年轻成人儿童癌症幸存者的后期效应监测坚持:基于人口的研究
Joel Milam1,2, Yoonji Kim1, Michael Roth3
1Department of Epidemiology and Biostatistics, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA.
Pediatric blood & cancer
|September 18, 2024
概括
儿童癌症幸存者 (CCS) 较少遵守推的终身监测测试,以检测晚期影响. 随访护理和医疗保险等因素对于改善癌症幸存者监测率至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 幸存者护理 幸存者护理
背景情况:
- 对儿童癌症幸存者 (CCS) 来说,终身,基于指导方针的晚期影响监测至关重要.
- 年轻的CCS成年人在获得推监测时面临着独特的挑战.
- 之前的研究强调了这一群体的长期随访护理方面的差距.
研究的目的:
- 检查风险年轻成人中基于指南的监控测试收件率.CCS.
- 确定与坚持心脏,甲状腺和乳腺监测相关的因素.
- 评估长期CCS的基于人群的队列中监测不良的流行率.
主要方法:
- 一项以人口为基础的研究分析了253名年轻成年CCS (50%西班牙裔/拉丁裔) 的监控测试收件.
- 数据包括心脏 (n=119),甲状腺 (n=68) 和乳腺 (n=66) 监测的坚持率.
- 统计分析确定了与接受监视测试相关的因素.
主要成果:
- 心脏,甲状腺和乳腺监测的遵守率较低 (分别为36.1%,31.9%,36.4%).
- 在这个队列中的长期CCS中,监测不足是普遍存在的.
- 接受监视与随访护理,健康保险和对监视需求的教育 (p<.05) 有积极的关联.
结论:
- 在幼年癌症幸存者中,对晚期影响的推监测的遵守率惊人地低.
- 确保获得后续护理,健康保险和患者教育至关重要,以提高监测率.
- 需要有针对性的干预措施来加强终身癌症幸存者护理,并减少长期的健康风险.
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