Financial Toxicity in Complex Gastrointestinal Surgery and Correlation with Patient Reported Outcomes.

IF 7.5 1区 医学 Q1 SURGERY Annals of surgery Pub Date : 2024-10-11 DOI:10.1097/SLA.0000000000006559
Lindsey Young, Rosemary Vergara, John Henriquez, Alvis Fong, Talal Al-Assil, Saad Shebrain, Gitonga Munene
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Abstract

Objectives: To describe financial toxicity (FT) in patients who have undergone gastrointestinal (GI) surgery and its correlation with patients' emotional (EWB) and social well-being (SWB).

Background: FT describes the financial burden associated with treatment and its impact on patient outcomes. Few prior studies have examined FT in gastrointestinal surgery and its impact on patient quality of life.

Methods: Patients who underwent gastrointestinal surgery at our institution were assessed for FT with a validated instrument between Jan 2022 and Jan 2023. EWB and SWB were assessed with a validated instrument. Risk factors for FT were determined using a multivariable model. The correlation between FT and patient EWB and SWB was assessed using Pearson correlation.

Results: 188 patients were surveyed, the majority had pancreatic resections (n = 90, 47.9%), 59 (31.4%) patients experienced FT. On multivariable analysis, categories associated with increased likelihood of exhibiting financial toxicity included single marital status and not receiving chemotherapy and/or radiation therapy, with odds ratio (95% C.I) of [3.02 (1.07, 8.51), P=.037] and [3.86 (1.3, 11.44), P=.015) respectively. Higher EWB and SWB scores directly correlated with higher FT scores.

Conclusion: Patients undergoing complex gastrointestinal surgery often experience financial toxicity that affects patient reported outcomes. Financial toxicity is associated with identifiable pre-operative factors that can be utilized to screen patients for interventions that may mitigate some of the harmful effects of FT.

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复杂胃肠道手术中的经济毒性及与患者报告结果的相关性。
目的: 描述胃肠道手术患者的经济毒性(FT)及其与患者情绪(EWB)和社会福利(SWB)的相关性:描述胃肠道(GI)手术患者的经济毒性(FT)及其与患者情感(EWB)和社会福利(SWB)的相关性:背景:FT 描述了与治疗相关的经济负担及其对患者预后的影响。此前很少有研究探讨胃肠道手术中的财务负担及其对患者生活质量的影响:方法: 在 2022 年 1 月至 2023 年 1 月期间,使用有效工具对在我院接受胃肠道手术的患者进行 FT 评估。使用有效工具对 EWB 和 SWB 进行评估。使用多变量模型确定了FT的风险因素。使用皮尔逊相关性评估了 FT 与患者 EWB 和 SWB 之间的相关性:188名患者接受了调查,其中大部分患者接受了胰腺切除术(90人,占47.9%),59人(占31.4%)经历了FT。经多变量分析,与经济毒性可能性增加相关的类别包括单身婚姻状况和未接受化疗和/或放疗,其几率比(95% C.I)分别为[3.02 (1.07, 8.51), P=.037] 和[3.86 (1.3, 11.44), P=.015]。较高的 EWB 和 SWB 分数与较高的 FT 分数直接相关:结论:接受复杂胃肠道手术的患者经常会经历财务毒性,从而影响患者报告的结果。财务毒性与可识别的术前因素有关,可利用这些因素筛查患者,以便采取干预措施,减轻财务毒性的一些有害影响。
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
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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