期刊
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
卷 38, 期 6, 页码 437-442出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MPH.0000000000000601
关键词
treatment abandonment; acute myeloid leukemia (AML); children; health insurance coverage; medical education
资金
- Jiangsu Province's Clinical Medical Science and Technology Projects [BL2013014]
- National Natural Science Foundation of China [81100371, 81370627]
- Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD)
- Suzhou Clinical Key Project [LCZX201507, SZZX201504]
A survey of the clinical data on acute myeloid leukemia (AML) over the past 10 years in the treatment center of Children's Hospital was presented. The aim of the study was to identify the factors influencing the treatment abandonment rate (AR) of AML. Of the 474 AML cases examined, 264 were abandoned (55.7%). The most important factor affecting AR appeared to be the AML subtypethat is, the M3 versus non-M3 (42% vs. 60%). Patient age was observed to be closely related to ARthe older the patients, the lower the ARand infants had the highest prevalence of abandonment (84.2%). The patient's residential location was markedly correlated to AR, which was almost inversely proportional to the size of the township where the patient came from. From large cities, intermediate and small towns to countryside villages, the AR increased linearly. So was the correlation with health insurance coverage, which decreased in the same way. Sex and karyotypes did not affect AR. In conclusion, the patients' financial burden and the perceived incurability of AML were the 2 leading factors dominating the decision for abandonment in parents and caregivers.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据