在转移性前列腺癌患者中,应对金融毒性的机制:基于调查的评估
Daniel D Joyce1, Phillip J Schulte2, Eugene D Kwon1
1Department of Urology, Mayo Clinic, Rochester, Minnesota.
The Journal of urology
|July 7, 2023
概括
财务毒性对转移性前列腺癌患者产生重大影响,导致他们削减对必需品的支出,并将储蓄用于治疗. 年龄较大,寻求援助和收入较高与较低的财务负担有关.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 对于癌症患者,特别是转移性前列腺癌患者来说,金融毒性是越来越令人担忧的.
- 有限的数据存在于金融毒性的流行率和特征在这个人群中.
研究的目的:
- 确定转移性前列腺癌患者使用的应对机制.
- 评估与较低的财务毒性相关的患者特征.
主要方法:
- 一项涉及281名患有转移性前列腺癌的患者在一个高级前列腺癌诊所进行的横截面研究.
- 使用了金融毒性综合评分 (COST-FACIT) 和应对机制问卷.
- 采用费舍尔的精确测试和多变量线性回归来分析数据.
主要成果:
- 在281名患者中,79名患者报告了高财务毒性.
- 年龄较大,申请患者援助计划,年收入≥100,000美元与较低的财务毒性有关.
- 具有高财务毒性的患者更有可能减少对基本商品/休的支出,并将储蓄用于治疗.
结论:
- 转移性前列腺癌患者的高财务毒性往往需要妥协基本需求和耗尽储蓄.
- 了解这些影响对于开发干预措施和改善共享决策至关重要.
- 需要进一步的研究,以减轻这种脆弱患者群体的财务毒性.
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