The Association Between Area Deprivation Index and Patient-Reported Outcomes in Patients with Advanced Cancer.
The Association Between Area Deprivation Index and Patient-Reported Outcomes in Patients with Advanced Cancer.
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DOI：
10.1089/heq.2020.0037
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发表时间：
2021
期刊：
影响因子：
2.7
通讯作者：
Schenker Y
中科院分区：
文献类型：
--
作者：
Rosenzweig MQ;Althouse AD;Sabik L;Arnold R;Chu E;Smith TJ;Smith K;White D;Schenker Y
Background: This analysis describes associations between area deprivation and patient-reported outcomes among patients with advanced cancer. Methods: This is a cross-sectional analysis of baseline data from a multisite primary palliative care intervention trial. Participants were adult patients with advanced cancer. Patient-level area deprivation scores were calculated using the Area Deprivation Index (ADI). Quality of life and symptom burden were measured. Uni- and multivariate regressions estimated associations between area deprivation and outcomes of interest. Results: Among 672 patients, ∼0.5 (54%) were women and most (94%) were Caucasian. Mean age was 69.3±10.2 years. Lung (36%), breast (13%), and colon (10%) were the most common malignancies. Mean ADI was 64.0, scale of 1 (low)–100 (high). In unadjusted univariate analysis, Functional Assessment of Cancer Therapy—Palliative (p=0.002), Edmonton Symptom Assessment Scale (p=0.025) and the Hospital Anxiety and Depression Scale anxiety (p=0.003) and depression (p=0.029) scores were significantly associated with residence in more deprived areas (p=0.003). In multivariate analysis, controlling for patient-level factors, living in more deprived areas was associated with more anxiety (p=0.019). Conclusion: Higher ADI was associated with higher levels of anxiety among patients with advanced cancer. Geographic information could assist clinicians with providing geographically influenced social support strategies.
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影响因子：
6.2
作者：
Kale, Hrishikesh P.;Carroll, Norman V.
通讯作者：
Carroll, Norman V.
影响因子：
3.8
作者：
Kroenke, Candyce H.;Quesenberry, Charles;Caan, Bette J.
通讯作者：
Caan, Bette J.
影响因子：
2.1
作者：
Ellen, IG;Mijanovich, T;Dillman, KN
通讯作者：
Dillman, KN
DOI：
10.1093/jnci/85.14.1138
发表时间：
1993-07-21
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
BRUNDAGE, MD;PATER, JL;ZEE, B
通讯作者：
ZEE, B
小区域剥夺措施作为低收入人群慢性疾病负担预测因素的比较。
影响因子：
4.8
作者：
Lòpez-De Fede A;Stewart JE;Hardin JW;Mayfield-Smith K
通讯作者：
Mayfield-Smith K