在直肠癌护理协调方面,最终治疗的时间
Alexis L Woods1, Axenya Kachen2, Rebeka A Dejenie3
1Department of Surgery, University of California, Davis Medical, 2335 Stockton Blvd, North Addition, 5th Floor, Sacramento, CA, 95817, USA.
American journal of surgery
|April 8, 2025
概括
近一半的直肠癌患者面临的治疗延迟超过60天. 统一的护理模式和解决女性性别和距离等因素对于及时治疗直肠癌至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 提供癌症护理 提供癌症护理
背景情况:
- 及时启动直肠癌治疗对于改善患者结果至关重要.
- 护理标准要求在诊断直肠癌后60天内进行最终治疗.
研究的目的:
- 评估直肠癌治疗开始的时间.
- 确定与治疗延迟相关的社会人口统计因素.
- 评估护理模式对治疗时间表的影响.
主要方法:
- 在第三级癌症中心对直肠癌患者 (2013-2023) 的回顾性审查.
- 统计分析按60天内治疗时间和患者社会人口统计学分层.
- 多变量分析以确定治疗延迟的独立预测因素.
主要成果:
- 53.2%的患者在60天内接受治疗; 46.8%的患者经历了延迟.
- 统一的护理模式显示,与分散的护理 (77.4天) 相比,治疗开始 (57.5天) 显著更快.
- 与延误相关的因素包括女性性别,年龄较大,保险状况,较低的健康地点指数五分位数以及与医院的距离较大. 女性性别 (OR 1.74) 和居住距离>60英里 (OR 2.49-2.87) 独立地与延迟有关.
结论:
- 相当一部分直肠癌患者没有得到及时的治疗启动.
- 统一护理模式在加快治疗时间表方面表现有前途.
- 需要有针对性的干预措施来解决护理获取方面的差异,特别是针对女性和居住在离治疗中心更远的患者.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
67
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
67
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
253
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
253
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
33
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
33
Chronic Pancreatitis II: Collaborative Care
50
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
50
Inflammatory Bowel Disease IV: Pharmacological Management
82
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
82
Drugs for Treatment of Diarrhea-Predominant IBS
126
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
126


