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复发对早期癌症患者及其照料者的就业、财务状况和生产力的影响:美国的调查。

Impact of recurrence on employment, finances, and productivity for early-stage cancer patients and caregivers: US survey.

作者信息

Aguiar-Ibáñez Raquel, McQuarrie Kelly, Jayade Sayeli, Penton Hannah, DiGiovanni Laura, Raina Rutika, Heisen Marieke, Martinez Ana

机构信息

Merck Canada Inc., Kirkland, QC, Canada.

Merck & Co., Inc., Rahway, NJ, USA.

出版信息

Future Oncol. 2025 Feb;21(3):349-365. doi: 10.1080/14796694.2024.2436342. Epub 2024 Dec 16.

Abstract

BACKGROUND

Following an early-stage cancer diagnosis, recurrences can occur. To quantify financial impacts of a first recurrence, we surveyed patients and caregivers.

METHODS

The survey was self-administered online to patients ( = 202) with early-stage bladder, gastric, head and neck, melanoma, non-small cell lung, renal cell, and triple-negative breast cancers that recurred and caregivers ( = 100) of such patients. Work productivity and financial impacts were explored.

RESULTS

Negative impacts on work productivity, employment, finances, and healthcare resource use were identified, with significant differences seen across cancer types, between locoregional and distant/metastatic recurrences, and from pre-recurrence to post-recurrence.

CONCLUSIONS

The financial burden to patients, caregivers, healthcare systems, and society following early-stage cancer recurrence is substantial. Treatments that decrease recurrences can reduce this burden.

摘要

背景

早期癌症诊断后可能会出现复发情况。为了量化首次复发的经济影响,我们对患者及其护理人员进行了调查。

方法

通过在线方式对患有早期膀胱癌、胃癌、头颈癌、黑色素瘤、非小细胞肺癌、肾细胞癌和三阴性乳腺癌且出现复发的患者(n = 202)及其护理人员(n = 100)进行了自行填写式调查。探讨了工作效率和经济影响。

结果

确定了对工作效率、就业、财务和医疗资源使用的负面影响,不同癌症类型之间、局部复发与远处/转移性复发之间以及复发前至复发后均存在显著差异。

结论

早期癌症复发给患者、护理人员、医疗系统和社会带来的经济负担巨大。减少复发的治疗方法可以减轻这一负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6fd/11792841/ad908150c3bb/IFON_A_2436342_F0001_OC.jpg

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