膀胱癌患者经济毒性现状及其影响因素的范围综述

Current situation and influencing factors of financial toxicity in patients with bladder cancer:a scoping review

目的了解膀胱癌患者经济毒性现状及影响因素。方法按照范围综述方法框架,检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、PsycINFO、中国知网、维普期刊资源整合服务平台、中国生物医学文献数据库和万方数据库中有关膀胱癌患者经济毒性的相关文献,检索时限为2013年1月1日—2022年5月2日。对纳入的文献进行整合性分析。结果符合纳入标准的文献有28篇。结果发现,膀胱癌患者经济毒性已经受到国内外学者的关注且有相关研究。可归纳3个主题的影响因素:年龄、婚姻状况、受教育程度等社会人口学因素;膀胱癌诊断后的时间、疾病的分期等膀胱癌特征性因素;患者的保险类型、职业状态等个人财务状况因素。结论未来需要规范膀胱癌患者经济毒性测量方法和测量工具的使用,进一步探索影响膀胱癌患者经济毒性的争议因素。今后应针对影响因素对膀胱癌患者开展个体化干预措施,为膀胱癌患者控制经济毒性的发生提供支持。

Objective To explore the financial toxicity status and influencing factors of bladder cancer patients.Methods According to the scoping review method framework,the articles on the financial toxicity of bladder cancer patients were retrieved in PubMed,Web of Science,Cochrane Library,Embase,CINAHL,PsycINFO,China National Knowledge Infrastructure,VIP,SinoMed and WanFang Data.The search period was from January 1,2013 to May 2,2022.An integrated analysis of the included article were conducted.Results There were 28 articles that met the inclusion criteria.The results showed that the financial toxicity of bladder cancer patients was concerned by scholars at home and abroad and there were related studies.The influencing factors of three themes were summarized,including social demography factors such as age,marital status and education level,the characteristic factors of bladder cancer such as the time after diagnosis and disease stage,personal financial factors such as the patient's insurance type and occupational status.Conclusions It is necessary to standardize the use of financial toxicity measurement methods and tools for bladder cancer patients,and further explore the controversial factors affecting the financial toxicity of bladder cancer patients.Individual intervention measures should be carried out for bladder cancer patients according to the influencing factors to provide support for bladder cancer patients to control the occurrence of financial toxicity.