JCO：姑息治疗越早，节省越多

2015-06-13 MedSci MedSci原创

姑息疗法现在已经被美国临床肿瘤学会(ASCO)推荐作为标准疗法，并且越来越多的用于重症疾病患者，带来了许多好处。姑息治疗可以减少治疗的花费，对病患的存活率和生活质量有好处。但是，目前鲜有证据表明更早的治疗是否有经济效益，即治疗时间的选择对于治疗花费有何影响？研究人员收集了2007-2011年间美国5家医院的晚期癌症患者的临床和开支数据，利用这些数据进行前瞻性队列研究。样本共

姑息疗法现在已经被美国临床肿瘤学会(ASCO)推荐作为标准疗法，并且越来越多的用于重症疾病患者，带来了许多好处。姑息治疗可以减少治疗的花费，对病患的存活率和生活质量有好处。但是，目前鲜有证据表明更早的治疗是否有经济效益，即治疗时间的选择对于治疗花费有何影响？

研究人员收集了2007-2011年间美国5家医院的晚期癌症患者的临床和开支数据，利用这些数据进行前瞻性队列研究。样本共包含了969例晚期癌症患者；256人接受姑息治疗咨询团队的照看，其余713人只接受常规的治疗方案。根据送院治疗后咨询时间的不同还建立了附属样本。计算倾向权重评分以使得治疗和对照组与各个附属样板相配对。在附属样本组中使用广义线性模型估计治疗对开支的影响。相对于没有干预，在六天内进行干预开支估计可以减少1312美元，在两天之内进行干预可节省2280美元。这相当于分别节省了14%和24%的住院开支。

在住院后，更早的进行姑息治疗咨询可以减少罹患晚期癌症的病人的住院开支。这些研究成果和姑息治疗的其他好处是一致的。这表明及早进行姑息治疗应当被更广地推广和实施。这项研究将对姑息治疗的推广以及相关政策的制定实施产生重要的影响。

原始出处：

Peter May et al.,Prospective Cohort Study of Hospital Palliative Care Teams for Inpatients With Advanced Cancer: Earlier Consultation Is Associated With Larger Cost-Saving Effect. Published Ahead of Print on June 8, 2015 as 10.1200/JCO.2014.60.2334

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2016-05-23 lidong40

#JCO#

72 0
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2015-06-29 owlhealth

挺好

114 0
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2015-06-25 huaxipanxing

看看

127 0
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2015-06-18 huangwukui

也早放弃，花费越少

109 0
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2015-06-18 huangwukui

不要期望有救命稻草

148 0
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2015-06-15 xcjick

看来姑息疗法也是有价值的

137 0
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2015-06-15 经常头晕

#姑息#

102 0

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