复杂的胃肠道手术中的金融毒性和与患者报告结果的相关性
Lindsey Young1, Rosemary Vergara1, John Henriquez2
1Western Michigan University Homer Stryker MD School of Medicine. 300 Portage Street, Kalamazoo, MI 49007, USA.
Annals of surgery
|October 29, 2024
概括
金融毒性 (FT) 影响了许多胃肠道手术患者,影响了他们的福祉. 识别婚姻状况等风险因素可以帮助选患者进行干预,以减少治疗费用的负担.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
背景情况:
- 财务毒性 (FT) 是医疗治疗带来的财务压力.
- FT对患者结局的影响是显著的,但在胃肠道 (GI) 手术中没有得到充分研究.
- 在胃肠道外科手术患者中,FT对生活质量的影响需要进一步调查.
研究的目的:
- 评估经过胃肠道 (GI) 手术的患者中金融毒性 (FT) 的患病率.
- 探索FT与患者的情感福祉 (EWB) 和社会福祉 (SWB) 之间的相关性.
- 在这个患者群体中识别FT相关的风险因素.
主要方法:
- 一个经过验证的仪器评估了从2022年1月到2023年1月的188名胃肠道手术患者的FT.
- 验证的仪器还测量了情感福祉 (EWB) 和社会福祉 (SWB).
- 多变量分析确定了FT的风险因素;皮尔森相关性评估了FT与EWB和SWB的关系.
主要成果:
- 31.4%的患者经历了金融毒性 (FT).
- 单身婚姻状况 (OR 3.02) 和没有接受化疗/放射治疗 (OR 3.86) 增加了FT的可能性.
- 较高的EWB和SWB分数与较高的FT分数相关,表明存在复杂的关系.
结论:
- 对于接受复杂的胃肠道手术的患者来说,财务毒性是一个重大问题,影响了他们报告的结果.
- 术前因素可以预测FT,使得有针对性的查和干预措施.
- 积极识别FT风险患者对于减轻对健康的负面影响至关重要.
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