与自我报告相关的因素 儿童癌症患者的症状查坚持
L Lee Dupuis1,2, Emily Vettese1, Catherine Aftandilian3
1Program in Child Health Evaluative Sciences, the Hospital for Sick Children, Toronto, Ontario, Canada.
Cancer medicine
|July 21, 2025
概括
在儿童癌症患者中,常规症状查的遵守程度因年龄,种族,种族,癌症类型和收入而异. 了解这些因素可以改善儿童病症查工具 (SSPedi) 的干预措施.
科学领域:
- 儿科瘤学 儿科瘤学
- 临床试验分析
- 医疗保健服务研究 医疗服务研究
背景情况:
- 评估常规症状查的遵守对于有效的儿科癌症护理至关重要.
- 儿科症状查工具 (SSPedi) 是为儿童癌症患者的频繁症状监测而设计的.
- 了解影响SSPedi完成的因素是优化SSPedi使用的关键.
研究的目的:
- 为了确定与8周期间完成的儿童病症查工具 (SSPedi) 评估数量相关的基线特征.
- 分析患者人口统计,癌症诊断和社会经济因素如何影响患者遵守症状查工具.
- 为改善儿科瘤学常规症状查的策略提供信息.
主要方法:
- 一个集群随机对照试验的子分析,涉及10个干预站点.
- 包括216名英语或西班牙语的儿科患者 (8-18岁) 刚被诊断患有癌症.
- 使用混合效应的Poisson回归来确定与8周内完成的SSPedi评估数量相关的因素 (每周提醒三次).
主要成果:
- 根据年龄,依从程度有很大差异,年龄较大的孩子 (11-18岁) 比年轻的孩子 (8-10岁) 完成了更多的评估.
- 亚洲参与者,非西班牙裔个人和来自高收入家庭 (≥60,000美元) 的参与者显示完成率更高.
- 与白血病患者相比,固体瘤患者完成的SSPedi评估较少.
结论:
- 坚持每周三次的SSPedi计划受到患者年龄,种族,种族,癌症诊断和家庭收入的结合的影响.
- 这些发现强调了需要量身定制的干预措施,以支持儿童癌症患者的一致性症状查.
- 该研究为改善在临床实践中实施常规症状查工具提供了有价值的见解.
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