确定影响中期和晚期结直肠癌患者财务毒性状况的因素:一个横截面研究
Xiaofang He1,2, Jie Chen1, Lin Zhang3
1Medical School, Jiangnan University, Wuxi, China.
Frontiers in public health
|July 31, 2024
概括
在中国,晚期结直肠癌 (CRC) 患者中,金融毒性很常见. 低收入,高出口袋成本,失业,手术,耻辱和症状显著增加了财务压力.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 结肠直肠癌 (CRC) 是中国的主要癌症.
- 金融毒性 (FT) 显著影响中期和晚期CRC (III-IVCRC) 患者.
- 了解FT对于管理治疗影响至关重要.
研究的目的:
- 调查中期和晚期结直肠癌 (CRC) 患者的金融毒性 (FT) 现状.
- 为了确定在这个患者群体中导致金融毒性的关键因素.
主要方法:
- 在2023年1月至6月期间,对264名被诊断患有III-IV期CRC的患者进行了横截面调查.
- 数据采集使用调查问卷评估人口统计,经济毒性,应对方式,症状严重程度,疾病耻辱和社会支持.
- 使用多重线性回归分析来确定影响FT的因素.
主要成果:
- 在III-IV阶段的CRC.患者中,报告了财务压力的高患病率 (87.1%).
- 多变量分析确定家庭月收入低,自付费用高,失业,手术治疗,耻辱和症状严重程度是FT的重要预测因素 (P < 0.001).
结论:
- 第三-第四阶段的CRC患者经历了显著的财务毒性 (FT).
- FT与社会经济因素 (收入,就业),治疗特点 (手术) 和患者报告的结果 (症状,耻辱) 相关.
- 这些因素是治疗决策和患者支持策略的关键考虑因素.
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