Prevalence of Substance Use in Patients With Cancer Receiving Radiation Therapy
Prevalence of Substance Use in Patients With Cancer Receiving Radiation Therapy
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DOI：
10.1188/16.cjon.397-402
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发表时间：
2016-08-01
影响因子：
1.1
通讯作者：
Appling, Susan
中科院分区：
文献类型：
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作者：
Choflet, Amanda;Narang, Amol K.;Appling, Susan
背景：患有癌症和高风险饮酒和非法药物使用 (AISU) 的个体更有可能遭受生活质量下降和治疗结果不佳的影响。人们对癌症患者中 AISU 的患病率知之甚少。 目的：本文报告了一项需求评估的结果，以量化在大型学术医疗中心的放射肿瘤科就诊的癌症患者的 AISU。方法：对 2014 年秋季一周（五天）内在放射肿瘤科就诊的所有患者 (N = 397) 的医疗记录进行了审查。对人口统计和患病率数据进行了分析。结果：该样本中 AISU 的患病率略低于一般人群的估计值，并且相关信息的记录中注意到了不一致之处。尽管存在局限性，但数据分析表明，接受癌症放射治疗的患者中有很大一部分表现出物质使用模式，这使他们面临短期和长期负面结果的风险增加。研究结果支持系统性物质使用筛查、评估和基于风险的干预措施的必要性，作为综合癌症护理的重要组成部分。
Background: Individuals with cancer and risky alcohol and illicit substance use (AISU) are more likely to suffer diminished quality of life and subpar treatment outcomes. The prevalence of AISU in patients with cancer is poorly understood.Objectives: This article reports on the results of a needs assessment to quantify AISU in individuals with cancer seeking care in the radiation oncology department of a large, academic medical center.Methods: Medical records were reviewed for all patients seen in the radiation oncology department in a one-week (five-day) period in the fall of 2014 (N = 397). Demographic and prevalence data were analyzed.Findings: The prevalence rates of AISU in this sample were slightly lower than estimates for the general population and inconsistency was noted in the documentation of relevant information. Despite the limitations, data analyses suggested that a significant percentage of patients receiving radiation therapy for cancer diagnoses exhibited substance use patterns that placed them at increased risk for negative short-and long-term outcomes. The findings support the need for systematic substance use screening, assessment, and risk-based interventions as an essential component of comprehensive cancer care.