在晚期固体瘤癌症治疗期间的毒性和生活质量
Eun Mi Lee1, Paula Jiménez-Fonseca2, Rocio Galán-Moral3
1Faculty of Psychology, University of Barcelona, 08007 Barcelona, Spain.
Current oncology (Toronto, Ont.)
|October 27, 2023
概括
高度毒性影响19%的晚期癌症患者,特别是那些复发性,非腺癌或化疗治疗的癌症患者. 这些毒性往往导致治疗暂停或延迟,影响患者的生活质量.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 患者的治疗结果.
背景情况:
- 晚期癌症患者在治疗期间经常经历严重的毒性.
- 了解高风险的患者子组对于主动管理至关重要.
- 生活质量 (QoL) 和心理困扰是这一群体的重要关注点.
研究的目的:
- 确定患有3-4级毒性的晚期癌症患者的子组.
- 描述与这些毒性相关的人口,临床和治疗相关因素.
- 检查具有明显毒性概况的患者的生活质量结果.
主要方法:
- 在西班牙15家医院进行了前性,多中心的观察性研究.
- 包括557名正在接受全身治疗的晚期癌症患者.
- 在三个月后评估心理痛苦 (BSI-18),QOL (EORTC QLQ-C30) 和疲劳 (FAS).
主要成果:
- 19%的患者经历了3-4级毒性.
- 更高的毒性风险与复发的晚期癌症,非腺癌组织学,化疗和不良基线状态 (ECOG > 1) 相关.
- 3-4级毒性导致治疗暂停 (59%) 或剂量调整/循环延迟 (87%) 由于高死亡风险.
结论:
- 特定的患者个人资料与严重治疗毒性的风险增加有关.
- 高度的毒性严重破坏了癌症治疗计划.
- 需要进一步的研究来开发减少毒性和改善晚期癌症患者的生命质量的干预措施.
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