{"id":13377,"date":"2025-04-18T18:30:37","date_gmt":"2025-04-18T16:30:37","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=13377"},"modified":"2025-04-18T18:30:37","modified_gmt":"2025-04-18T16:30:37","slug":"kraeftforloeb-for-patienter-med-samtidig-svaer-psykisk-sygdom","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/18\/kraeftforloeb-for-patienter-med-samtidig-svaer-psykisk-sygdom\/","title":{"rendered":"Kr\u00e6ftforl\u00f8b for patienter med samtidig sv\u00e6r psykisk sygdom"},"content":{"rendered":"

\"Kr\u00e6ftforl\u00f8b<\/p>\n

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Af de \u00e5rligt ca. 47.000 nydiagnosticerede patienter med kr\u00e6ft i Danmark, estimeres 5,5% til samtidig at have psykisk sygdom, der har betydning for deres funktionsevne . P\u00e5 landsplan svarer det \u00e5rligt til, at ca. 2.600 nye patienter med kr\u00e6ft har en behandlingskr\u00e6vende psykiatrisk sygdom.<\/p>\n<\/div>\n<\/article>\n

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Patienter med kr\u00e6ft og samtidig sv\u00e6r psykisk sygdom (engelsk: severe mental disorder (SMD)) er en s\u00e6rligt udfordret gruppe. WHO definerer SMD som diagnoserne: moderat til sv\u00e6r depression, skizofreni og bipolar lidelse. Disse sygdomme indeb\u00e6rer typisk omfattende funktionsneds\u00e6ttelse, der har betydelige konsekvenser for personens liv.<\/p>\n<\/div>\n<\/article>\n

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International og dansk litteratur har vist, at mennesker med SMD har \u00f8get forekomst og mortalitet af somatiske sygdomme, inkl. kr\u00e6ft. Patienter med SMD har if\u00f8lge WHO 2-3 gange forh\u00f8jet mortalitet sammenlignet med patienter uden, hvilket svarer til 10-20 \u00e5r kortere forventet levetid.<\/p>\n<\/div>\n<\/article>\n

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Patienter med SMD deltager i mindre grad i screeningsprogrammer og har oftere et mere avanceret kr\u00e6ftstadie ved diagnosticering. Selv n\u00e5r der justeres for disse forhold, er der h\u00f8jere kr\u00e6ftd\u00f8delighed hos patienter med samtidig SMD sammenlignet med patienter uden forudg\u00e5ende kendt psykisk sygdom.<\/p>\n

Medvirkende til den h\u00f8jere d\u00f8delighed kan v\u00e6re, at patienter med samtidig SMD sj\u00e6ldnere henvises til behandling, der f\u00f8lger de nationale retningslinjer, og i h\u00f8jere grad er udsat for forsinkelse i deres behandling. Derudover diagnosticeres deres kr\u00e6ftsygdom i mindre omfang via pakkeforl\u00f8b og i h\u00f8jere grad via kontakter i akutmodtagelsen. Diagnostik ad akutte udredningsveje er associeret med d\u00e5rligere prognose, ogs\u00e5 i dansk kontekst.<\/p>\n<\/div>\n<\/article>\n

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I Danmark er der igennem de seneste \u00e5r kommet en stigende opm\u00e6rksomhed p\u00e5 ulighed i sundhed og patienter med SMD, men det er endnu utilstr\u00e6kkeligt udforsket, hvad der for\u00e5rsager uligheden i kr\u00e6ftbehandlingen. Dette skyldes formentlig, at der er begr\u00e6nset evidens for, hvordan man hj\u00e6lper denne patientgruppe gennem deres kr\u00e6ftbehandling, og at patienter med SMD generelt er underrepr\u00e6senterede i kr\u00e6ftforskningen.<\/p>\n<\/div>\n<\/article>\n

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I statusartiklen, bragt i Ugeskrift for L\u00e6ger, s\u00e6ttes der fokus p\u00e5 patienter med kr\u00e6ft og samtidig SMD. Derudover beskrives den nyeste litteratur om \u00e5rsager til denne ulighed samt diskutere mulige tiltag til at reducere uligheden.<\/p>\n

L\u00c6S ARTIKLEN HER<\/a><\/p>\n<\/div>\n<\/article>\n","protected":false},"excerpt":{"rendered":"

Af de \u00e5rligt ca. 47.000 nydiagnosticerede patienter med kr\u00e6ft i Danmark, estimeres 5,5% til samtidig at have psykisk sygdom, der 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