[COVID-19大流行对宫癌治疗的影响:前后研究]
Silvina Arrossi1,2, Fernando Binder1, Carolina Ituarte3
1Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
Medicina
|April 29, 2024
概括
COVID-19大流行并没有显著影响宫癌治疗的遵守. 然而,对支臂疗法的有限访问是患者治疗不合规的关键因素.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于COVID-19大流行对宫癌治疗坚持的影响的证据有限.
- 宫癌治疗的遵守对于患者的治疗结果至关重要.
研究的目的:
- 为了调查COVID-19大流行对阿根廷宫癌治疗合规性的影响.
- 确定与治疗不遵守相关的因素.
主要方法:
- 基于人口的,前后回顾性队列研究.
- 包括在阿根廷Jujuy省2017-2020年间诊断的140名宫癌患者.
- 多变量逻辑回归分析了大流行对遵守的影响;测量了治疗持续时间和开始时间.
主要成果:
- 在大流行期间诊断的患者中没有观察到治疗不合规的显著增加 (OR 1.77,p=0.32).
- 布拉基疗法被处方给患者的患者显示,不服药的风险显著增加 (OR 4.14,p<0.001).
- 治疗持续时间和开始的时间显示,不同阶段之间没有明显的流行病相关差异.
结论:
- 限制对支臂治疗的准入,而不是大流行,是宫癌治疗不合规的主要驱动因素.
- 确保获得支臂疗法对于改善宫癌患者的治疗坚持至关重要.
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