癌症和癌症之外的人群中的多种疾病:一个范围审查
Tahania A Ahmad1, Dipesh P Gopal1, Claude Chelala2
1Wolfson Institute of Population Health, Queen Mary University of London London, United Kingdom.
American journal of cancer research
|October 11, 2023
概括
患有癌症的人往往有多种慢性疾病 (多重疾病). 本次审查强调了癌症幸存者的多病率较高,特别是在少数民族和较低社会经济群体中,影响了生活质量.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 由于早期检测和改进的治疗方法,全球癌症存活率正在增加.
- 与普通人群相比,患有癌症和癌症后生活的人 (LWBC) 患多病率 (两个或更多的慢性疾病) 高.
- 了解癌症和多病症之间的相互作用对于全面的幸存者护理至关重要.
研究的目的:
- 进行现有关于癌症与LWBC患者多病症之间的关联研究的范围审查.
- 探索癌症患病率,人口统计学关联,健康状况联系,治疗影响和癌症幸存者多病症的不良后果.
- 确定研究缺口,并为未来关于癌症幸存率和慢性疾病管理的研究提供信息.
主要方法:
- 在五个主要数据库 (Medline,CINAHL,Embase,PsychINFO,Web of Science) 进行了系统的搜索.
- 包括2000年至2023年间发表的115篇文章,涉及多病症的成年癌症患者.
- 根据PRISMA扩展范围审查指南,提取和合成数据.
主要成果:
- 在LWBC患者中最常见的长期疾病包括高血压,心脏病,抑郁症,COPD和糖尿病.
- 癌症诊断后的新并发症经常包括充血性心力衰竭,慢性疼痛和慢性疲劳.
- 多种疾病在少数民族癌症幸存者和社会经济地位较低的人群中更为普遍,导致生活质量较差.
结论:
- 在癌症存活率和多病症增加之间存在显著的关联.
- 需要进一步的研究来标准化多病症测量,探索癌症前后诊断变化,并调查种族/SES差异.
- 了解这些关联对于开发有针对性的干预措施和改善患有多种慢性疾病的癌症幸存者的护理至关重要.
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