基于网络的医生关键分数与癌症患者死亡率之间的关联:SEER-Medicare分析
Erika L Moen1,2,3, Rachel O Schmidt2, Tracy Onega4,5
1Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Journal of the National Cancer Institute
|September 7, 2023
概括
被"关键"医生治疗的患者,那些与同龄人联系较少的患者,在肺癌和结直肠癌病例中面临着更糟糕的生存结果. 网络分析可以确定专家对于改善癌症护理协调和患者生存至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 网络分析 网络分析
背景情况:
- 最佳的癌症护理依赖于多学科团队.
- 网络分析可以绘制专家关系.
- 一个新的"关键"医生分数识别了与同行联系较少的专家.
研究的目的:
- 调查"关键"医生的治疗是否与患者存活率降低有关.
- 描述那些在专业内联系有限的医生.
主要方法:
- 对监测,流行病学和最终结果-医疗保险数据 (2016-2017) 的横截面分析.
- 为计算瘤学家和外科医生的关键得分而建立的患者共享网络.
- 考克斯比例危险模型用于评估2年生存结果.
主要成果:
- 队列包括10,081名非小细胞肺癌和9,036名结直肠癌患者.
- 肺癌患者接受线索辐射或医疗瘤学家治疗的死亡风险增加.
- 被关键外科医生治疗的结肠直肠癌患者的死亡风险明显增加.
结论:
- 关键医生的治疗与肺癌和结直肠癌患者的生存率降低有关.
- 网络分析可以识别专家,他们的有限联系可能会影响患者的治疗结果.
- 识别和支持有良好的联系的专家可以增强多学科的癌症护理.
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