头癌的生存不平等:一项基于医院的队列研究
Fabrício Dos Santos Menezes1,2, Stela Verzinhasse Peres3, Gilberto de Castro Junior4
1Department of Health Education, Federal University of Sergipe, Lagarto, Brazil.
Head & neck
|July 4, 2023
概括
社会经济地位显著影响了巴西口腔,腔和喉癌的生存率. 弱势群体面临更高的死亡风险,突出强调迫切需要解决癌症治疗中的社会差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 研究了社会经济地位 (SES) 对癌症存活率的影响.
- 专注于巴西患者的口腔癌 (OPC),口腔癌 (OCC) 和喉癌 (LC).
研究的目的:
- 确定SES是否影响OPC,OCC和LC的生存率.
- 根据社会经济因素量化生存差异.
主要方法:
- 基于医院的队列研究.
- 使用Pohar Perme估计器进行年龄标准化的5年相对存活率 (RS).
- 使用多重考克斯回归来分析风险因素.
主要成果:
- 确定了37191例癌症病例.
- 报告的5年RS:24.4% (OPC),34.1% (OCC),44.9% (LC). 报告的5年RS: 24.4% (OPC),34.1% (OCC),44.9% (LC). 报告的5年RS: 24.4% (OPC),34.1% (OCC),44.9% (LC). 报告的5年RS: 24.4% (OPC),34.1% (OCC),44.9% (LC). 报告的5年RS:
- 在最脆弱的社会阶层 (文盲,公共资助的医疗保健用户) 中观察到的最高死亡风险.
- 随着时间的推移,OPC的生存差异越来越大,而OCC和LC的生存差异却越来越小.
结论:
- 与OCC和LC相比,OPC的癌症存活率中的社会经济不平等性更为明显.
- 迫切需要采取干预措施来解决社会差距,改善不平等社会中的癌症预后.
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