Il percorso di cura nel fine vita dei pazienti con tumore del sistema nervoso centrale nella Regione Lazio: analisi preliminari.

Q3 Medicine Recenti progressi in medicina Pub Date : 2024-11-01 DOI:10.1701/4365.43597
Alessandro C Rosa, Arianna Bellini, Michela Servadio, Elena Mazzalai, Ilaria Cozzi, Antonio Addis, Valeria Belleudi
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Abstract

This analysis aims to describe the care pathways of patients with central nervous system (Cns) tumors during the last 30 days of life, using relevant indicators retrieved from regional healthcare information system data, compare these indicators with those of patients who died from other solid tumors, and assess the role of socioeconomic position (Sep) in accessing end-of-life care among Cns patients. The study included 2,795 patients who died from Cns tumors between 2015 and 2019. In the last 30 days of life, compared to the solid tumor cohort, Cns patients had less access to emergency services and hospitalizations. Regarding treatments, the percentage of opioid users was significantly lower than that of solid tumor patients. Concerning the role of Sep, Cns patients with a higher Sep were less likely to access the Emergency Room and more likely to receive antitumor. In conclusion, the analysis of administrative databases in epidemiology is essential in order to monitor care pathways targeted at highly vulnerable populations.

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拉齐奥大区中枢神经系统癌症患者的临终关怀路径:初步分析。
这项分析旨在利用从地区医疗信息系统数据中检索到的相关指标,描述中枢神经系统(Cns)肿瘤患者在生命最后30天的护理路径,将这些指标与死于其他实体瘤的患者的指标进行比较,并评估社会经济地位(Sep)在Cns患者获得临终关怀中的作用。研究纳入了2015年至2019年期间死于Cns肿瘤的2795名患者。在生命的最后30天,与实体瘤组群相比,Cns患者获得急诊服务和住院治疗的机会较少。在治疗方面,阿片类药物使用者的比例明显低于实体瘤患者。关于Sep的作用,Sep越高的Cns患者越少去急诊室,而更有可能接受抗肿瘤治疗。总之,流行病学中的行政数据库分析对于监测针对高危人群的护理路径至关重要。
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来源期刊
Recenti progressi in medicina
Recenti progressi in medicina Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
143
期刊介绍: Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.
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