在美国,成年癌症幸存者的功能限制
D K Ehlers1,2, N Weaver3, J Ma4
1Department of Quantitative Health Sciences, Health Futures Center, Mayo Clinic, 6161 E. Mayo Blvd, Phoenix, AZ, 85054, USA. Ehlers.Diane@mayo.edu.
Journal of cancer survivorship : research and practice
|July 31, 2024
概括
癌症幸存者经历了更多的功能限制,特别是年轻人和那些有流动性问题的人. 常规评估和干预对于改善癌症患者的生活质量至关重要.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 功能限制会影响衰老的轨迹和生活质量.
- 癌症幸存者在日常生活中经常面临独特的挑战.
- 了解这些年龄组的限制对于有针对性的支持至关重要.
研究的目的:
- 检查不同年龄组 (18-44岁,45-64岁,65岁以上) 癌症病史和功能限制之间的关联.
- 为了比较癌症幸存者与非癌症成年人之间在九个领域经历限制的几率.
- 为了确定癌症幸存者的功能限制中的特定年龄模式.
主要方法:
- 利用了来自2014-2018年国家健康访谈调查 (NHIS) 的151,509名成年人的数据.
- 采用年龄分层的多变量逻辑回归来分析自我报告的功能限制.
- 计算了与共变量调整的几率比率 (ORs) 和95%置信区间 (CI) 来比较组.
主要成果:
- 与没有癌症史的成年人相比,癌症幸存者报告功能限制的可能性要高得多.
- 在年轻的成年人 (18-44岁) 和移动性/下肢功能方面,观察到限制的几率更高.
- 探索性分析表明,在老年癌症幸存者中,限制的几率要高得多.
结论:
- 癌症与所有年龄组的功能限制增加有关,特别影响年轻的幸存者和流动性.
- 需要在常规癌症护理中系统地评估功能限制.
- 有针对性的干预措施对于减轻功能限制的负担和改善幸存者的生活质量至关重要.
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