Self-reported health problems of young adults in clinical settings: survivors of childhood cancer and healthy controls.

Self-reported health problems of young adults in clinical settings: survivors of childhood cancer and healthy controls.
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DOI:
10.3122/jabfm.2010.03.090215
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发表时间:
2010-05
期刊:
Journal of the American Board of Family Medicine : JABFM
影响因子:
--
通讯作者:
Kazak AE
Kazak AE
中科院分区:
其他
文献类型:
--
作者:
Schwartz LA;Mao JJ;Derosa BW;Ginsberg JP;Hobbie WL;Carlson CA;Mougianis ID;Ogle SK;Kazak AE

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年轻人在初级保健环境中看到了越来越多的儿童癌症幸存者。尚不清楚他们自我报告的健康问题与健康的年轻人的健康问题有何不同。在本研究中比较了癌症幸存者和健康对照的自我报告的健康问题。 156个癌症幸存者访问癌症幸存计划,初级保健中心(平均20岁)的138个控件完成了健康知识清单(HKI),这是35个健康问题的清单。 癌症幸存者报告的健康问题明显高于健康对照(5.6 vs 2.6问题,p <.001)。对于癌症幸存者,与有机/主要问题和宪法/其他问题有关的更强烈的治疗和年龄更大。女性性别与对控件的有机/主要/宪法/其他问题有关。尽管至少有20%的健康对照和幸存者认可皮肤病学,头痛,胃肠道和体重问题,但幸存者认可生长,甲状腺,肾脏,免疫学,心脏和生育能力,以及对控制的四倍。 癌症幸存者比健康对照更重要的健康问题。但是,两组之间的频率相同。了解幸存者和健康对照之间的这些相似性和差异将促进以患者为中心的年轻成人癌症幸存者的综合护理。
Increasing numbers of childhood cancer survivors are seen in primary care settings as young adults. It is unknown how their self-reported health problems differ from those of healthy young adults. Self-reported health problems of cancer survivors and healthy controls are compared in this study. 156 cancer survivors visiting a cancer survivorship program and 138 controls in primary care centers (mean age of 20 years) completed the Health Knowledge Inventory (HKI), a checklist of 35 health problems. Cancer survivors reported significantly more health problems than healthy controls (5.6 vs 2.6 problems, p < .001). For cancer survivors, more intense treatment and older age related to Organic/Major problems and Constitutional/Other problems. Female gender related to report of Organic/Major and Constitutional/Other problems for the controls. While at least 20% of both healthy controls and survivors endorsed dermatologic, headache, gastrointestinal and weight problems, survivors endorsed growth, thyroid, kidney, immunological, heart, and fertility problems fourfold over controls. Cancer survivors endorse significantly more health problems than healthy controls. However, some problems are reported with equal frequency among the groups. Understanding these similarities and differences between survivors and healthy controls will facilitate patient-centered comprehensive care for young adult cancer survivors.
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