Trajectories of participation in daily life among individuals newly diagnosed with cancer: A 5-month longitudinal study.
Trajectories of participation in daily life among individuals newly diagnosed with cancer: A 5-month longitudinal study.
复制标题
DOI：
10.1007/s00520-023-07672-z
复制
发表时间：
2023-03-14
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
确定在新的癌症诊断后的前六个月内如何影响日常生活的参与，并确定参与限制的风险因素。患者报告的结果（PRO）被用来建议转介到康复服务。参与者（n = 123）是新诊断的原发性脑癌、乳腺癌、结直肠癌或肺癌的成年人（> 18岁）。在基线（诊断/治疗开始后30天内）、基线后2个月和5个月收集PRO。通过社区参与指标（CPI）（评分范围：0-1）和患者报告的结局测量信息系统（PROMIS）参与能力（评分范围：20-80;平均值：50，SD：10）评估日常生活参与。PROMIS-43简介也已完成。具有随机截距的线性混合效应模型评估了参与随时间的变化。基线总样本平均CPI评分为0.56;根据PROMIS评分，患者报告轻度参与受损（基线：46.19，2个月随访：44.81，5个月：44.84）。然而，在研究期间没有观察到参与率的统计学显著变化。参与率较低的危险因素包括接受化疗、身体功能较低、焦虑和疲劳程度较高以及就业减少，p < 0.05。专业人员表示，大约一半的参与者可能受益于物理或职业治疗或心理健康支持，但只有20-36%的人被他们的医疗团队转介。新诊断出患有癌症的人的参与度受到损害，但他们很少被转介到康复等支持性服务。使用PRO来评估参与、身体功能和心理健康，可以通过识别可能从常规临床护理识别的患者之外的康复中受益的患者来促进获得支持性护理服务。 在线版本包含补充材料，可通过10.1007/s 00520 -023-07672-z获得。
To determine how participation in daily life is impacted during the first six months following a new cancer diagnosis and to identify risk factors for participation restrictions. Patient-reported outcomes (PROs) were used to suggest referrals to rehabilitation services. Participants (n = 123) were adults (> 18 years) with the newly diagnosed primary brain, breast, colorectal, or lung cancer. PROs were collected at baseline (within 30 days of diagnosis/treatment initiation), two and five months post baseline. Daily life participation was assessed through the community participation indicators (CPI) (score range: 0–1) and patient-reported outcome measurement information system (PROMIS) ability to participate, (score range: 20–80; mean: 50, SD: 10). PROMIS-43 profile was also completed. Linear mixed-effect models with random intercept evaluated change in participation over time. The baseline total sample mean CPI score was 0.56; patients reported mildly impaired participation based on PROMIS scores (baseline: 46.19, 2-month follow-up: 44.81, 5 months: 44.84). However, no statistically significant changes in participation were observed over the study period. Risk factors for lower participation included receiving chemotherapy, lower physical function, higher anxiety and fatigue, and reduction in employment, p < 0.05. PROs indicated that roughly half of the participants may benefit from physical or occupational therapy or mental health support, but only 20–36% were referred by their medical team. People newly diagnosed with cancer experience impaired participation, but they are infrequently referred to supportive services such as rehabilitation. The use of PROs to assess participation, physical function, and mental health can promote access to supportive care services by identifying patients who may benefit from rehabilitation beyond those identified through routine clinical care. The online version contains supplementary material available at 10.1007/s00520-023-07672-z.
登录
查看更多内容
DOI：
10.1016/j.arrct.2022.100212
发表时间：
2022-09
影响因子：
--
作者：
通讯作者：
--
影响因子：
--
作者：
Alentorn, Agusti;Hoang-Xuan, Khe;Mikkelsen, Tom
通讯作者：
Mikkelsen, Tom
影响因子：
6.2
作者：
Jansen, CE;Miaskowski, C;Kramer, J
通讯作者：
Kramer, J
影响因子：
2.9
作者：
Law, M
通讯作者：
Law, M
验证Promis身体机能测量的癌症患者队列中各种各样的人群。
影响因子：
3.5
作者：
Jensen, Roxanne E.;Potosky, Arnold L.;Reeve, Bryce B.;Hahn, Elizabeth;Cella, David;Fries, James;Smith, Ashley Wilder;Keegan, Theresa H. M.;Wu, Xiao-Cheng;Paddock, Lisa;Moinpour, Carol M.
通讯作者：
Moinpour, Carol M.