癌症患者的功能:疾病和临床决定因素
Evelyn S Qin1, Blair Richards2, Sean R Smith3
1Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195, USA.
Cancers
|July 14, 2023
概括
癌症类型和疾病状态显著影响身体功能和社会参与. 特定的癌症,如脑癌,肉瘤,前列腺癌和淋巴瘤,与活跃疾病期间的功能下降有关.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 患者报告的结果
背景情况:
- 癌症患者在治疗期间和治疗后经常经历功能变化.
- 识别癌症类型和影响功能的临床因素对于有针对性的康复至关重要.
研究的目的:
- 评估患者在特定癌症类型中报告的功能障碍.
- 确定与疾病状况相关的风险因素和影响功能的非癌症因素.
主要方法:
- 对332名被转诊到癌症康复诊所的个体进行了横截面研究.
- 利用PROMIS癌症功能简要3D资料来评估身体功能,疲劳和社会参与.
- 采用多变量建模来分析癌症类型,癌症状态和功能结果之间的相互作用.
主要成果:
- 癌症类型和癌症状况之间的相互作用影响了身体功能和社会参与.
- 活跃的癌症状况与较低的身体功能和社会参与有关,包括大脑,肉瘤,前列腺和淋巴瘤.
- 在非活跃癌症患者中,先发病障碍预测了较低的功能;癌症类型对没有疾病证据的患者的功能没有影响.
- 疲劳与年轻的年龄,更高的BMI,先发性肌肉骨功能障碍和活跃的癌症状况有关,独立于癌症类型.
结论:
- 癌症类型和活跃疾病状态是身体功能和社会参与的关键决定因素.
- 病前疾病是非活跃癌症患者功能衰退的重要预测因素.
- 对常见障碍的预期指导可以增强癌症康复护理,并支持患者和护理人员.
关键词:
一个承诺,一个承诺.PROMIS 癌症功能简要3D简介癌症 癌症 癌症 癌症 癌症癌症的功能 癌症的功能癌症康复 康复 癌症康复癌症类型 癌症类型 癌症类型功能性结果的结果.减值 减值的情况身体功能 身体功能 身体功能更多相关视频
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