描述肺癌结果的变化以及加拿大安大略省东南部肺部诊断评估计划的影响
Shahad AlGhamdi1, Weidong Kong2, Michael Brundage3
1Department of Medicine, Division of Respirology, Queen's University, Kingston, ON K7L 2V7, Canada.
Current oncology (Toronto, Ont.)
|May 26, 2023
概括
安大略省东南部的肺部诊断评估计划 (LDAP) 改善了肺癌的生存率. 通过LDAP管理的患者有更好的结果,并获得更快的专业护理.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌 (LC) 结果显示加拿大安大略省的区域差异.
- 肺部诊断评估计划 (LDAP) 旨在加快对安大略省东南部疑似LC患者的护理.
- 了解LDAP对LC结果的影响对于解决区域差异至关重要.
研究的目的:
- 评估LDAP管理与肺癌患者存活率之间的关联.
- 描述整个安大略省东南部肺癌结局的变化.
- 评估快速评估诊所对患者管理和结果的影响.
主要方法:
- 基于人口的回顾性队列研究,使用安大略省癌症注册表和LDAP数据库.
- 包括在2017年1月至2019年12月期间被诊断为新诊断的LC的患者.
- 考克斯比例危险模型用于比较LDAP管理和非LDAP患者之间的2年生存率.
主要成果:
- 治疗LDAP与显著降低2年死亡风险有关 (HR 0.76,p < 0.0001).
- 距离LDAP的距离增加与LDAP管理的可能性降低有关 (或0.78每20公里).
- 接受LDAP治疗的患者更有可能接受专家评估和治疗.
结论:
- 通过安大略省东南部的肺部诊断评估计划进行初始诊断护理,独立地与改善肺癌存活率有关.
- LDAP促进了及时的专家评估和治疗,有助于改善患者的治疗结果.
- 解决快速诊断服务的地理障碍对于公平的肺癌护理至关重要.
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