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在形甲状腺癌的呈现,治疗和生存的差异
Sara P Ginzberg1,2, Julia A Gasior3,4, Jesse E Passman3
1Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA. sara.ginzberg@pennmedicine.upenn.edu.
Annals of surgical oncology
|July 20, 2023
概括
在形甲状腺癌 (ATC) 治疗中存在性别和种族/民族差异. 这些在护理准入和偏好的差异影响治疗,尽管生存率在所有群体中仍然很差.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 无塑性甲状腺癌 (ATC) 是具有侵略性的,在其他甲状腺癌亚型中存在已知的差异.
- 目前尚不清楚在空中交通管制的呈现,管理和结果方面是否存在类似的差异.
研究的目的:
- 根据性别和种族/种族来调查甲状腺瘤治疗和治疗结果的差异.
- 在ATC患者中确定人口因素与接受手术,化疗和放射治疗之间的关联.
主要方法:
- 利用国家癌症数据库 (2004-2020年) 来识别患有ATC的患者.
- 采用多变量后勤和考克斯比例危险回归来分析治疗接收和1年生存率.
- 评估了性别和种族/种族对手术切除,化疗和辐射的影响.
主要成果:
- 与男性相比,女性患者接受手术的可能性更高,但接受化疗和放射治疗的可能性较低.
- 来自少数种族/少数民族背景的患者接受的化疗和放射治疗比白人患者少.
- 接受治疗的差异导致1年生存率的小但显著变化.
结论:
- 在ATC呈现和治疗方面存在显著的差异,基于性别和种族/种族.
- 这些差异可能源于医疗保健获取和患者/提供者偏好的差异.
- 需要持续努力,以应对可能加剧的ATC治疗差异.
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