进一步澄清放射治疗中的疼痛管理复杂性:现代统计方法的见解
Costanza Maria Donati1,2, Erika Galietta1,2, Francesco Cellini3,4
1Radiation Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Cancers
|April 13, 2024
概括
几乎一半的放射治疗患者经历了不充分的疼痛管理,特别是那些非癌症疼痛患者. 疼痛控制在治疗期间得到改善,但年轻的乳腺癌患者患有非癌症疼痛需要更好的止痛策略.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 辐射疗法 辐射疗法
背景情况:
- 在放射治疗患者中评估止痛治疗的充分性至关重要.
- 确定低于最佳的疼痛管理的预测因素是一个关键目标.
研究的目的:
- 评估放射治疗患者疼痛管理的充分性.
- 通过LASSO和CART分析,确定预测疼痛控制不足的因素.
主要方法:
- 在意大利对1387名放射治疗患者进行了观察性多中心队列研究.
- 疼痛管理指数 (PMI) 用于评估疼痛控制的充分性 (PMI < 0 表示不理想).
- 分析了人口统计,临床和治疗因素,以预测疼痛管理的充分性.
主要成果:
- 46.1%的患者报告疼痛管理不充分.
- 负PMI的预测因素包括非癌症疼痛,乳腺癌,更高的ECOG状态,年龄较小,早期阶段和治疗意图.
- 在放射治疗期间疼痛管理得到改善;非癌症疼痛的不足率高于癌症疼痛 (33.2%),而非癌症疼痛的不足率高于癌症疼痛 (73.1%).
结论:
- 放射治疗中的疼痛管理是动态的,在治疗过程中得到改善,但存在特定的挑战.
- 非癌症疼痛,特别是在年轻的乳腺癌患者中,存在重大管理差距.
- 综合癌症和非癌症疼痛考虑的多方面的方法对于改善瘤护理质量至关重要.
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