延期治疗和与结石相关的金融毒性相关的应对机制
Jackson J Cabo1, Rochelle Kofman2, Christopher Ballantyne1
1Department of Urology, Mayo Clinic Arizona, Phoenix, AZ.
Urology
|July 2, 2025
概括
金融毒性显著增加了患有结石的患者推迟推的医疗和手术治疗的可能性. 对成本的担忧是坚持医疗,手术和饮食建议管理石头疾病的主要障碍.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 卫生经济学 卫生经济学
- 患者的治疗结果.
背景情况:
- 结石病的管理包括医疗,手术和饮食干预.
- 财务毒性,衡量治疗费用对患者生活的影响,是坚持结石病护理的一个研究不足的因素.
- 了解财务障碍对于公平有效的患者管理至关重要.
研究的目的:
- 评估金融毒性和推治疗延迟在病患者之间的关联.
- 确定成本问题在多大程度上影响结石患者的治疗坚持.
主要方法:
- 通过使用ResearchMatch进行了一项全国性的横截面调查,对成年腎病患者进行了调查.
- 金融毒性使用金融毒性综合评分 (COST-FACIT) 进行评估,评分<21表明金融毒性显著.
- 多变量后勤回归分析了与推迟医疗或手术干预相关的因素.
主要成果:
- 超过21%的受访患者 (205/945) 报告了结石病相关的财务毒性.
- 与没有金融毒性的患者相比,有显著的可能性延迟推的医疗 (28.3%) 或手术 (22.4%) 治疗.
- 经常提到成本问题是遵守营养建议的障碍.
结论:
- 财务毒性是结石患者推的医疗和外科治疗坚持的重要障碍.
- 解决成本问题对于改善预防干预措施和治疗坚持在结石病护理中至关重要.
- 将金融毒性评估纳入临床讨论可以改善患者的治疗结果.
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