在接受癌症手术的日本男性患者中,家务参与和死亡率:一项倾向性得分匹配研究
Shugo Yajima1, Yasukazu Nakanishi1, Ryo Andy Ogasawara1
1National Cancer Center Hospital East, Department of Urology, 6-5-1 Kashiwa no ha, Kashiwa City, Chiba 277-8577, Japan.
Preventive medicine
|February 15, 2024
概括
在癌症手术前不做家务或准备饭菜的男性的生存期明显缩短. 参与日常工作可能会改善男性癌症患者的结果.
科学领域:
- 在瘤学瘤学.
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 日常生活中的工具性活动 (IADL),包括家务和饭菜准备,对于评估癌症患者的预后至关重要.
- 传统上,IADL的评估集中在女性身上,可能会忽视男性癌症患者的重要因素.
- 缺乏参与日常工作可能表明潜在的健康问题或影响癌症的结果.
研究的目的:
- 调查在进行泌尿癌手术的男性患者中,做家务和准备饭菜与整体存活率 (OS) 之间的关联.
- 确定这些日常活动是否是该人群生存的独立预测因素.
主要方法:
- 一项对1025名接受选用泌尿癌手术的日本男性患者的队列研究.
- 倾向性得分匹配被用来创建一个平衡的队列进行分析.
- 进行了多变量分析,以调整各种临床和人口因素.
主要成果:
- 没有准备饭菜或做家务的患者的寿命显著缩短.
- 缺乏参与家务工作独立地与较短的OS相关,即使在调整多个变量后也是如此.
- 危险比率表明,在不从事这些活动的男性中,死亡风险大幅增加.
结论:
- 手术前从事家务和准备饭菜与男性癌症患者的更好的生存结果有关.
- 鼓励日常体力活动,如家务,可能会对与癌症作斗争的男性的生存产生积极影响.
- IADL的评估应包括男性参与家庭任务,以便全面规划癌症护理.
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