European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
Supportive-care burden among bladder cancer survivors in the United States: a nationally representative NHIS study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Jinying, Li Peng, Liu Lu, Pan Zifei, Huang Shiwang
Аннотация
PURPOSE: To evaluate self-rated health, acute-care use, and socioeconomic vulnerability among bladder cancer survivors in a nationally representative US sample.
METHODS: We pooled 2019-2024 National Health Interview Survey data. Adults were classified as no cancer, bladder cancer survivors, or survivors of other cancers; bladder cancer survivors with additional cancer histories remained in the primary group, with sensitivity analyses restricted to survivors without additional cancer histories. Outcomes were poor/fair self-rated health, all-cause emergency room use, and all-cause overnight hospitalization. Survey-weighted logistic models estimated odds ratios and adjusted risk differences (ARDs) by marginal standardization; modified Poisson models estimated prevalence ratios (PRs).
RESULTS: Among 172,100 adults, 651 were bladder cancer survivors. After enhanced adjustment, bladder cancer survivorship was associated with poor/fair self-rated health versus no cancer (PR, 1.58; 95% CI, 1.42-1.77; ARD, 8.83 percentage points) and versus other cancers (PR, 1.22; 95% CI, 1.09-1.36; ARD, 6.09 percentage points). Hospitalization was higher in both comparisons, whereas emergency room use attenuated versus other cancers. Among bladder cancer survivors, 42.5% reported additional cancer histories. Restricted sensitivity analyses retained associations versus adults without cancer, whereas cancer-comparator associations attenuated and their confidence intervals included the null. Poor/fair health burden was highest below poverty level.
CONCLUSION: Bladder cancer survivors had excess supportive-care burden, especially self-rated health and hospitalization. Multiple cancer histories appeared to partly explain the excess burden versus other cancer survivors. Health-status assessment, symptom triage, navigation, and support should prioritize older, socioeconomically vulnerable, and medically complex survivors.
METHODS: We pooled 2019-2024 National Health Interview Survey data. Adults were classified as no cancer, bladder cancer survivors, or survivors of other cancers; bladder cancer survivors with additional cancer histories remained in the primary group, with sensitivity analyses restricted to survivors without additional cancer histories. Outcomes were poor/fair self-rated health, all-cause emergency room use, and all-cause overnight hospitalization. Survey-weighted logistic models estimated odds ratios and adjusted risk differences (ARDs) by marginal standardization; modified Poisson models estimated prevalence ratios (PRs).
RESULTS: Among 172,100 adults, 651 were bladder cancer survivors. After enhanced adjustment, bladder cancer survivorship was associated with poor/fair self-rated health versus no cancer (PR, 1.58; 95% CI, 1.42-1.77; ARD, 8.83 percentage points) and versus other cancers (PR, 1.22; 95% CI, 1.09-1.36; ARD, 6.09 percentage points). Hospitalization was higher in both comparisons, whereas emergency room use attenuated versus other cancers. Among bladder cancer survivors, 42.5% reported additional cancer histories. Restricted sensitivity analyses retained associations versus adults without cancer, whereas cancer-comparator associations attenuated and their confidence intervals included the null. Poor/fair health burden was highest below poverty level.
CONCLUSION: Bladder cancer survivors had excess supportive-care burden, especially self-rated health and hospitalization. Multiple cancer histories appeared to partly explain the excess burden versus other cancer survivors. Health-status assessment, symptom triage, navigation, and support should prioritize older, socioeconomically vulnerable, and medically complex survivors.