在息治疗病房治疗血液恶性瘤患者的临床特征
Hiromichi Yamane1, Nobuaki Ochi1, Ayaka Mimura1
1Department of General Internal Medicine 4, Kawasaki Medical School, Okayama, Japan.
Palliative medicine reports
|October 3, 2023
概括
在息治疗中,侵袭性血液性恶性瘤 (PHM) 患者的生存时间更短. 预后得分准确地预测了淋巴瘤的存活率,但不是白血病.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 血液学 血液学 血液学
背景情况:
- 与日本的固体瘤相比,患有侵袭性血液恶性瘤 (PHM) 的患者被接收到息治疗单位 (PCU) 的患者较少.
- 在终身护理 (EOL) 中对PHM患者的患者特征和生存预测方法需要进一步评估.
研究的目的:
- 确定PCU中PHM的当前医疗状况.
- 评估接受息治疗的PHM的生存预测方法.
主要方法:
- 在PCU治疗的25名PHM的临床数据的回顾性分析 (2017年1月 - 2020年12月).
- 分析了生存时间和息预后得分 (PAP) 和息预后指数 (PPI) 之间的关联.
- 与肺癌患者的对照组进行比较.
主要成果:
- 肺癌患者年龄较大,平均存活时间比肺癌对照组更短.
- 大多数PHM没有接受标准化疗;与疾病相关的器官衰竭是死亡的主要原因.
- PAP/PPI与恶性淋巴瘤的存活率有显著的关联,但不是白血病.
结论:
- PCU中的PHM显示中位生存率降低,可能是由于患者选择以避免治疗毒性.
- 在白血病患者的生存预测中,PAP和PPI的准确性较低.
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