及时问题:预测口腔腔癌患者延迟的预测因素 跨护理连续性
Nicholas Correia1, Kennedy Johnson2, Megan Durr2
1School of Medicine, University of California San Francisco California USA.
Laryngoscope investigative otolaryngology
|March 2, 2026
概括
头癌 (HNC) 护理的延迟在所有阶段都是常见的. 更高的社会脆弱性显著预测延迟,强调需要解决健康的社会决定因素.
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:
- 有限的研究存在于整个患者旅程的头癌 (HNC) 护理延迟.
- 了解这些延迟对于改善患者的治疗结果和优化癌症护理提供至关重要.
研究的目的:
- 描述口腔状细胞癌 (OCSCC) 患者从症状出现到治疗结束的时间间隔.
- 确定 HNC 护理获得和完成延迟的预测因素.
主要方法:
- 对接受手术和辅助治疗的93名OCSCC患者的回顾性审查.
- 定义和测量到治疗开始 (TTI) 的时间延迟,辅助治疗的时间和总治疗包时间.
- 使用后勤回归来分析延迟的预测因素,包括社会脆弱性指数 (SVI).
主要成果:
- 绝大多数患者经历了延迟:到达医疗机构的73%,TTI的39%,开始辅助治疗的89%,总治疗时间的64%-81%.
- 症状持续时间中位数为17.4周,TTI为6.9周,总治疗时间从15.4到16.3周不等.
- 晚期疾病,较高的SVI,较长的病理报告时间,需要自由翻转和社会工作者互动与延迟有关;较高的SVI是显著的多变量预测因素.
结论:
- 头癌患者在所有护理阶段都面临延迟.
- 健康的社会决定因素和健康系统因素对这些多因素延迟有着重大影响.
- 未来的干预和研究必须解决这些因素,以减轻HNC护理的延迟.
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