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为什么老年人停止癌症查? 医疗保险当前受益者调查的结果
Olivia H Belliveau1, Ilana B Richman2
1Yale School of Medicine, New Haven, Connecticut, USA.
Journal of the American Geriatrics Society
|October 24, 2024
概括
关于停止癌症查的讨论在老年人中很少发生,即使查的益处有限. 改善患者与医生的沟通是更好的查决策的关键.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 癌症查在老年人中很常见,即使潜在的益处是最小的,也经常继续进行.
- 了解停止癌症查的原因对于优化老龄化人口的医疗保健至关重要.
研究的目的:
- 评估为什么老年人停止前列腺癌和乳腺癌查.
- 调查医生建议在决定停止老年人癌症查中的作用.
主要方法:
- 来自2019年医疗保险当前受益者调查 (MCBS) 的全国代表性数据的分析.
- 包括76岁以上的女性 (没有乳腺癌史) 和71岁以上的男性 (没有前列腺癌史).
- 停止查的原因分类:医生的反对建议,缺乏建议或患者驱动的因素;根据健康状况和教育水平进行分层分析.
主要成果:
- 在停止乳房查的女性中,5%的女性引用了医生的建议,48%的女性没有任何建议,32%的女性引用了患者的理由. 在停止PSA查的男性中,3%的人引用了医生的建议,54%的人没有建议,27%的人引用了患者的理由.
- 停止查的原因在健康状况或教育程度上没有显著差异.
- 有高等教育的男性更有可能报告医生反对或不建议查的建议.
结论:
- 癌症查在老年人中仍然存在,即使益处有限,这凸显了有关戒烟的讨论中的差距.
- 加强患者和医生之间的沟通可以提高有关癌症查延续或中止决定的质量.
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