患者对抗肿瘤药物的肾脏副作用和肾脏保护措施的了解。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Pauline Corbaux, Matthieu Bainaud, Adrien Rousseau, Mélanie Try, Arnaud Saillant, Marie-Camille Lafargue, Nicolas Stocker, Pauline Afchain, Mathieu Jamelot, Corinne Isnard-Bagnis, Luca Campedel, Matthieu Delaye
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引用次数: 0

摘要

目的:肿瘤肾脏病学是一门新兴的亚专科,旨在更好地了解和预防癌症患者的肾脏疾病。我们评估了患者对(1)肿瘤/血液学治疗引起的肾毒性和(2)肾脏保护措施的了解情况:方法:在法国多家日间医院接受全身抗肿瘤治疗的成年患者回答了一份自制问卷,内容涉及他们对治疗相关肾毒性的了解和期望:结果:2021年11月至2022年1月期间,在8个单位共收集了621份问卷。受访者中,84.5%接受过实体瘤治疗。总体而言,34.3%(n = 208)的患者表示他们对与抗癌治疗相关的潜在肾脏不良事件有所了解,38.5%(n = 234)的患者表示他们对肾脏保护措施有所了解。他们的转诊肿瘤专家或血液专家是最常见的知识来源(67.8%)。93.2%(n = 218)的患者表示对肾毒性有一定了解,他们认为充足的水分是保护肾脏的措施之一;52.6%(n = 123)的患者认为防止恶心/呕吐是保护肾脏的措施之一。分别有 64.4% (400 人)和 16.8% (104 人)的参与者选择饮用静水和碱水来纠正脱水。大多数患者对获得更多有关肾毒性和预防肾毒性的信息表示出浓厚的兴趣:李克特量表的中位数为 10/10(Q1-Q3,5-10),网上资源被认为是最理想的信息来源:结论:三分之一的患者表示,他们对肿瘤治疗的潜在肾毒性和预防方法有一定的了解,尤其是在水化方面。不过,大多数患者表示有兴趣获得专门的信息,因此为患者制作了免费的在线教育单页。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients' knowledge about renal secondary effects of anti-tumoral drugs and renal protection measures.

Purpose: Onco-nephrology is an emerging subspecialty aiming to better understand and prevent renal events in cancer patients. We assessed patients' knowledge about (1) oncological/hematological treatments induced renal toxicity and (2) kidney protective measures.

Methods: Adult patients receiving systemic anti-tumor treatments in multiple day hospital units in France answered a self-administered questionnaire about their knowledge and expectations related to treatment-associated renal toxicity.

Results: In total, 621 questionnaires were collected in 8 units from November 2021 to January 2022. Among respondents, 84.5% were treated for a solid tumor. Overall, 34.3% (n = 208) patients reported they had some knowledge about potential renal adverse events related to their anticancer treatment, and 38.5% (n = 234) about kidney protection measures. Their referring oncologist or hematologist represented the commonest source of knowledge (67.8%). Sufficient hydration was cited as a kidney protection measure by 93.2% (n = 218) of patients declaring some knowledge about renal toxicity; prevention of nausea/vomiting by 52.6% (n = 123). Consumption of still and alkaline water was chosen by respectively 64.4% (n = 400) and 16.8% (n = 104) of participants to correct dehydration. A majority of patients expressed strong interest for receiving more information about renal toxicity and prevention: median Likert scale score was 10/10 (Q1-Q3, 5-10), with online resources mentioned as the most desired source of information.

Conclusion: One-third of patients declared they had some knowledge about potential renal toxicity of their oncologic treatment and the ways to prevent them, especially regarding hydration. However, a majority expressed interest for dedicated information, which conducted to the elaboration of free online educational sheets for patients.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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