患有转移性激素敏感前列腺癌的患者的与疾病相关的并发症
C F Ng1, C W H Mak1, S Y S Chan1
1Department of Surgery, SH Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hong Kong medical journal = Xianggang yi xue za zhi
|July 10, 2023
概括
转移性激素敏感前列腺癌 (mHSPC) 经常导致严重并发症,包括骨疼痛,尿道问题和贫血. 这些并发症导致经常住院,给患者和医疗保健系统带来负担.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 前列腺特异性抗原 (PSA) 查对前列腺癌存活率的影响受到争议.
- 人们对诊断时晚期前列腺癌的发病率上升存在担忧.
- 转移性激素敏感前列腺癌 (mHSPC) 在疾病管理方面提出了独特的挑战.
研究的目的:
- 调查mHSPC患者的发病率和并发症类型.
- 分析这些并发症对患者结果和医疗保健利用的影响.
主要方法:
- 分析了一组连续100名mHSPC患者的队列.
- 从五家医院 (2016年1月至2017年8月) 收集了前性数据.
- 电子医疗记录提供了有关并发症和再入院的信息.
主要成果:
- 70%的mHSPC患者经历了与疾病相关的并发症或意外入院.
- 常见的并发症包括骨疼痛 (41%),尿路滞留 (28%) 和尿道阻塞 (10%).
- 还注意到贫血 (41%) 和深静脉血栓形成 (4%);59%需要计划外的住院治疗.
结论:
- mHSPC与疾病相关并发症的高负担有关.
- 这些并发症会对患者产生重大影响,并耗费医疗保健资源.
- 需要有效的管理策略来缓解mHSPC患者的并发症.
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