在泌尿外科实践中评估财务毒性
Vassili Glazyrine1, Daniel Au1, Jared Starkey1
1The University of Kansas, Department of Urology, Kansas City, KS.
Urology
|June 23, 2023
概括
金融毒性影响了每四个接受泌尿外科手术的患者中就有一人. 财务毒性综合评分 (COST) 和单项测量都是有效的工具来评估患者的财务毒性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 患者的治疗结果.
背景情况:
- 对于接受重大医疗手术的患者来说,金融毒性是越来越令人担忧的.
- 评估泌尿外科手术的财务毒性对于了解患者负担至关重要.
- 需要经过验证的工具来准确地测量这一群体的金融毒性.
研究的目的:
- 在泌尿外科手术中使用财务毒性综合评分 (COST) 评估财务毒性.
- 为验证评估金融毒性的新型单项措施.
- 为了比较瘤和良性泌尿外科手术之间的财务毒性.
主要方法:
- 一项涉及182名接受泌尿外科手术 (瘤和良性) 的患者的横截面研究.
- 在手术前和后使用了COST调查和一种新的单项测量方法.
- 使用描述性统计和后勤回归来比较COST分数.
主要成果:
- 四分之一的患者经历了中度至重度的财务毒性.
- 在良性和瘤泌尿外科手术组之间没有观察到财务毒性的显著差异.
- 单项指标与COST调查有很强的相关性 (r = -0.80).
结论:
- 成本调查和单项测量是评估泌尿病学中财务毒性的有效工具.
- 需要进行进一步的研究,以确定不同泌尿病患者群体中金融毒性的具体驱动因素.
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