农村癌症金融毒性查 农村癌症金融毒性查
Yash Deshmukh1, Melanie L Rose2, Renata W Yen1,3
1Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Advances in radiation oncology
|December 3, 2025
概括
在接受放射治疗的农村癌症患者中,金融毒性 (FT) 查是可行的. 这项研究表明,数据收集的准确性很高,为干预措施铺平了道路,以减轻服务不足的人群的财务负担.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 癌症治疗费用可能导致财务毒性 (FT),对治疗坚持和患者的结果产生负面影响.
- 关于农村癌症人口中FT的数据有限,农村癌症人口面临参与调查的额外障碍.
- 了解这些人群中的FT对于制定有针对性的支持策略至关重要.
研究的目的:
- 试验一种经过验证的调查仪器,用于在接受放射治疗的农村瘤患者中评估FT.
- 评估在农村环境中进行这项调查的可行性和数据收集准确性.
- 为未来研究农村癌症护理中FT模式和干预措施奠定基础.
主要方法:
- 对接受放射治疗的农村瘤患者进行前性调查.
- 使用金融毒性综合评分 (COmSFT) 对人口统计,支出和金融毒性进行基准和每周数据收集.
- 评估调查完成率和分析人口统计学与FT的联系,使用曼·惠特尼U测试.
主要成果:
- 招募了26名老年人,主要是男性和白人参与者.
- 42%是低收入群体,50%的高中学历或以下;73%的医疗保险受保.
- 调查完成率很高 (85%),在基线时平均COMSFT得分为14.0. 在治疗期间,最低财务影响金额从211美元增加到329美元.
结论:
- 对金融毒性的查是可行的,在农村辐射瘤学人群中产生高准确度数据.
- 这项可行性研究支持进一步调查严重FT的预测因素.
- 未来的研究应该专注于开发基于这些发现的有针对性的干预措施,以解决农村癌症患者的财务困难.
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