在乳腺癌的年轻成年人中,随着时间的推移,经济困难
Sara P Myers1,2,3, Yue Zheng4, Kate Dibble4
1Division of Breast Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|November 13, 2024
概括
患有乳腺癌的年轻人面临着持续的经济困难,特别是那些有手臂症状或失业的人. 针对就业能力和恢复工作的干预措施对于减轻幸存者的财务毒性至关重要.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 精神瘤学 精神瘤学
背景情况:
- 被诊断患有乳腺癌的年轻人 (18-39岁) 是一个易受经济困难影响的弱势群体.
- 在这个人口群体中,导致持续的财务困难的因素在很大程度上是未知的.
研究的目的:
- 在年轻的成人乳腺癌幸存者中,随着时间的推移,确定财务困难的明显模式 (轨迹).
- 描述与这些金融轨迹相关的人口,临床和治疗相关的因素.
- 测试治疗相关的手臂发病率与长期财务困难相关的假设.
主要方法:
- 一项对1008名年轻成年人 (≤40岁) 的队列研究,在2006-2016年期间被诊断患有0-III期乳腺癌.
- 从基线到诊断后10年,使用癌症康复评估系统 (CARES) 规模建模了财务困难模式.
- 多项式回归分析了患者特征 (包括手臂症状) 和财务轨迹之间的关联.
主要成果:
- 确定了三个财务困难轨迹:低 (54.7%),轻度改善 (29.1%) 和中度至重度延迟改善 (16.3%).
- 西班牙裔种族,失业和手臂症状与持续中度至严重经济困难的几率增加有关.
- 大专学位和合作伙伴关系与经历重大财务困难的可能性较低有关.
结论:
- 许多年轻的乳腺癌幸存者经历了持续的经济困难.
- 需要针对可修改因素的干预措施,如就业支持和对手臂症状患者的恢复工作援助,以减少财务毒性.
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