在接受息性全身疗法治疗的老年癌症患者中,时间毒性
Joosje C Baltussen1,2, Paula Cárdenas-Reyes2, Yanin Chavarri-Guerra3
1Department of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.
概括
接受息治疗的老年癌症患者在医疗保健接触中花费了21%的时间. 这种"时间毒性"在化疗或放射治疗和脆弱患者中更高,影响生活质量.
科学领域:
- 老年瘤学 老年瘤学
- 抚慰性护理是一种缓解性护理.
- 癌症治疗结果的结果
背景情况:
- 时间毒性,定义为癌症治疗期间的医疗保健接触日,是一个研究不足的结果.
- 对接受息系统治疗的老年人来说,量化时间毒性至关重要.
研究的目的:
- 在接受息系统治疗的老年患者 (≥65岁) 转移性癌症中量化时间毒性.
- 在这个人群中确定时间毒性的预测因素.
主要方法:
- 分析了接受息性全身治疗的158名转移性癌症老年患者的前性队列.
- 在前6个月内记录了医疗保健接触日,并除以活着的日子.
- 贝塔回归模型确定了时间毒性的预测因素,包括G8查得分.
主要成果:
- 患者在前6个月内平均花费了21%的日期与医疗保健接触.
- 与时间毒性增加相关的因素包括同时进行放射治疗,细胞毒性化疗和G8评分受损 (表明脆弱性).
- 73%的患者的G8分数受损,这表明他们很脆弱.
结论:
- 患有转移性癌症的老年人经历了显著的时间毒性,每5天就有1天涉及医疗保健接触.
- 放射治疗,细胞毒性化疗和脆弱性加剧了时间毒性.
- 告知患者预期的医疗保健接触负担至关重要,特别是考虑到有限的预期寿命.
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