在年轻成人乳腺癌幸存者的医疗保健利用和后续护理
Shakirah N Ssebyala1, Yue Zheng2, Elizabeth Riley2
1Weill Cornell Medicine, New York, NY.
JCO oncology practice
|September 24, 2025
概括
年轻的乳腺癌幸存者经常继续进行瘤学随访,尽管有初级保健提供者 (PCP). 乳房扫描率很高,但其他健康查和内分泌治疗的坚持率较低,这表明有护理差距.
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:
- 被诊断为乳腺癌的年轻人面临延长的生存率.
- 描述他们的医疗保健利用对于识别医疗保健缺口至关重要.
研究的目的:
- 评估年轻成人乳腺癌幸存者的医疗保健利用和遵守监测指南.
- 确定影响向初级保健提供者 (PCP) 过渡的因素,以进行随访和遵守推的查.
主要方法:
- 对660名在40岁或更年轻时被诊断患有0-III期乳腺癌的女性进行前性队列研究.
- 诊断后7年进行的调查评估了接受护理,与癌症相关的随访,乳房影像和骨密度扫描.
主要成果:
- 大多数幸存者 (92%) 有PCP,但超过一半 (57%) 仅看瘤专家进行癌症随访.
- 去年,乳房切除/乳腺切除术患者的乳房扫描率为82%.
- 对其他查 (流感疫苗,巴普测试,胆固醇) 和骨密度扫描的坚持较低;诸如癌症阶段,HER2状态,BRCA突变和化疗等因素影响了坚持.
结论:
- 年轻的乳腺癌幸存者经常利用瘤学提供者进行长期随访.
- 虽然乳房镜检查的坚持率很高,但其他健康维护实践需要改进.
- 了解符合指导方针的护理障碍对于优化生存策略至关重要.
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