癌症患者的金融毒性查:系统性审查
Nadia L Samaha1, Leila J Mady1, Maria Armache1
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Journal of the American College of Radiology : JACR
|May 18, 2024
概括
癌症护理中的金融毒性查缺乏标准化. 本次审查强调了普遍,常规的FT查的必要性,因为它与患者的不良结果和癌症治疗成本的不断上升有关.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 金融毒性 (FT) 显著影响癌症患者的福祉.
- 目前的临床实践缺乏FT查的标准化方法.
- 癌症护理成本不断上升,需要对经济负担进行有效的评估.
研究的目的:
- 系统地审查目前评估癌症患者财务毒性的方法.
- 识别与金融毒性风险增加相关的因素.
- 评估美国FT选实践的异质性.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括同行评审的研究来衡量美国癌症患者自我报告的财务影响.
- 对查时间,设置,工具以及相关的患者层面因素的分析.
主要成果:
- 51项研究符合纳入标准,显示FT查的差异很大.
- 选实践在时间,设置,使用的工具 (验证的7个) 和解释截止线上有所不同.
- 与较高FT相关的因素包括年龄较小,社会经济地位较低,非白人种族,高级阶段和特定疗法.
结论:
- 美国的金融毒性查目前是多样化的.
- 由于与患者不良结果的联系,常规和普遍的FT查至关重要.
- 需要进一步的研究,以建立最佳实践和开发FT查的多方面的干预措施.
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