患者报告的结果,以及对荷尔蒙受体阳性乳腺癌妇女复发的看法和知识
Shoshana M Rosenberg1,2,3,4,5, Yue Zheng6, Katheryn Santos7,8
1Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. shr4009@med.cornell.edu.
Breast cancer research and treatment
|October 21, 2024
概括
长期的激素受体阳性乳腺癌幸存者往往有不准确的风险感知和知识. 较低的教育程度与高估复发风险有关,突出显示了需要量身定制的沟通策略.
科学领域:
- 在瘤学瘤学.
- 癌症生存率研究 癌症生存率研究
- 健康心理学 心理健康心理学
背景情况:
- 超过一半的激素受体阳性 (HR+) 乳腺癌复发发生在诊断后5年以上.
- 很少有人知道长期HR+乳腺癌幸存者的福祉,风险感知和知识.
研究的目的:
- 评估长期HR+乳腺癌幸存者的福祉,乳腺癌风险感知和知识.
- 确定与高估远程复发风险相关的因素.
主要方法:
- 在2021年1月至2022年1月期间进行了一项调查.
- 对166名患有II/III期HR+乳腺癌的妇女进行了调查,诊断前5年或更长时间没有复发.
- 后勤回归确定了与高估5-10年远的复发风险相关的因素.
主要成果:
- 诊断时的中位数年龄为51岁;诊断后的中位数时间为10年.
- 身体和心理健康得分与人口规范相当.
- 40%高估转移性复发风险 (≥20%在5-10年内);较低的教育程度与这种高估相关 (OR:3.69).
- 只有17%的人正确确定HR+乳腺癌晚期复发风险较高;超过三分之一的人认为适度饮酒会降低风险.
结论:
- 长期HR+乳腺癌幸存者的身体和情感健康状况与一般人群相当.
- 许多幸存者拥有不准确的风险感知和关于复发的知识.
- 干预措施应针对识字和算术,以改善风险沟通,特别是对于那些教育程度较低的人来说.
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