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韩国地区癌症中心晚期癌症患者的生活质量结局:一项前瞻性队列研究方案

Quality of life outcomes in terminal cancer patients attending regional cancer centers in South Korea: protocol for a prospective cohort study.

作者信息

Kwon Jung Hye, Kang Jung Hun, Huh Jung-Sik, Koh Su-Jin, Lim Kyu-Hyoung, Choi Byungho, Kim Rock Bum, Choi Young Jin, Song Eun-Kee, Lee Hyun Woo, Kim Ye-Seul, Go Se-Il, Yun Hwan Jung, Sym Sun Jin, Ryu Hyewon, Lee Myung-Won

机构信息

Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Republic of Korea.

Department of Internal Medicine, Chungnam National University Sejong Hospital, Sejong, Republic of Korea.

出版信息

BMC Cancer. 2024 Dec 20;24(1):1560. doi: 10.1186/s12885-024-13341-z.

DOI:
10.1186/s12885-024-13341-z
PMID:39707232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11660599/
Abstract

INTRODUCTION

Patients with cancer experience physical, mental, and social pain that affects themselves and their families. The increasing cancer incidence and advances in treatment have increased the number of cancer survivors in Korea, and there is an influx of patients in Seoul and other metropolitan areas, leading to shortages of continuous care and comprehensive life support facilities. Patients must travel long distances for treatment, which poses logistical and quality-of-life challenges.

METHODS

This prospective cohort study targets patients with incurable cancer (n = 720) and their families (n = 288) from ten regional cancer centers and two affiliated hospitals in Korea. The sub-cohorts are based on treatment refusal, spinal metastasis with symptoms, catheter-related symptoms, and skeletal-related events. Medical records and patient-reported outcomes will be collected every three months and for up to three years, with surveys for guardians conducted for one-year post-patient demise.

DISCUSSION

The dynamic nature of cancer significantly affects patients and their caregivers. It is necessary to identify the factors that affect their quality of life to integrate them into society.

CONCLUSION

The findings of this study will inform the establishment of a regional cancer center consortium. This will address the unmet needs of local cancer patients and their families, enhance their overall quality of life, and contribute to the well-being of the local community.

TRIAL REGISTRATION

KCT0009177 (registered at https//cris.nih.go.kr/ on 2024/02/16).

摘要

引言

癌症患者会经历身体、心理和社会层面的痛苦,这会影响他们自身及其家人。韩国癌症发病率的上升以及治疗方法的进步使得癌症幸存者数量增加,首尔和其他大城市地区患者大量涌入,导致持续护理和综合生活支持设施短缺。患者必须长途跋涉接受治疗,这带来了后勤和生活质量方面的挑战。

方法

这项前瞻性队列研究的对象是来自韩国十个地区癌症中心和两家附属医院的无法治愈的癌症患者(n = 720)及其家属(n = 288)。子队列基于治疗拒绝、有症状的脊柱转移、导管相关症状以及骨相关事件。每三个月收集一次病历和患者报告的结果,最长持续三年,在患者去世后一年对监护人进行调查。

讨论

癌症的动态特性对患者及其护理人员有显著影响。有必要确定影响他们生活质量的因素,以便让他们融入社会。

结论

本研究的结果将为建立地区癌症中心联盟提供依据。这将满足当地癌症患者及其家属未得到满足的需求,提高他们的整体生活质量,并为当地社区的福祉做出贡献。

试验注册

KCT0009177(于2024年2月16日在https//cris.nih.go.kr/注册)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6687/11660599/63f1a8330d83/12885_2024_13341_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6687/11660599/63f1a8330d83/12885_2024_13341_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6687/11660599/63f1a8330d83/12885_2024_13341_Fig1_HTML.jpg

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