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财务毒性:关爱老年癌症患者时的局限性与挑战

Financial Toxicity: Limitations and Challenges When Caring for Older Adult Patients With Cancer.

作者信息

Davis Mary Elizabeth, Fugett Susan

机构信息

Memorial Sloan-Kettering Cancer Center.

Ohio State University Comprehensive Cancer Center and the Arthur G. James Cancer Hospital and Richard J. Solove Research Institute.

出版信息

Clin J Oncol Nurs. 2018 Dec 1;22(6):43-48. doi: 10.1188/18.CJON.S2.43-48.

Abstract

BACKGROUND

Financial toxicity refers to the unintended financial consequences and distress that patients and families can incur during treatment of cancer. Financial issues can add further stress to an already stressful situation.

OBJECTIVES

This article aims to increase awareness of the financial burden of cancer treatment in older adults with cancer and its effect on health-related quality of life for patients and their families and to increase knowledge of institutional and community resources to help patients manage financial concerns.

METHODS

A literature search was performed to investigate the burden of financial toxicity on older adults with cancer.

FINDINGS

High levels of financial burden have been linked to lower adherence to cancer treatments, shorter survival, poorer prognosis, and greater risk of recurrence. Older adults are particularly vulnerable and more likely to experience financial toxicity. Incorporating discussions about financial burden and exploring options to defray costs are key components of quality and patient-centered care.

摘要

背景

经济毒性是指患者及其家庭在癌症治疗期间可能产生的意外经济后果和困扰。财务问题会给本已紧张的情况增添更多压力。

目的

本文旨在提高对老年癌症患者癌症治疗经济负担及其对患者及其家庭健康相关生活质量影响的认识,并增加对机构和社区资源的了解,以帮助患者应对财务问题。

方法

进行文献检索,以调查经济毒性对老年癌症患者的负担。

研究结果

高水平的经济负担与较低的癌症治疗依从性、较短的生存期、较差的预后以及更高的复发风险相关。老年人特别容易受到影响,更有可能经历经济毒性。将关于经济负担的讨论纳入其中并探索支付费用的选择是优质和以患者为中心的护理的关键组成部分。

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