在癌症幸存者的COVID-19测试和财务毒性
John M Panzone1, Gavrielle J Rood1, Maximillian S Wu1
1Urology Department, SUNY Upstate Medical University, Syracuse, NY, USA.
概括
接受COVID-19测试的癌症幸存者报告了增加的财务毒性. 这突显了疫情的危险性.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- COVID-19 流行病对癌症幸存者带来了前所未有的挑战.
- 财务毒性,定义为癌症治疗和护理对患者财务福祉的影响,是癌症幸存者的重要关注点.
- 了解像COVID-19流行病这样的公共卫生危机期间的财务压力对于支持性护理至关重要.
研究的目的:
- 在COVID-19大流行期间调查COVID-19测试与癌症幸存者的财务压力之间的关联.
- 为了确定在这个人群中导致金融毒性的因素.
主要方法:
- 来自2020年国家健康访谈调查数据的横截面分析.
- 包括有癌症病史的个人.
- 多变量后勤回归用于评估COVID-19测试,社会人口统计因素和经济困难 (无法支付医疗费用) 之间的关联.
主要成果:
- 超过10%的癌症幸存者报告说,他们目前难以支付医疗费用,超过18%的人报告说在过去12个月中遇到了困难.
- COVID-19测试与当前和过去12个月支付医疗费用的困难的几率增加有关.
- 年龄较小与经济困难的几率较高有关,而收入较高和年龄较大与较低的几率有关.
结论:
- 经过COVID-19检测的癌症幸存者经历了更大的财务毒性.
- 医疗保健提供者必须认识到,在疫情期间,癌症患者承担的经济负担.
- 需要加强支持系统,以减轻癌症幸存者的财务压力.
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