在不同年龄,种族和民族群体中使用逆侧预防性乳房切除术的趋势
Nicci Owusu-Brackett1, Jessica Aduwo1, Theresa S Relation2
1Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA.
Gland surgery
|October 16, 2023
概括
反侧预防性乳房切除术 (CPM) 和重建在老年妇女和种族少数群体中不太常见. 需要进一步的研究来了解影响乳腺癌护理这些差异的决策因素.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 健康差异 在健康上的差异
背景情况:
- 近几十年来,对侧预防性乳房切除术 (CPM) 的使用量有所增加.
- 在CPM之后的重建率显示出显著的变化.
- 了解代表性不足的群体中CPM和重建趋势至关重要.
研究的目的:
- 分析CPM和乳房重建的使用情况.
- 调查种族/民族少数群体和65岁以上妇女在CPM和重建方面的差异.
- 确定与CPM和重建相关的社会人口和临床因素.
主要方法:
- 一项使用国家癌症数据库 (NCDB) 从2004年至2017年进行的队列研究.
- 招生标准:18岁以上的妇女患有I-III期乳腺癌,接受乳腺切除术.
- 多变量分析检查了CPM/重建与患者特征之间的关联.
主要成果:
- 总共有571,649名患者进行了分析.
- 65岁以上的女性,非白人患者和没有私人保险的患者患CPM的几率明显较低.
- 在乳房重建方面也观察到类似的差异,年长的,非白人和没有保险的女性接受这种治疗的可能性较低.
结论:
- 种族和少数民族妇女和65岁以上的妇女不太可能接受CPM或重建.
- 在使用CPM和重建方面仍然存在显著的差异.
- 需要进一步的研究来探索影响乳腺癌治疗决策这些差异的潜在因素.
更多相关视频
06:03Integrating Augmented Reality Tools in Breast Cancer Related Lymphedema Prognostication and Diagnosis
Published on: February 6, 2020
6.7K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
297
相关概念视频
Prevalence and Incidence
593
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
593
Comparing the Survival Analysis of Two or More Groups
202
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
202
Cancer Survival Analysis
359
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
359
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Bias in Epidemiological Studies
316
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
316
