Clinical trials: A family physician's perspective
Clinical trials: A family physician's perspective
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临床试验：家庭医生的观点
作者：
D. G. Long
初级保健专家诊断和管理各种各样的问题。癌症是这些临床医生实践的一个相对较小的部分。新诊断的癌症患者通常被转诊给外科专家。初级保健医生通常在手术护理后确定未来事件。根据肿瘤类型以及医生、患者和患者家属的过去经验，可能会也可能不会咨询肿瘤科医生。许多初级保健医生认为，经验性的化疗方案几乎没有任何科学证据支持其使用。癌症治疗方案的副作用往往会导致痛苦，并深刻影响生活质量。肿瘤学家和初级保健医生之间缺乏沟通。肿瘤学家和初级保健医生之间的对话可能有助于解决沟通问题。临床试验有助于确定哪些治疗是有效的。许多临床试验在社区医院一级进行。大多数初级保健医生一旦知道临床试验，就会支持它们。教育活动的目的应是促进患者转诊参加临床试验。
Primary care specialists diagnose and manage a wide variety of problems. Cancer is one relatively small part of the practice of these clinicians. Patients with newly diagnosed cancer usually are referred to surgical specialists. Primary care physicians often determine future events after surgical care. Oncologists may or may not be consulted depending on tumor type and past experiences of the physician, patient, and patient's family. Many primary care physicians think that chemotherapy regimens given empirically have little if any scientific evidence to support their use. Side effects of cancer treatment regimens often cause suffering and profoundly effect quality of life. There is a lack of communication between oncologists and primary care physicians. Dialogue between oncologists and primary care doctors may help solve communication problems. Clinical trials help determine which treatments are effective. Many clinical trials are conducted at the community hospital level. Most primary care physicians support clinical trials once they know about them. Education activities should be directed at promoting patient referral for participation in clinical trials.