Wroclaw Medical Boards, Social Insurance Institution, Wrocław, Poland.
Wroclaw Medical Boards, Social Insurance Institution, Wrocław, Poland
Pol Arch Intern Med. 2021 Dec 22;131(12). doi: 10.20452/pamw.16118. Epub 2021 Oct 12.
A number of articles focus on functioning in breast cancer. However, there are no papers on factors which result in the inability to live independently in the course of the disease.
This study assesses risk factors regarding the inability to live independently among individuals with breast cancer.
This study included 130 patients who displayed interest in obtaining a certificate of inability to live independently.
Over the study period, 52% of patients did not obtain the certificate of inability to live independently (group A) and 48% did so (group B). There was only a single man in the whole cohort. Metastases were revealed in 13.4% of patients from group A and in 74.2% from group B. Patients from group A had a significantly higher score in the Barthel Index for Activities of Daily Living compared with those from group B (P <0.001). In group A, only 10.6% of patients had no surgery, while in group B, 41.7%. In group B, only 16.7% of patients had breast-conserving surgery, while in group A, 51.5%.
Information on the presence of metastases and on the type of surgery is useful in assessing the risk of being unable to live independently in patients with breast cancer. The Barthel Index for Activities of Daily Living is helpful in assessing the inability to live independently.
有许多文章专注于乳腺癌患者的功能。然而，目前还没有关于导致患者在疾病过程中无法独立生活的因素的研究。
本研究评估了乳腺癌患者无法独立生活的相关风险因素。
本研究纳入了 130 名有意愿获得无法独立生活证明的乳腺癌患者。
在研究期间，52%的患者未能获得无法独立生活证明（A 组），48%的患者获得了证明（B 组）。整个人群中只有 1 名男性。A 组中有 13.4%的患者出现转移，而 B 组中有 74.2%。A 组患者的日常生活活动 Barthel 指数评分明显高于 B 组（P <0.001）。A 组中仅有 10.6%的患者未接受手术，而 B 组中有 41.7%。B 组中仅有 16.7%的患者接受保乳手术，而 A 组中有 51.5%。
转移存在情况和手术类型的信息有助于评估乳腺癌患者无法独立生活的风险。日常生活活动 Barthel 指数有助于评估无法独立生活的情况。
