不治愈患者的肌肉侵入性膀癌:关于生存和息护理需求的研究
Félix Guerrero-Ramos1, Daniel Antonio González-Padilla2, Santiago Pérez-Cadavid3
1Department of Urology, Hospital Universitario 12 de Octubre, Avenida de Córdoba s/n, 28041 Madrid, Spain.
Cancers
|October 16, 2024
概括
肌肉侵入性膀癌 (MIBC) 患者不符合治愈治疗的条件,其生存结果不佳,预后晚期和水缩恶化. 这些发现凸显了这一群体对支持性护理的需求.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 肌肉侵入性膀癌 (MIBC) 提出了重大治疗挑战.
- 治愈治疗选择不适合所有MIBC患者.
- 了解非治愈候选人的生存率对于患者护理至关重要.
研究的目的:
- 为了评估MIBC患者的生存结果,不符合治疗治疗的患者.
- 为了确定影响这一群体生存的因素.
- 分析息护理的使用情况.
主要方法:
- 对142名MIBC患者的回顾性分析.
- 评估整体存活率 (OS) 和癌症特异性存活率 (CSS).
- 评估临床变量,急诊和息治疗程序.
主要成果:
- 中位数OS为10.6个月;中位数CSS为11.9个月.
- 晚期疾病阶段和水解与更糟糕的生存率有关.
- 由于年龄原因被排除在外的患者有更好的预后;缓解干预是常见的.
结论:
- 无法接受治愈治疗的MIBC患者的平均寿命小于一年.
- 晚期阶段和水缩显著恶化了结果.
- 仅仅年龄作为排除标准与相对更好的预后相关.
相关概念视频
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Urinary Tract Infection IV: Nursing Management
2
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
2
Urinary Tract Calculi V: Nursing Management
2
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
2


