多人種・多民族の女性の乳がん生存プログラムに対する好み
Lisa Anderson1, Oindrila Bhattacharyya2, Akia Clark2
1Deptartment of Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
Clinical breast cancer
|August 30, 2025
まとめ
乳がんの生存プログラムでは 人種や年齢によって 参加率の格差が見られます 黒人の患者は非臨床的プログラムへの出席が少なく,緩和ケアへの紹介が増加し,より公平なアクセスが必要であることを示しました.
科学分野:
- 腫瘍学
- 公衆衛生
- 医療サービス研究
背景:
- 乳がんの生存率の増加は,多様な患者のニーズに対応する包括的な生存プログラム (SP) を必要とします.
- 歴史的に見て 少数派や高齢の女性は SPへのアクセスにおいて 格差に直面しています
- 総合的ながん治療と再発防止のための臨床的および非臨床的なサポートを提供しています.
研究 の 目的:
- 生存者プログラムへの参加の傾向を 年齢と人種に基づいて分析する.
- SP内の臨床的および非臨床的サポートサービスの利用の格差を特定する.
- 将来のプログラム開発にインクルーシビリティと公平なアクセスを促進する.
主な方法:
- 高等学術がんセンターでの2019年から2022年の乳がん患者データの遡及分析.
- 臨床 (例えば,緩和ケア,心理社会支援) と非臨床 (例えば,栄養,運動) のSPサービスへの参加の評価
- 年齢,人種,民族による参加パターンを要約するために使用される記述的統計.
主要な成果:
- 栄養と運動が最も多く利用された非臨床的サービスでした.
- SP参加者のほとんどは60~69歳の白人女性でした.
- 黒人患者の参加率は2019年の9.9%から2022年の5.7%に減少したが,緩和医療の紹介は11%から21%に増加した.
結論:
- 年齢や人種によって臨床推薦パターンは大きく異なります.
- 年配の女性は 紹介件数が少なく 黒人の患者は 緩和医療の紹介件数が多くなりました
- 非臨床的SP参加は公平でしたが,将来の取り組みは,すべての人口層への包括性とアクセスを優先する必要があります.
さらに関連する動画
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.0K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
374
関連する概念動画
Cancer Survival Analysis
448
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
448
Comparing the Survival Analysis of Two or More Groups
280
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
280
Surveys
15.3K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
15.3K
Ethnic Identity within a Larger Culture
85
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
85
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Longitudinal Research
12.4K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.4K
