胃肠道症状与结肠癌幸存者的专科护理利用之间的关联:一个队列研究
Anya L Edwards1, Karen Trang1, Irina V Tolstykh2
1Department of Surgery, University of California, San Francisco, San Francisco, CA, USA.
International journal of colorectal disease
|August 14, 2024
概括
结肠癌幸存者的持续性胃肠道症状与增加的医疗保健使用有关. 腹部疼痛特别预测专业瘤护理的使用率更高,这表明有针对性的管理可以减少访问.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 持续的胃肠道 (GI) 症状在结肠癌幸存者中很常见.
- 这些症状可能与医疗保健服务利用率的增加有关.
研究的目的:
- 调查肠胃症状与结肠癌幸存者的专科护理利用之间的关联.
主要方法:
- 对126名结肠癌幸存者的前性纵向队列研究.
- 在5年内使用EORTC QLQ-C30和QLQ-CR29评估的GI症状.
- 在调查后6个月内追踪的医疗保健使用情况 (访问,电话,消息).
主要成果:
- 腹部疼痛,部疼痛和便频率增加与更多的诊所访问有关.
- 在多变量模型中,腹部疼痛是唯一与访问增加显著相关的症状.
- 便中的血液或粘液与更多的电话接触相关;腹痛与更多的信息相关.
结论:
- 特定的胃肠道症状,特别是腹痛,与结肠癌幸存者的瘤专科护理使用增加有关.
- 早期识别和治疗腹痛可能有助于减少医疗保健利用率.
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