在患有重大精神疾病的癌症患者中,获得症状查和严重症状风险
Laura E Davis1, Rinku Sutradhar2,3,4, Michaela A Bourque5
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Psycho-oncology
|August 18, 2023
概括
患有重大精神疾病 (MMI) 的癌症患者不太可能使用埃德蒙顿症状评估系统 (ESAS-r) 进行症状查,并且报告了更严重的症状.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症症状查可以改善结果并减少症状负担.
- 重症精神疾病 (MMI) 可能会影响癌症护理和患者体验.
- 埃德蒙顿症状评估系统 (ESAS-r) 是一种用于查癌症患者症状的工具.
研究的目的:
- 确定MMI和没有MMI的癌症患者的ESAS-r查率.
- 评估MMI的癌症患者严重症状的风险.
- 确定MMI患者癌症护理中的差异.
主要方法:
- 使用链接的行政卫生数据库进行回顾性队列研究 (2007-2020年).
- 在癌症诊断前5年内被归类为住院患者,门诊患者或没有患者的MMI.
- 时间到事件分析 (竞争性风险模型) 用于ESAS-r查和严重症状报告,控制共变量.
主要成果:
- 与没有MMI (74.8%) 的癌症患者相比,住院MMI (1.0%) 和门诊MMI (2.5%) 的癌症患者的ESAS-r查率较低 (分别为67.5%和72.3%).
- 在考虑死亡后,MMI患者的查记录发生率较低 (住院患者的SHR为0.77,门诊患者的SHR为0.88).
- 患有MMI的个体在所有评估领域都报告了明显更高的严重症状风险.
结论:
- 在患有MMI的癌症患者的ESAS-r查中存在显著差异.
- 患有MMI的患者经历了更重的严重症状负担.
- 解决这些差异对于实现公平的癌症护理至关重要.
相关概念视频
Cancer Survival Analysis
383
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
383
Negative and Cognitive Symptoms of Schizophrenia
93
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
93
Stress and Mental Health
180
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
180
Acute Coronary Syndrome IV: Interprofessional Care
12
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
12
Diagnostic and Statistical Manual of Mental Disorders (DSM)
95
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
95
Psychoneuroimmunology: Diabetes and Cancer
47
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
47


