在本地高级直肠癌治疗后的金融毒性.
Dillon C Cheung1,2, Chi Zhang1,2, David Etzioni1
1Department of Surgery, Mayo Clinic Arizona, Phoenix, Arizona.
Diseases of the colon and rectum
|March 9, 2026
概括
大多数患有局部晚期直肠癌的患者经历了财务毒性,即使有保险. 关于治疗费用的公开沟通可以帮助减少这种负担.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 局部晚期直肠癌 (LARC) 治疗涉及相当大的成本.
- 对接受LARC治疗的患者的财务负担尚不清楚.
研究的目的:
- 确定LARC治疗的患者中金融毒性的流行率.
- 确定预测该患者群体的财务毒性因素.
主要方法:
- 进行了一项多中心回顾性队列研究.
- 一项横向调查评估了患者报告的财务担忧和临床人口统计数据.
- 包括2000年至2019年期间为病态阶段II-III直肠腺癌治疗的患者.
主要成果:
- 86.7%的受访患者报告了金融毒性,其中大多数人都有保险.
- 患有财务毒性的患者经历了支付账单的增加困难,收入下降,以及运输成本的挑战.
- 为治疗而休无薪假增加了财务毒性的几率,而被告知成本则降低了这些几率.
结论:
- 金融毒性在LARC患者中存在很高的患病率,无论他们的保险状况如何.
- 与LARC治疗相关的直接和间接成本大大增加了财务压力.
- 关于治疗经济学的医生与患者的沟通对于减轻财务毒性至关重要.
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