在菲律宾,患有常见癌症的患者中,延长治疗延迟的负担很大
Jansen M Cambia1, Arnat Wannasri1,2, Edmund Cedric A Orlina3
1International Health Program, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Cancer causes & control : CCC
|February 24, 2025
概括
在菲律宾,超过三分之一的癌症患者在治疗开始时面临延迟. 年轻的患者,男性和患有晚期癌症的人面临这些延迟的风险更高,这会影响癌症预后.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长时间的治疗延迟是有效的癌症护理的重要障碍,往往导致患者的治疗结果较差.
- 了解导致治疗延迟的具体人口和临床因素对于有针对性的干预至关重要.
研究的目的:
- 评估在菲律宾癌症患者中延长治疗延迟的患病率和确定预测因素.
- 分析不同初始治疗方式 (手术,放射治疗,化疗) 的治疗延迟模式.
主要方法:
- 一项基于人口的回顾性队列研究,涉及菲律宾20654名患有常见癌症的患者.
- 来自卫生部 - 瘤癌症登记处的数据分析,使用波桑回归来识别延迟的预测因素.
- 根据初始治疗类型,检查治疗延迟相关性.
主要成果:
- 35.1%的患者经历了超过30天的延迟,25.2%和20.0%的患者分别经历了超过60和90天的延迟.
- 延迟>90天的风险较高与年龄较小 (0-19岁),男性性别,非私立医院,1990年代诊断,晚期和非手术初始治疗有关.
- 较年轻的年龄不是手术患者延迟的重要预测因素,与放射治疗或化疗组不同.
结论:
- 识别治疗延迟的高风险患者群体对于为国家癌症控制战略提供信息至关重要.
- 需要有针对性的干预措施来减少治疗延迟,特别是在菲律宾的弱势群体.
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