. The story generated much discussion from readers, many of whom felt like the focus should have been on the 80 percent of men who are happy with their decision. Some noted that men should just be grateful to be alive, whereas others chimed in that more attention needs to be paid to the struggles of men coping with impotence and incontinence after surgery.
To talk more about the issue, I spoke with the study’s lead author, Dr. Florian R. Schroeck, resident in the division of urology at the Duke University Medical Center in Durham, N.C. He noted that part of the problem for men is that there are no clear guidelines on the best treatment for prostate cancer.
“It’s not showing that we aren’t treating patients well,” Dr. Schroeck said. “I just think this is coming from the fact that the decision-making process for patients is particularly difficult for prostate cancer.”
So what is a man to do when faced with a diagnosis of prostate cancer? Dr. Schroeck notes that the vast majority of prostate cancers are slow growing and, despite the obvious fears generated by a cancer diagnosis, men have time on their side to evaluate all the treatment options.
“Take a lot of time to make the decision,” Dr. Schroeck advises. “For most patients, they are not diagnosed with the real dangerous types of prostate cancer that are going to kill them in one or two years. Take time, maybe two months, maybe three months, maybe six months to hear different opinions, read, educate themselves.”
“Most importantly, take the time to make the decision,” Dr. Schroeck said. Patients should “talk to their families, their spouses, and that way hopefully feel better about not having rushed into any type of decision-making regarding the treatment.”
http://well.blogs.nytimes.com/2008/09/08/taking-time-to-decide-about-prostate-cancer-treatments/
参考阅读：五分之一前列腺癌患者为进行手术而后悔 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Taking Time to Decide on Prostate Cancer Treatments
花时间来决定前列腺癌的治疗方案
Most research on prostate cancer focuses on cure rates, but increasingly researchers are paying attention to the quality of a man’s life after prostate cancer treatment.
绝大多数关于前列腺癌的研究都只关注治愈率，但是越来越多的研究者注意到关注前列腺癌治疗后的人群的生活质量。
Last week, the Well blog highlighted a new study showing that one in five men regrets his treatment choice. The story generated much discussion from readers, many of whom felt like the focus should have been on the 80 percent of men who are happy with their decision. Some noted that men should just be grateful to be alive, whereas others chimed in that more attention needs to be paid to the struggles of men coping with impotence and incontinence after surgery.
上周，WELL的博客在醒目的位置发表一片新的研究。研究表明有五分之一的人对自己治疗的选择感到后悔。这种结果在读者当中引起了巨大的反响。许多读者认为焦点应放在那为他们自己的决定感到高兴的80％的人的身上。一些读者写到，人们应该为自己活着而感到高兴。反之，其他人争论到，我们应更多地关注那些在前列腺手术后饱受阳痿和尿失禁之苦的病人。
To talk more about the issue, I spoke with the study’s lead author, Dr. Florian R. Schroeck, resident in the division of urology at the Duke University Medical Center in Durham, N.C. He noted that part of the problem for men is that there are no clear guidelines on the best treatment for prostate cancer.
为了更深入地讨论这问题，我和这项研究的主要作者Florian R. Schroeck博士作了交流。Florian R. Schroeck博士是在Durham, N.C的杜克大学医学院泌尿外科工作的。他写到，对前列腺患者来说，问题一部分在于对前列腺癌最佳的治疗方案还没有一个明确的指南。
“It’s not showing that we aren’t treating patients well,” Dr. Schroeck said. “I just think this is coming from the fact that the decision-making process for patients is particularly difficult for prostate cancer.”
Schroeck博士说:“这并不是说我们对病人治疗效果不好，我只是认为对病人来说，下决心治疗前列腺癌这过程是特别困难的，这是个事实。”
So what is a man to do when faced with a diagnosis of prostate cancer? Dr. Schroeck notes that the vast majority of prostate cancers are slow growing and, despite the obvious fears generated by a cancer diagnosis, men have time on their side to evaluate all the treatment options.
阅读本文的人还阅读：
作者:admin@医学,生命科学 2010-09-25 06:30
医学,生命科学网