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骨转移患者的息治疗利用趋势

Dana G Rowe¹, Joshua Woo¹, Seeley Yoo¹

¹Duke School of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.

Journal of palliative medicine

|October 30, 2025

概括

对骨转移的息护理 (PC) 使用率较低,门诊息护理 (OPPC) 显示适度增加. OPPC显著减少了临终关怀之前的再入院,改善了患者护理质量.

科学领域:

在瘤学瘤学.
抚慰性护理是一种缓解性护理.
医疗保健服务研究医疗服务研究

背景情况:

骨转移严重影响患者的生活质量.
目前在骨转移患者中使用息治疗 (PC) 的模式尚不清楚.
需要有效的策略来将PC纳入瘤治疗中.

研究的目的:

分析2011-2021年骨转移患者PC使用趋势.
为了比较住院息治疗 (IPPC) 和门诊息治疗 (OPPC) 的使用情况.
确定预测PC参与的因素及其对医院再入院的影响.

主要方法:

使用PearlDiver数据库 (2011-2021) 对471713名骨转移患者的回顾性分析.
将PC遭遇分为IPPC和OPPC的分类.
使用线性和多变量逻辑回归来评估趋势,预测因素和结果的统计分析.

主要成果:

只有17.2%的患者接受了PC;整体PC使用没有显著增加 (p=0.14).
门诊息治疗 (OPPC) 的使用率从0.7%增加到2.6% (R2=0.87).
年龄较小,女性性别,并发病率较高,医疗补助保险和地区预测PC使用. 在临终关怀的六个月内OPPC与77%较低的再入院几率有关 (OR:0.23,p<0.001).

结论:

对于骨转移的患者来说,息治疗的利用率仍然不够理想.
OPPC的增加与临终关怀转诊前医院再入院减少有关.
扩大OPPC服务有潜力减少住院治疗和提高这群人群的护理质量.

关键词:

骨转移发生在骨髓中.转移性癌症转移性癌症是一种转移性癌症.抚慰性护理是一种缓解性护理.息疗法是一种缓和疗法.支持服务支持服务.

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