在接受治疗的癌症患者中,失眠的患病率和相关性
Jessica M Page1,2, Alicia K Morgans3, Michael J Hassett3,4
1Department of Psychiatry, Boston Children's Hospital, Boston, Massachusetts, USA.
Psycho-oncology
|January 12, 2025
概括
超过五分之一的癌症患者在治疗期间经历失眠. 在瘤学环境中,对睡眠障碍的常规查对于患者的福祉至关重要.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 患者报告的结果
背景情况:
- 失眠是接受积极治疗的癌症患者常见的睡眠障碍.
- 未经治疗的失眠会导致严重的身体和心理健康问题.
- 以前关于癌症患者失眠患病率的研究受限于临床试验群体,并排除了子组,可能会导致结果偏见.
研究的目的:
- 在癌症患者的大型现实样本中确定失眠的患病率和相关性.
- 解决先前研究的局限性,包括研究参与效应和受限患者群体.
主要方法:
- 使用电子患者报告结果 (PRO) 问卷,基于国家癌症研究所的PRO-CTCAE.
- 收集了2018年至2021年间9,350名患者的数据.
- 人口统计和癌症诊断/治疗信息的抽象医疗记录.
主要成果:
- 21%的癌症患者在治疗期间报告了失眠症状.
- 失眠的患病率在女性,60岁以下的患者,非白人患者和公共保险患者中更高.
- 接受息治疗的患者和患有胃肠癌的患者报告了更高的失眠率.
结论:
- 超过20%的癌症患者经历了失眠症状.
- 瘤学家和癌症中心应该经常评估失眠的严重程度.
- 整合现有的患者报告的结果可以帮助识别失眠症状.
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