在头癌中驱动息治疗使用的倾向性,启用性和需求因素
Soraya Fereydooni1, Caroline Valdez1, Lauren Williams2
1Department of Surgery, Division of Otolaryngology, Yale School of Medicine, New Haven, Connecticut, USA.
概括
在头癌患者中,息护理 (PC) 的使用率很低,受种族,保险和疾病阶段的影响. 通过对文化敏感的护理和财政援助来改善获取,可以提高利用率.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 息治疗 (PC) 对患有晚期癌症的患者至关重要,包括头癌 (HNC).
- 了解影响PC使用的因素对于改善患者的治疗结果和护理提供至关重要.
研究的目的:
- 描述与III期和IV期头癌患者的息治疗 (PC) 使用相关的因素.
- 调查易感,启用和需要因素对PC使用和治疗选择的影响.
主要方法:
- 国家癌症数据库 (2004-2020年) 的回顾性分析.
- 多变量后勤回归用于评估人口,社会经济和临床因素与PC使用之间的关联.
- 检查与干预性PC和拒绝治疗治疗相关的因素.
主要成果:
- 只有5%的患者接受了PC. 西班牙裔种族和黑人种族与较少的PC使用有关.
- 私人保险和更高的收入与较低的PC使用,但更高的干预PC使用和更低的拒绝治疗治疗有关.
- 晚期癌症阶段 (IV与III) 和更高的并发症指数与PC使用增加有关.
结论:
- 在HNC患者中PC吸收率低与种族/文化,财务状况和疾病严重程度有关.
- 建议对文化敏感的咨询和改善财务可访问性,以增加适当的PC使用.
- 需要更明确的PC指示准则,以确保及时和公平地获得护理.
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