在患有免疫检查点抑制剂的泌尿生殖系统癌症患者中治愈感的变化:一项纵向研究
Cristiane Decat Bergerot1, Errol J Philip2, Ameish Govindarajan3
1Centro de Cancer de Brasilia, Instituto Unity de Ensino e Pesquisa, Oncoclinicas, Brasília, DF, Brazil.
Clinical genitourinary cancer
|June 30, 2023
概括
接受免疫检查点抑制剂 (ICI) 的泌尿生殖系统癌症患者随着时间的推移发展出更准确的治愈预期. 这种改善的期望与减少焦虑和更好的结果相关.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 患者报告的结果
背景情况:
- 生殖尿道 (GU) 癌症是一个重大的健康问题.
- 免疫检查点抑制剂 (ICI) 代表了GU癌症的新型治疗方式.
- 了解患者在ICI治疗期间对治愈的看法至关重要.
研究的目的:
- 为了调查患者在接受GU癌症ICI治疗时对治愈的期望的变化.
- 评估预期治愈和焦虑水平之间的关系.
- 探索治愈期望与治疗副作用之间的关联.
主要方法:
- 采用了纵向研究设计.
- 患者在基线和治疗开始后3个月被评估.
- 调查问卷包括ICI感知,PROMIS焦虑量表和预期治愈;统计分析包括一般线性建模和千平方测试.
主要成果:
- 准确预期治愈的患者比例随着时间的推移显著增加 (55.6%至66.7%,P = .001).
- 准确的治愈预期与较低的焦虑水平有关.
- 不准确的治愈预期与更严重的副作用和更差的ECOG分数相关.
结论:
- 用ICI治疗治疗的GU转移性癌症患者表现出逐渐准确的治愈预期.
- 准确的治疗预期与焦虑的减少有关.
- 需要进一步的研究来开发支持准确期望形成的干预措施.
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