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对接受息性辐射治疗的患者而言,金融毒性的严重性
Jeremy P Harris1, Eric Ku1, Garrett Harada1
1Department of Radiation Oncology, University of California Irvine, Orange, CA, USA.
The American journal of hospice & palliative care
|July 5, 2023
概括
财务毒性影响接受息性放射治疗 (RT) 的患者. 近一半的人经历了经济困难,收入较低和认知功能增加风险.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 金融毒性对患者的福祉和治疗结果构成重大风险.
- 在接受息性放射治疗的患者中,对金融毒性的患病率和预测因素的了解有限.
研究的目的:
- 调查接受息性放射治疗的患者中金融毒性的患病率和相关因素.
- 评估金融毒性与生活质量,功能和人口/社会经济因素之间的关系.
主要方法:
- 一项对53名在2021年1月至2022年12月期间接受息性放射治疗的患者的回顾性评估.
- 使用FACIT-财务困境量表 (FACIT-COST) 评估金融毒性.
- 对治疗满意度 (FACIT-TS-G) 和生活质量 (EORTC QLQ-C30) 的评估.
主要成果:
- 大约49%的患者没有经历过财务毒性 (等级0),而45%的患者报告说,由于癌症而导致的整体财务困难.
- 更高的收入,医疗保险/私人保险和更好的认知功能与较低的财务毒性有关.
- 代表性不足的少数民族地位和非英语语言偏好与增加的财务毒性相关.
结论:
- 金融毒性在接受息性放射治疗的近一半患者中普遍存在.
- 较低的社会经济地位 (收入) 和认知功能受损是显著的风险因素.
- 临床医生对这种患者群体进行财务毒性常规查是建议的.
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