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美国成年癌症幸存者的财务毒性及其对健康结局和照顾者负担的影响。

Financial toxicity and its impact on health outcomes and caregiver burden among adult cancer survivors in the USA.

机构信息

Center for Pharmaceutical Marketing & Management, University of Mississippi School of Pharmacy, University, MS 38677, USA.

Department of Pharmacy Administration, University of Mississippi School of Pharmacy, University, MS 38677, USA.

出版信息

Future Oncol. 2022 Apr;18(13):1569-1581. doi: 10.2217/fon-2021-1282. Epub 2022 Feb 7.

Abstract

To examine the association between cancer-related financial toxicity on cancer survivors' physical and mental health outcomes and caregiver burden. 2016-2017 Medical Expenditure Panel Survey data were used to identify adult cancer survivors with cancer-related financial toxicity. Multivariable regression analyses were employed to examine the association between cancer-related financial toxicity and cancer survivors' self-reported physical and mental health outcomes and caregiver burden. A total of 53.7% of adult cancer survivors reported experiencing financial toxicity. Those who experienced financial toxicity reported 14% greater pain, and poorer physical and mental health outcomes as compared to those who did not experience financial toxicity, ranging from 38% greater odds for activity limitations to 427% greater odds for mental task limitation. Moreover, cancer survivors with financial toxicity reported 206% greater odds for caregiver burden. Intervention programs for reducing financial toxicity among adult cancer survivors and their caregivers should be developed.

摘要

为了研究癌症患者的经济毒性与他们身心健康状况以及照护者负担之间的关系。研究使用了 2016-2017 年医疗支出面板调查的数据,以确定患有癌症相关经济毒性的成年癌症幸存者。采用多变量回归分析来研究癌症相关经济毒性与癌症幸存者自我报告的身心健康状况以及照护者负担之间的关系。研究显示,53.7%的成年癌症幸存者报告经历过经济毒性。与没有经历过经济毒性的患者相比,经历过经济毒性的患者报告有 14%的疼痛程度更高,身心健康状况更差,从活动受限的可能性高 38%到精神任务受限的可能性高 427%不等。此外,有经济毒性的癌症幸存者报告其照护者负担增加了 206%。应制定干预计划,以减少成年癌症幸存者及其照护者的经济毒性。

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