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논문검색

Original Article

유방암 환자의 통증 관련 약물 현황과 통증에 미치는 요인

원문정보

Pain-related Prescribing Patterns and Associated Factor in Breast Cancer Patients

이진, 박이병, 서화정

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초록

영어

Background: With an increase in the number of breast cancer survivors, greater importance is attached to health-related quality of life, particularly pain and symptom control. This study aimed to identify the factors that are associated with pain in cancer patients based on the patterns of prescribing opioid, non-opioid, and adjuvant analgesics. Methods: This analysis included new patients who had developed breast cancer between 2003 and 2012. The degree of pain was analyzed based on the socio-demographic (age, income quintile, number of hospitalizations, and duration of disease), indicator (Body Mass Index; BMI, Charlson Comorbidity Index; CCI, Cumulative Analgesic Consumption Score; CACS), operation (mastectomy, lymph node dissection), and therapy (chemotherapy, radiation therapy), as well as complication-related variable (lymphedema). Results: As for the patterns of prescribing analgesics by stages, non-opioid and opioid analgesics constituted 30.7 and 69.3%, respectively. The mean value and variance of CACS were 5.596 and 12.567, respectively. The factors that significantly affected the degree of pain were age (≥50; IRR: 1.848, 95% CI 1.564- 2.184, p=0.000), income quintile (IRR: 0.964, 95% CI 0.938-0.991, p=0.008), BMI (≥ 25; IRR: 1.479, 95% CI 1.222-1.795, p= 0.000), CCI (≥ 4; IRR: 1.649, 95% CI 1.344-2.036, p=0.000), and lymphedema (yes; IRR: 1.267, 95% CI 1.006-1.610, p=0.047). Conclusions: It is necessary to develop systematic and comprehensive pain control measures to improve the quality of life for breast cancer survivors, especially for those who are 50 years or older, lie in the lower-income quintile, have BMI of ≥25 and CCI score ≥ 4, or have lymphedema.

목차

ABSTRACT
대상 및 방법
자료원
연구대상자
연구의 도구
연구 결과
연구대상자의 특성
진통제 처방 현황
유방암 환자의 통증 영향 요인 분석
고찰
결론
감사의 말씀
이해상충
참고문헌

저자정보

  • 이진 Jin Lee. 가천대학교 사회과학대학 의료경영학과 정보의학연구실, 성균관대학교 삼성융합의과학원 임상연구설계평가학과
  • 박이병 Ie Byung Park. 가천대학교 길병원 내분비내과
  • 서화정 Hwa Jeong Seo. 가천대학교 길병원 내분비내과

참고문헌

자료제공 : 네이버학술정보

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