患者报告的结肠或直肠癌治疗的财务负担
Sheetal Kircher1, Fenghai Duan2,3, Na An3
1Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois.
JAMA network open
|January 9, 2024
概括
新确诊的结直肠癌患者的经济困难在12个月内有所改善. 干预措施应针对自我效能和财务担忧,并对高风险个人进行查.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 精神瘤学 精神瘤学
背景情况:
- 长度患者经验对于开发应对经济困难的干预措施至关重要.
- 对于正在接受治疗的癌症患者来说,金融毒性是一个重大问题.
研究的目的:
- 评估12个月内新诊断的结直肠癌 (CRC) 患者经历的长期财务困难.
- 在这个患者群体中确定与金融毒性相关的因素.
主要方法:
- 一项前性的纵向队列研究,涉及450名新诊断的I-III期CRC患者.
- 财务困难在基线和3,6个月和12个月使用财务毒性综合评分 (COST) 来衡量.
- 分析了数据,以评估经济困难的变化及其与生活质量,自我效能和社会经济因素的相关性.
主要成果:
- 在为期12个月的研究期间,观察到财务困难的统计学显著改善 (每月0.3点,P < .001).
- 更高的生活质量和更高的自我效能与降低的财务毒性有关 (COST分数分别增加了0.7分和0.6分,P < .001和P = .006).
- 居住在社会经济地位较低的地区的患者经历了更大的财务毒性 (邻里贫困指数与COST分数下降0.3个点相关,P = .009).
结论:
- 癌症护理中的金融毒性干预措施应优先考虑咨询,以提高自我效能和缓解财务困难.
- 对金融毒性干预的查应识别具有更高财务负担风险的患者.
- 解决社会经济决定因素和心理因素对于减轻癌症患者的经济困难至关重要.
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