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Asociación de las comorbilidades de los pacientes con el arrepentimiento del tratamiento entre los pacientes con
Rahul D Mali1, Ying Cao1, Aaron J Katz2
1Department of Radiation Oncology, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Practical radiation oncology
|September 1, 2025
Resumen
Los hombres con cáncer de próstata y más problemas de salud iniciales informaron un mayor arrepentimiento de la decisión después del tratamiento. Abordar las comorbilidades es crucial para las elecciones de tratamiento informadas.
Área de la Ciencia:
- En el campo de la oncología
- Urología
- Investigación en servicios de salud
Sus antecedentes:
- El arrepentimiento de la decisión es un resultado negativo significativo después del tratamiento del cáncer de próstata.
- Las comorbilidades iniciales pueden influir en la tolerabilidad del tratamiento y potencialmente en la satisfacción del paciente.
Objetivo del estudio:
- Investigar la asociación entre la carga de comorbilidad basal y el arrepentimiento de la decisión en pacientes con cáncer de próstata.
- Identificar los factores asociados con el arrepentimiento de la decisión después del tratamiento del cáncer de próstata localizado.
Principales métodos:
- Estudio prospectivo de cohorte basado en la población de 981 pacientes con cáncer de próstata.
- El arrepentimiento por decisión informado por el paciente se evaluó a los 12 meses después del tratamiento.
- Las comorbilidades se anotaron utilizando el Índice de Comorbilidad del NIC; se utilizó la regresión logística multivariable para el análisis.
Principales resultados:
- El 11% de los pacientes informó haberse arrepentido de la decisión.
- Una mayor carga de comorbilidad (OR 1,58), no estar casado (OR 1,72) y el empeoramiento de los síntomas intestinales (OR 2,12) o urinarios (OR 1,60) se asociaron con el arrepentimiento.
- La radioterapia se asoció con menos arrepentimiento que la prostatectomía radical (OR 0,48).
Conclusiones:
- La carga de comorbilidad basal es un predictor significativo del aumento del arrepentimiento de la decisión en el cáncer de próstata localizado.
- La evaluación de las comorbilidades es vital para la toma de decisiones informadas y la gestión de las expectativas de los pacientes.
- La consideración de la carga de las comorbilidades puede conducir a resultados de tratamiento más personalizados y satisfactorios.
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