在生命的最后两周内进行积极的抗癌治疗
1Faculty of Medicine, University of Ljubljana, Ljubljana; Department of Acute Palliative Care, Institute of Oncology Ljubljana, Ljubljana.
ESMO open
|March 12, 2024
概括
绝症癌症患者在生命末期越来越多地接受积极的抗癌治疗,特别是新型疗法. 较年轻的患者和没有接受专业息治疗 (SPC) 的患者面临这种治疗的更高风险.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 癌症治疗方法 癌症治疗方法
背景情况:
- 越来越多的抗癌治疗选择引发了对终末期癌症患者的积极护理的担忧.
- 评估抗癌疗法在生命终点 (EoL) 的利用是至关重要的.
研究的目的:
- 评估晚期癌症患者生命的最后两周抗癌治疗的模式和预测因素.
- 调查生命末期治疗与患者人口统计,癌症预后和息护理入学等因素之间的关联.
主要方法:
- 对1736名患有晚期固体癌症的成年患者进行了回顾性分析,这些患者在2015-2019年期间死亡.
- 后勤回归用于检查生命末期抗癌治疗 (全身疗法,放射治疗,手术) 与死亡年份,年龄,性别,预后和专业息护理 (SPC) 招生之间的关系.
主要成果:
- 14.4%的患者在生命的最后两周接受了抗癌治疗,随着时间的推移显著增加 (OR 1.15).
- 新型全身疗法 (向疗法,免疫疗法) 的使用在EoL增加.
- 年龄较大的患者 (OR 0.96) 和加入SPC (OR 0.22) 的患者接受EoL抗癌治疗的几率明显较低.
结论:
- 绝症癌症患者在生命的最后两周内更有可能接受抗癌治疗,特别是新的全身疗法.
- 较年轻的患者和没有专门的息护理入学的人面临更高的危险,可能需要积极的终生抗癌治疗.
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