Early referral to supportive care specialists for symptom burden in lung cancer patients: a comparison of non-Hispanic whites, Hispanics, and non-Hispanic blacks.
Early referral to supportive care specialists for symptom burden in lung cancer patients: a comparison of non-Hispanic whites, Hispanics, and non-Hispanic blacks.
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DOI：
10.1002/cncr.26312
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发表时间：
2012-02-01
期刊：
影响因子：
6.2
通讯作者：
Yennurajalingam S
中科院分区：
文献类型：
--
作者：
Reyes-Gibby CC;Anderson KO;Shete S;Bruera E;Yennurajalingam S
癌症患者症状的有效管理需要早期干预。我们评估了在三级癌症中心就诊的肺癌患者转诊至支持护理中心 (SCC) 的时间和症状负担结果是否因种族或民族而异。我们的样本包括非西班牙裔白人 (n=752)、西班牙裔 (n=111) 和非西班牙裔黑人 (n=117) 患有非小细胞肺癌的患者。有关社会人口因素、疾病阶段、合并症和症状严重程度（疼痛、抑郁情绪、疲劳）的数据作为潜在的预测变量。虽然从首次在癌症中心就诊到转诊至 SCC 的平均时间（15 个月；中位数 = 7 个月）不因种族或民族而异，但我们发现西班牙裔和非西班牙裔黑人首次到癌症中心时比非西班牙裔白人有更高的症状负担。严重疼痛、抑郁情绪和疲劳是非西班牙裔白人早期转诊（< 7 个月）的重要预测因素，但只有严重疲劳（P < 0.05）是西班牙裔和非西班牙裔黑人早期转诊的预测因素。此外，虽然非西班牙裔白人患者在转诊至 SCC 后的首次随访时报告严重疼痛、情绪低落和疲劳的比例显着下降 (P < 0.001)；在西班牙裔中，仅观察到抑郁情绪有所改善。非西班牙裔黑人的这些症状没有任何改善。虽然转诊支持服务的时间并没有因种族而异，但症状负担结果的差异仍然存在。需要更多的研究来验证我们的发现。
Effective management of symptoms in cancer patients requires early intervention. We assessed whether the timing of referral to the Supportive Care Center (SCC) and symptom burden outcome varied by race or ethnicity in lung cancer patients who had been seen at a tertiary cancer center. Non-Hispanic white (n=752), Hispanic (n=111) and non-Hispanic black (n=117) patients with non-small cell lung cancer comprised our sample. Data on sociodemographic factors, stage of disease, comorbid conditions, and symptom severity (pain, depressed mood, fatigue) served as potential predictor variables. While the mean time (15 months; median=7 months) from initial presentation at the cancer center to referral to the SCC did not vary by race or ethnicity, we found that Hispanics and non-Hispanic blacks had higher symptom burden when they first presented at the cancer center than non-Hispanic whites. Severe pain, depressed mood, and fatigue were significant predictors for early referral (< 7 months) of non-Hispanic whites, but only severe fatigue (P < 0.05) was predictive of early referral for Hispanics and non-Hispanic blacks. Furthermore, while the proportion of non-Hispanic white patients reporting severe pain, depressed mood, and fatigue significantly decreased (P < 0.001) at first follow-up visit after referral to the SCC; among Hispanics, improvement was only observed for depressed mood. No improvement in any of these symptoms was observed for non-Hispanic blacks. While the timing of referral to supportive services did not vary by race, disparities in symptom burden outcomes persist. Additional studies are needed to validate our findings.
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影响因子：
6.2
作者：
Jayadevappa, Ravishankar;Johnson, Jerry C.;Malkowicz, S. Bruce
通讯作者：
Malkowicz, S. Bruce
影响因子：
45.3
作者：
Passik, SD;Dugan, W;Edgerton, S
通讯作者：
Edgerton, S
影响因子：
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作者：
Kerner, JF;Yedidia, M;Mandelblatt, JS
通讯作者：
Mandelblatt, JS
影响因子：
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作者：
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通讯作者：
Abernethy, Amy P.
影响因子：
1.9
作者：
Eversley, R;Estrin, D;Favila-Penney, W
通讯作者：
Favila-Penney, W