全国10年来对小瘤进行非手术治疗的使用情况
Dejan K Filipas1,2, Edoardo Beatrici1, Jose I Nolazco1
1Department of Urology and Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
JNCI cancer spectrum
|October 6, 2023
概括
从2010年到2020年,小瘤的非手术治疗增加了. 黑人患者更有可能接受预期管理,但不太可能接受焦点切除.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 小型脏质量往往非手术治疗,但利用率和预测因子的数据有限.
- 了解非手术管理的趋势对于优化患者护理至关重要.
研究的目的:
- 确定2010年至2020年间小瘤非手术治疗的使用趋势.
- 识别与使用非手术方法相关的预测因素.
主要方法:
- 一项使用国家癌症数据库 (2010-2020) 的数据进行的横截面研究.
- 纳入标准:局部小小的质 (N0/M0,cT1a).
- 非手术管理包括预期管理 (主动监视/警等待) 或焦点切除;多变量后勤回归被用于计算调整的赔率比率.
主要成果:
- 分析了超过156,000名患者;10.5%接受预期管理,13.9%接受焦点切除.
- 晚些时候的诊断年份与非手术管理的增加有关 (预期管理:AOR=1.90;焦点剥离:AOR=1.44在2020年与2010年相比).
- 黑人患者有更高的预期管理几率 (AOR=1.47),但焦点剥离的几率较低 (AOR=0.93).
结论:
- 在过去十年中,小质的非手术治疗显著增加.
- 观察到种族差异,黑人患者倾向于期望治疗而不是焦点切除.
- 需要进一步的研究和政策干预,以确保对小质的侵袭性治疗方法的公平获取.
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