在新辅助疗法期间的生活质量和实时患者体验:一项前性队列研究
Alexander H Shannon1, Angela Sarna, Luke Bressler
1Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
Annals of surgery
|August 29, 2023
概括
在消化道 (GI) 癌症的新辅助疗法 (NT) 期间,生活质量 (QOL) 保持稳定,尽管疲劳和焦虑等症状持续存在. 这项研究强调了患者在癌症治疗期间的经历.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者报告的结果
背景情况:
- 新辅助疗法 (NT) 越来越多地用于局部化胃肠道 (GI) 癌症.
- 对于肠道癌的NT期间的患者体验和生活质量 (QOL) 存在有限的数据.
研究的目的:
- 使用定制的智能手机应用程序在NT期间前性测量QOL和实时患者体验.
- 评估与健康相关的QOL的变化,并确定常见的症状和患者在肠道癌的NT期间报告的主题.
主要方法:
- 一项前性队列研究招募了104名患有肠胃癌的患者,接受NT.
- 一个智能手机应用程序管理了癌症治疗总体 (FACT-G) 功能评估问卷,跟踪情绪/症状,并促进日记.
- 质量生活得分和症状数据在基线,每月和在NT完成后收集.
主要成果:
- 平均整体FACT-G分数和子分数在NT期间没有显著变化 (P > 0.01).
- 常见的症状包括疲劳 (39.3%),失眠 (34.5%) 和焦虑 (28.3%).
- 定性分析揭示了焦虑,恐惧和丧的主题,以及社会支持的重要性和对医疗保健提供者的信心.
结论:
- 对于局部性肠胃癌,在NT期间维持QOL,尽管症状负担很高.
- 智能手机应用程序可以有效地捕捉癌症治疗期间的实时患者体验和质量生活.
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