Pacheco-Figueiredo Luís, Lunet Nuno
Department of Clinical Epidemiology, Predictive Medicine and Public Health, Faculty of Medicine, University of Porto, Al. Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
J Cancer Surviv. 2014 Dec;8(4):611-7. doi: 10.1007/s11764-014-0370-6. Epub 2014 Jun 6.
Understanding the morbidity and socio-economic implications of cancer survivorship is essential for a comprehensive management of oncological diseases. We compared cancer survivors (CS) with the general population regarding health status, use of healthcare resources and socio-economic condition.
We analyzed data from a representative sample of the Portuguese population aged ≥15 years (n = 35,229). We defined three groups of CS, according to the time since diagnosis and the latest cancer treatment: CS 1 diagnosis within 12 months of interview; CS 2 diagnosis more than 12 months before and treatment in the previous 12 months; CS 3 diagnosis and treatment more than 12 months before. These were compared with the general population, adjusting for differences in sex, age, and place of residence.
The prevalence of CS was 2.2% (CS 1: 0.2%; CS 2: 0.9%, CS 3: 1.1%). Self-perceived health status was worse among CS and short-time incapacity more frequent among CS 1 and CS 2. Health expenses were higher in the early stages of survivorship. Lower household income and financial difficulties were more frequent in CS 1 and CS 3 men, respectively.
This study confirmed the higher consumption of healthcare resources and worse financial situation among CS.
Our study provides valuable information for understanding the global impact of cancer survivorship.
了解癌症幸存者的发病率及其对社会经济的影响对于肿瘤疾病的综合管理至关重要。我们将癌症幸存者（CS）与普通人群在健康状况、医疗资源使用和社会经济状况方面进行了比较。
我们分析了来自葡萄牙年龄≥15岁的代表性样本（n = 35229）的数据。根据诊断时间和最新的癌症治疗情况，我们定义了三组癌症幸存者：CS 1在访谈前12个月内诊断；CS 2在访谈前12个月以上诊断且在前12个月内接受治疗；CS 3在访谈前12个月以上诊断并接受治疗。将这些组与普通人群进行比较，并对性别、年龄和居住地点的差异进行了调整。
癌症幸存者的患病率为2.2%（CS 1：0.2%；CS 2：0.9%，CS 3：1.1%）。癌症幸存者自我感知的健康状况较差，CS 1和CS 2中短期无能力的情况更为频繁。在存活的早期阶段医疗费用较高。较低的家庭收入和经济困难分别在CS 1男性和CS 3男性中更为常见。
本研究证实了癌症幸存者中医疗资源消耗更高且财务状况更差。
我们的研究为理解癌症幸存者的全球影响提供了有价值的信息。
