Efecto de la fragilidad en el consumo de recursos sanitarios en ancianos con cáncer

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Gaceta Sanitaria Pub Date : 2024-01-01 DOI:10.1016/j.gaceta.2024.102360

Rosario Moreno-Carmona , Mateu Serra-Prat , Júlia Serra-Colomer , Társila Ferro , Àngel Lavado

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Abstract

Objective

To evaluate the effect of frailty on health resource use in aged population with cancer.

Method

Population-based cohort study with retrospective data collection and follow-up from January 2018 to December 2019 in people ≥65 years with cancer.

Results

Overall, 996 individuals were included, with a prevalence of frailty of 22.1%. Mortality at 2 years was 14.1% in the frail and 9.0% in the non-frail (p = 0.028). Independently of age and sex, frailty increased the number of urgent hospitalizations (168%) and planned hospitalizations (64%), visits to the emergency room (111%), outpatient consultations (59%), day hospital sessions (30%) and visits to primary care (114%).

Conclusions

Frailty is more prevalent, determines a poorer prognostic and is associated with higher health resource use in aged population with cancer.

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体弱对老年癌症患者医疗资源消耗的影响

目标评估老年癌症患者体弱对医疗资源使用的影响。方法基于人群的队列研究，从 2018 年 1 月至 2019 年 12 月对年龄≥65 岁的癌症患者进行回顾性数据收集和随访。结果共纳入 996 人，体弱发生率为 22.1%。2年后，体弱者的死亡率为14.1%，非体弱者为9.0%（p = 0.028）。与年龄和性别无关，体弱增加了紧急住院次数（168%）和计划住院次数（64%）、急诊就诊次数（111%）、门诊就诊次数（59%）、日间医院就诊次数（30%）和初级保健就诊次数（114%）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.

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