患者和医生的功能和疼痛协议与肉瘤的长期结果有关:从纵向研究中的发现
Urška Košir1,2, Deborah van de Wal3, Olga Husson3
1Division of Orthopedic Surgery, McGill University Health Centre (MUHC), Montreal, QC, Canada. dr.urska.kosir@gmail.com.
Journal of cancer survivorship : research and practice
|October 17, 2023
概括
对于瘤幸存者来说,患者与医生就日常功能和疼痛的协议至关重要. 改善这种调整可以提高患者报告的结果,包括生活质量和日常功能.
科学领域:
- 在瘤学瘤学.
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者和医生在症状感知上达成协议对于癌症生存至关重要.
- 这些差异可能会影响长期的健康结果和生活质量.
研究的目的:
- 评估患者和医生在肉瘤患者的日常功能和疼痛方面的协议.
- 为了确定是否同意水平和随时间的变化预测患者报告的结果.
主要方法:
- 来自806名肉瘤患者的纵向数据的二次分析.
- 人口统计和协议的描述性统计.
- 线性混合模型用于评估协议对结果的影响.
主要成果:
- 患者与医生的分歧在功能 (43.4%) 和疼痛 (45.7%) 两方面都很常见.
- 较高的基线协议与更好的12个月结果相关.
- 对功能的更好的共识显著预测了更好的日常功能和生活质量.
结论:
- 患者和医生的协议是肉瘤生存的一个重要因素.
- 加强对症状和需求的相互理解可以改善患者的治疗结果.
- 通过进一步商来解决分歧可能有利于患者.
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