癌症患者的社会脆弱性及其发展轨迹中的脆弱性变化 - - 一项基于人口的纵向研究
Jens-Jakob Kjer Møller1, Karen la Cour2, Marc Sampedro Pilegaard3
1REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Danish Research Centre for Equality in Cancer (COMPAS), Zealand University Hospital, Naestved, Denmark.
Cancer epidemiology
|July 1, 2023
概括
癌症患者的社会脆弱性在治疗期间可能会发生变化. 许多最初易受伤害的患者变得不易受伤害,突出了癌症护理的动态社会需求.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 识别社会脆弱的癌症患者是一项挑战.
- 了解癌症治疗期间社会环境的变化是有限的.
- 对社会脆弱性动态的了解对医疗保健系统至关重要.
研究的目的:
- 使用行政数据识别社会脆弱癌症患者的基于人口的特征.
- 在癌症患者的整个旅程中调查社会脆弱性的变化.
主要方法:
- 在诊断前对癌症患者应用基于登记册的社会脆弱性指数 (rSVI).
- 使用行政数据评估诊断后社会脆弱性的变化.
主要成果:
- 18%的短期幸存者和14%的长期幸存者在诊断时是脆弱的.
- 22%的弱势短期幸存者和33%的弱势长期幸存者在两年内变得不脆弱.
- 不到6%的非易受伤害的患者在同一时期变得易受伤害.
结论:
- 癌症患者的社会脆弱性在他们的治疗轨迹期间可能会波动.
- 很大一部分最初易受伤害的患者过渡到非易受伤害的状态.
- 需要进一步的研究来确定经历诊断后健康恶化的患者.
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