医疗保健接触日经历了先进的胃肠道癌患者的死者
Vishal R Patel1, Vidhyalakshmi Ramesh2, Alexander K Tsai2
1Dell Medical School, The University of Texas at Austin, Austin, TX.
JCO oncology practice
|September 22, 2023
概括
患有晚期胃肠道癌症的患者每天有25%的时间都在医疗机构度过,特别是在诊断后和死亡之前. 这强调了需要更有效地提供癌症护理的需要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 经常使用医疗保健对晚期癌症患者来说是负担.
- 了解医疗保健接触模式对于优化治疗晚期胃肠癌患者至关重要.
研究的目的:
- 在晚期胃肠道癌患者中测量医疗保健接触日.
- 检查接触日的来源,它们与患者因素的关联以及时间模式.
主要方法:
- 使用瘤登记册和电子医疗记录进行回顾性队列研究.
- 查看图表以确定从诊断到死亡的医疗保健联系日.
- 多变量β回归调整为社会人口统计学和临床因素.
主要成果:
- 分析了809名患有第4期肠胃癌的患者;中位生存时间为175天.
- 患者平均花费了25.8%的生存日与医疗保健接触,主要是门诊 (83.6%).
- 高龄,黑人种族和没有系统治疗与更高的接触日有关;模式显示U形曲线在疾病早期和晚期达到顶峰.
结论:
- 晚期胃肠道癌患者经历了大量的医疗保健接触,特别是在疾病的早期和晚期.
- 研究结果强调,需要提高癌症护理的效率和资源配置,为这一群体提供癌症护理.
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