息护理整合和终身护理强度为NSCLC患者
Lung cancer (Amsterdam, Netherlands)
|May 10, 2024
概括
在没有驱动突变的非小细胞肺癌 (NSCLC) 患者中,息治疗 (PC) 的整合仍然很低. 早期使用PC显著减少了积极的终生护理 (EOL),改善了患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 没有致癌驱动突变的非小细胞肺癌 (NSCLC) 通常呈现出不良的预后.
- 尽管有治疗方面的进步,但对于这个患者群体来说,了解息护理 (PC) 整合和终身护理 (EOL) 强度至关重要.
研究的目的:
- 评估息治疗 (PC) 的现实世界的整合.
- 评估对转移性NSCLC缺乏瘤驱动突变的患者生命终端 (EOL) 护理的强度.
主要方法:
- 一项观察性队列研究包括已故患有转移性NSCLC而没有驱动突变的已故患者 (01/201812/2022).
- 分析的重点是PC整合和EOL护理在生命的最后一个月的攻击性,包括全身抗癌治疗,急诊室访问,ICU入院,住院和医院死亡.
主要成果:
- 在149名患者中,50%接受了PC,从第一次接触到死亡的中位数为2.3个月.
- 在70%的患者中存在积极的EOL护理标准.
- 早期的PC整合 (<30或<90天前死亡) 与系统性抗癌治疗显著减少,住院时间更短 (>14天),住院死亡较少有关.
结论:
- 目前对NSCLC患者的息治疗 (PC) 整合不足.
- 癌症中心应该积极监测PC利用率和EOL护理的积极性,以改善患者的治疗结果.
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