乳腺癌幸存者的手臂发病率和经济困难
Sara P Myers1,2,3, Alison Laws4,5,6,7, Laura S Dominici4,5,6
1Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA. smyers0@bwh.harvard.edu.
Journal of cancer survivorship : research and practice
|June 19, 2024
概括
患有手臂症状的乳腺癌幸存者经历了更大的经济困难. 年龄较小,西班牙裔种族和复发也增加了经济困难,突出了支持性干预的必要性.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 长期的上肢症状是乳腺癌治疗的常见后果.
- 这些症状会对患者的生活质量和财务状况产生重大影响.
- 了解与治疗相关的发病率和经济困难之间的关系对于全面的患者护理至关重要.
研究的目的:
- 研究乳腺癌幸存者的手臂症状严重程度与患者报告的经济困难之间的关联.
- 确定与治疗后经济困难相关的人口和治疗相关因素.
主要方法:
- 这是一项涉及882名乳腺癌幸存者 (阶段0-III) 在2002-2012年期间接受治疗的横截面调查研究.
- 使用了EORTC-QLQ-BR23和EORTC-QLQ-C30问卷来评估结果.
- 评估了手臂症状 (AS) 评分和财务影响 (FI) 评分之间的关联,并对共变量进行调整.
主要成果:
- 13%的幸存者报告了一些经济困难,2%报告了最高程度的经济困难.
- 28%的患有手臂症状的患者报告了严重的手臂症状.
- 较高的AS分数,手术时年龄较小,乳腺切除与重建,西班牙裔,PMRT和复发与更大的财务困难有显著的关联.
结论:
- 臂部发病率,年龄较小,西班牙裔族裔和复发是乳腺癌幸存者经济困难的重要风险因素.
- 需要进一步的研究来阐明治疗相关不良事件导致经济困难的机制.
- 旨在减轻与治疗副作用相关的财务负担的干预措施是合理的.
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