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在ESKD的金融毒性
Lindsey M Maclay1,2, Kyle Woodward1,2, Natalie Strohmayer1,2
1Department of Medicine, Division of Nephrology, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA.
Kidney360
|June 5, 2025
概括
患有功能衰竭的患者面临着严重的财务毒性,71%的患者经历了这种情况. 许多人报告说,就业和收入减少,尤其是透析患者,强调治疗对财务福祉的影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 治疗功能衰竭需要大量的时间和精力.
- 这些治疗可以干扰就业能力,并产生间接成本.
- 对于患有功能衰竭的患者来说,金融毒性是一个重大问题.
研究的目的:
- 描述功能衰竭患者中金融毒性的流行情况.
- 识别与金融毒性相关的风险因素.
- 探索替代疗法模式与财务负担之间的关系.
主要方法:
- 对112名功能衰竭患者进行的横截面调查研究.
- 使用验证的成本工具 (CoST) 和自我报告的财务变化评估财务毒性.
- 按脏替代疗法 (透析,移植) 方式对财务毒性的比较.
主要成果:
- 71%的参与者至少经历了轻微的金融毒性 (中位数为17).
- 金融毒性在非白人患者和接受透析的患者中更为普遍.
- 超过60%的人报告工作减少,57%的人报告收入减少,特别是在透析患者中.
结论:
- 患有功能衰竭的成年人经历了相当大的财务毒性.
- 就业和收入的负面变化很常见,与功能衰竭有关.
- 治疗方式,如透析,显著影响患者面临的财务负担.
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