对于患有转移性前列腺癌的医疗保险受益人的护理模式
Christopher P Filson1, Thomas B Richards2, Donatus U Ekwueme2
1Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California.
Urology practice
|April 19, 2024
概括
从2007年到2017年,转移性前列腺癌的治疗模式发生了显著的变化. 虽然抗瘤剂的使用增加,从而改善了生存率,但许多患者仍然没有接受延长寿命的治疗.
科学领域:
- 在瘤学瘤学.
- 癌症研究 癌症研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 转移性前列腺癌的治疗选择在过去十年中得到了扩大.
- 了解当前的治疗模式及其演变对于改善患者治疗结果至关重要.
研究的目的:
- 为了分析转移前列腺癌的男性最近的治疗模式.
- 调查这些治疗模式在2007年至2017年间随着时间的推移而发生了怎样的变化.
主要方法:
- 使用了监测,流行病学和最终结果-医疗保险数据库.
- 在2007年至2017年期间被诊断患有或发展为转移性前列腺癌的医疗保险受益人.
- 使用索赔数据评估治疗模式.
主要成果:
- 鉴定了29800名患有转移性疾病的男性;18.8%的人在初始诊断时患有这种疾病.
- 抗瘤剂的使用量从2007年的9.7%增加到2017年的25.9% (P < .001).
- 在被诊断为2015-2017年 (32.6个月) 与2007-2010年 (26.6个月) 的患者中,中位生存期有所改善 (P < .001).
结论:
- 很大一部分转移性前列腺癌患者没有接受延长生命的抗瘤疗法.
- 更广泛地采用有效的癌症疗法可以提高这些患者的生存时间和质量.
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