METHODS: Electronic files of adult oncology patients undergoing chemotherapy were studied. Patient-related characteristics were examined to identify factors associated with attendance at the IP consultation: socio-demographic (age, gender, country of birth, place of residence, primary language spoken); health- related (BMI, smoking, independent functioning); and cancer- related (primary tumor site, localized vs. metastatic).
RESULTS: Only 257 of the 1912 patients studied (13.4%) attended the IP consultation, with female patients more likely to attend (p < 0.001), as well as younger patients (p = 0.002); those residing outside the Jerusalem municipality (p = 0.008); and patients whose primary language was Hebrew (p < 0.001). Non-smokers and functionally independent patients were also more likely to attend (p = 0.007 and 0.008, respectively), as were those diagnosed with breast/gynecological (p = 0.005) or gastrointestinal tumors (p = 0.002). Multivariate analysis showed a significantly greater likelihood of attending the consultation among females (OR 1.619, 95% CI 1.065-2.460; p = 0.024); younger patients (OR 1.019, 95% CI 1.007-1.031; p = 0.001); non-Arabic speakers (OR 8.220, 95% CI 3.310-20.413; p < 0.001); and patients diagnosed with a tumor other than lung cancer (OR 2.954, 95% CI 1.259-6.933; p = 0.013).
CONCLUSIONS: Further prospective research addressing socio-demographic, personal health- and cancer-related characteristics of oncology patients is needed to address potential barriers to the provision of IO care within a diverse, equitable and inclusive setting of care.
方法:研究成人肿瘤化疗患者的电子档案。检查患者相关特征,以确定与参加IP咨询相关的因素:社会人口统计(年龄,性别,出生国,居住地,主要语言);健康相关(BMI,吸烟,独立功能);和癌症相关(原发性肿瘤部位,局部与转移性)。
结果:研究的1912例患者中只有257例(13.4%)参加了IP会诊,女性患者更有可能参加(p<0.001),以及年轻患者(p=0.002);居住在耶路撒冷市外的患者(p=0.008);以及主要语言为希伯来语的患者(p<0.001)。非吸烟者和功能独立患者也更有可能参加(分别为p=0.007和0.008),诊断为乳腺/妇科肿瘤(p=0.005)或胃肠道肿瘤(p=0.002)的患者也是如此。多变量分析显示,女性参加咨询的可能性显着增加(OR1.619,95%CI1.065-2.460;p=0.024);年轻患者(OR1.019,95%CI1.007-1.031;p=0.001);非阿拉伯语使用者(OR8.220,95%CI3.310-20.413;p<0.001);被诊断患有除肺癌以外的其他肿瘤的患者(OR2.954,95%CI1.259
结论:针对社会人口统计学的进一步前瞻性研究,需要肿瘤患者的个人健康和癌症相关特征,以解决在不同范围内提供IO护理的潜在障碍,公平和包容的护理设置。