怀孕相关癌症的治疗延迟和结果:一个多中心分析
Azza Sarfraz1, Selamawit Woldesenbet1, Odysseas P Chatzipanagiotou1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH.
概括
怀孕相关癌症 (PACs) 可以延迟癌症治疗,增加母亲和新生儿的风险. 协调护理对于改善被诊断患有PAC的妇女的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 与怀孕相关的癌症 (PAC) 在平衡癌症治疗与胎儿安全方面存在独特的挑战.
- 对于PAC中治疗时间变化和产科/新生儿结果的了解有限.
研究的目的:
- 为了比较怀孕和非怀孕个体之间的癌症治疗启动时间.
- 评估PAC对母亲和新生儿结局的影响.
主要方法:
- 使用Epic Cosmos EHR数据库 (2018-2022) 进行的回顾性队列研究.
- 在妊娠期PAC,产后PAC和非怀孕队列中比较癌症治疗时间 (手术,放射治疗,化疗).
- 分析了孕期PAC怀孕与对照中的产科和新生儿结局.
主要成果:
- 妊娠期PAC与手术和放射治疗延迟有关,但与非怀孕个体相比,化疗开始更快.
- 产后PAC与更快的手术和化疗启动有关.
- 孕期PAC增加了剖腹产,早产,低出生体重和低Apgar分数的几率.
结论:
- PACs与延迟的局部区域治疗和增加的孕产妇/新生儿发病率有关.
- 强调需要多学科的护理,以优化妇女与PACs的结果.
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