黑人患者同样受益于脏遗传学评估,但存在实质性障碍
Chloe Borden1, Xin Yee Tan2, Mary-Beth Roberts3
1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA.
Kidney international reports
|October 18, 2023
概括
在遗传学评估中存在种族差异,黑人患者面临进入障碍,但在评估后同样受益. 需要进一步的研究,以确保公平地获得病遗传检测.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 遗传学 遗传学 是一个
- 健康差异 在健康上的差异
背景情况:
- 对脏疾病的基因检测越来越容易获得.
- 在遗传学评估中的种族差异以前没有被调查过.
研究的目的:
- 调查脏遗传学评估中的种族差异.
- 为了比较接受脏遗传评估的黑人和白人患者之间的访问,诊断产量和管理影响.
主要方法:
- 克利夫兰诊所脏遗传学诊所 (RGC) 从2019年1月到2022年3月评估的患者的回顾性分析.
- 黑人和白人患者之间的人口,保险和临床特征的比较.
主要成果:
- 黑人患者在转诊时更有可能患有末期脏病,并且有医疗补助保险,但不太可能拥有私人保险.
- 黑人患者的"不出现"或未能提交样本进行基因检测的比率更高.
- 黑人和白人患者的诊断产量和疾病管理的影响在黑人和白人患者之间是相似的,69%的黑人患者得到了新的或更改的诊断.
结论:
- 黑人患者同样受益于遗传学评估,但存在重大进入障碍.
- 必须为所有患者确保公平及及早地获得病遗传检测.
- 需要进行进一步的研究,以确定改善贫困人口获得遗传学评估的干预措施.
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