研究动态
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青少年和年轻成人癌症幸存者的财务毒性:有关教育、就业和收入的系统性综述。

Financial toxicity among adolescent and young adult cancer survivors: A systematic review of educational attainment, employment, and income.

发表日期:2023 Mar
作者: Giancarlo Di Giuseppe, Lief Pagalan, Arif Jetha, Petros Pechlivanoglou, Jason D Pole
来源: CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY

摘要:

为了确认、评估和总结与年轻成人癌症幸存者的教育成就、就业状况和收入有关的证据。我们在六个数据库中检索发表于2010年1月1日至2022年3月31日的文章。包含AYA幸存人群、定量研究设计和癌症无关的对照组的文章被纳入分析。进行数据提取并使用ROBINS-I进行质量评估。结果使用叙述综合进行总结。 共发现了2801篇文章,其中12篇被纳入分析。在受限的证据中,教育成就与癌症无关的同龄人并没有差异。幸存者更可能失业、收入较低并需要社会保障来补贴收入。证据表明,女性、诊断为脑癌和晚期效应的存在是严重结局的风险因素。 对于AYA幸存者的社会经济证据是有限的。持久的经济毒性发生并强调需要进一步调查。 版权所有 ©2023 Elsevier B.V.。保留所有权利。
To identify, evaluate and summarize the evidence on educational attainment, employment status and income of AYAs surviving cancer.A search of six databases for articles published between 01/01/2010 and 03/31/2022 was performed. Articles with an AYA survivorship population, quantitative design and a cancer-free comparator group were included. Data extraction was conducted, and quality appraisal was completed using ROBINS-I. Results were summarized using a narrative synthesis.A total of 2801 articles were identified, of which 12 were included. Among the limited evidence, educational attainment did not differ from cancer-free peers. Survivors were more likely to be unemployed, have lower incomes and require social security for income supplementation. Evidence suggested that females, diagnosis of brain cancer and the presence of late-effects were among the risk factors for severe outcomes.Limited socioeconomic evidence exists for AYAs surviving cancer. Long-lasting financial toxicities occur and highlights a need for further investigation.Copyright © 2023 Elsevier B.V. All rights reserved.