T1 结直肠癌 (T1CRC) 局部切除术后的决策通常很复杂，需要最佳的信息提供以及患者的积极参与。目的是评估 T1CRC 患者对信息提供和治疗决策的看法。多中心横断面研究包括接受内窥镜或局部手术切除作为初始治疗的患者。使用 EORTC QLQ-INFO25 调查问卷评估信息提供情况。在高危 T1CRC 患者中，我们评估了关于选择局部切除后是否接受额外治疗的决策参与度和满意度，以及使用决策冲突量表评估决策冲突程度。 纳入了 98 名 T1CRC 患者（72 ％缓解率；79/98 内镜切除和 19/98 局部手术切除；45/98 高危 T1CRC）。局部切除后的中位时间为 28 个月 (IQR 18)；没有人出现复发。 29 名患者（30%；18 名低风险，11 名高风险）报告了未满足的信息需求，主要是与治疗后相关的主题（随访、恢复时间、复发预防）。局部切除后，45 名高危患者中的 24 名（53%）接受了额外治疗，而其他患者则接受了监测。受过高等教育的患者更经常积极参与决策（93% vs. 43%，p = 0.002），并且更频繁地接受额外治疗（79% vs. 40%，p = 0.02）。受教育程度较高和较低的高危患者之间的决策冲突 (p = 0.19) 和满意度 (p = 0.78) 相当。局部 T1CRC 切除后的会诊期间应更加关注治疗后的过程。受教育程度较高和较低的高风险患者在决策参与和选择的管理策略方面的差异值得进一步调查。© 2024 作者。 《联合欧洲胃肠病学杂志》由 Wiley periodicals LLC 代表联合欧洲胃肠病学出版。

Decision-making after local resection of T1 colorectal cancer (T1CRC) is often complex and calls for optimal information provision as well as active patient involvement.The aim was to evaluate the perceptions of patients with T1CRC on information provision and therapeutic decision-making.This multicenter cross-sectional study included patients who underwent endoscopic or local surgical resection as initial treatment. Information provision was assessed using the EORTC QLQ-INFO25 questionnaire. In patients with high-risk T1CRC, we evaluated decisional involvement and satisfaction regarding the choice as to whether to undergo additional treatment after local resection, and the level of decisional conflict using the Decisional Conflict Scale.Ninety-eight patients with T1CRC were included (72% response rate; 79/98 endoscopic and 19/98 local surgical resection; 45/98 high-risk T1CRC). Median time since local resection was 28 months (IQR 18); none had developed recurrence. Unmet information needs were reported by 29 patients (30%; 18 low-risk, 11 high-risk), mostly on post-treatment related topics (follow-up visits, recovery time, recurrence prevention). After local resection, 24 of the 45 high-risk patients (53%) underwent additional treatment, while others were subjected to surveillance. Higher-educated patients were more often actively involved in decision-making (93% vs. 43%, p = 0.002) and more frequently underwent additional treatment (79% vs. 40%, p = 0.02). Decisional conflict (p = 0.19) and satisfaction (p = 0.78) were comparable between higher- and lower-educated high-risk patients.Greater attention should be given to the post-treatment course during consultations following local T1CRC resection. The differences in decisional involvement and selected management strategies between higher- and lower-educated high-risk patients warrant further investigation.© 2024 The Author(s). United European Gastroenterology Journal published by Wiley Periodicals LLC on behalf of United European Gastroenterology.