Functional impairment and the economic consequences of female breast cancer
Functional impairment and the economic consequences of female breast cancer
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DOI：
10.1300/j013v36n01_01
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发表时间：
2002-01-01
期刊：
影响因子：
1.6
通讯作者：
Jacobsen, PB
中科院分区：
文献类型：
--
作者：
Chirikos, TN;Russell-Jacobs, A;Jacobsen, PB
乳腺癌诊断和死亡率的最新趋势表明，长期幸存者现在更有可能受到功能损害，因此更有可能经历不利的经济后果。这项研究测试了乳腺癌存活至少五年的女性是否比没有乳腺癌的女性表现出更多或更严重的功能障碍。它还测试了是否有更严重的损害妇女的经验较差的经济成果归因于他们的功能状态。一组105乳腺癌幸存者进行了采访，以获得数据的健康和经济变化的五年期间，自诊断和初步治疗。一个年龄和工作相匹配的105名没有癌症的妇女也接受了采访，以获得相同的数据在同一时期。研究对象的功能状态的关键变化以及经济结果，如市场收入、家庭收入和保险覆盖范围的变化。然后对乳腺癌组的损伤是否比对照组更严重进行了统计学检验;还对损伤程度更高的妇女的经济结果是否比损伤程度较低的妇女更不利进行了检验，无论她们的乳腺癌状况如何。
Recent trends in breast cancer diagnosis and mortality suggest that long-term survivors are now more likely to be functionally impaired and, hence, more likely to experience adverse economic outcomes. This study tests whether women who have survived breast cancer for at least five years exhibit more, or more severe, functional impairments than otherwise similar women without breast cancer. It also tests whether women with more severe impairments experience poorer economic outcomes attributable to their functional status.A group of 105 breast cancer survivors was interviewed to obtain data on health and economic changes in the five-year period since diagnosis and initial treatment. An age- and work-matched group of 105 women without cancer was also interviewed to obtain the same data over the same time period. Key changes in the functional status of the subjects as well as economic outcomes such as changes in market earnings, household income, and insurance coverage were measured. Whether impairment is more severe in the breast cancer group than the comparison group was then tested statistically; whether economic outcomes are more adverse in more impaired than less impaired women regardless of their breast cancer status was also tested.