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在前列腺癌治疗后,十年的工作负担
Samuel L Washington1,2, Peter E Lonergan3,4, Janet E Cowan1
1Department of Urology, Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, USA.
Cancer medicine
|September 19, 2023
概括
前列腺癌治疗导致长达10年的重大工作负担,因种族和治疗类型而异. 识别有风险的个体对于有针对性的支持至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 癌症的生存率 癌症的生存率
背景情况:
- 前列腺癌 (PCa) 治疗给人带来了相当大的工作负担,以工作休息数周来衡量.
- 在诊断后的十年内了解这种负担对于患者的支持至关重要.
- 确定长时间缺勤的风险因素对于有针对性的干预措施至关重要.
研究的目的:
- 在10年的时间内量化与前列腺癌治疗相关的工作负担.
- 确定PCa治疗后工作缺席风险较高的患者群体.
- 探索治疗方式,种族和工作负担之间的关系.
主要方法:
- 一组6693名被诊断患有PCa的男性使用CaPSURE数据进行了分析.
- 患者接受了急性前列腺切除术,放射治疗或积极监测.
- 工作负担和健康评分是治疗前和治疗后 (1,3,5,10年) 的自我报告,并使用概括估计方程建模分析.
主要成果:
- 手术患者报告了更多的初始休息时间,但与其他治疗相比,随着时间的推移,这种时间减少了.
- 与手术相比,10年期间,黑人男性和接受放射治疗的人报告工作缺勤率较低.
- 在整个研究期间,整个种族和治疗组的一般健康评分保持稳定.
结论:
- 前列腺癌护理的工作负担延长到治疗后的10年.
- 在不同种族和初级治疗群体中,工作负担存在显著差异.
- 应该分配资源来支持那些因癌症护理而面临长期工作缺席的最大风险的人.
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