在肺癌查资格方面,持续存在基于种族和性别的差异
Alexandra L Potter1, Priyanka Senthil1, Deepti Srinivasan1
1Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Mass.
The Journal of thoracic and cardiovascular surgery
|October 20, 2023
概括
根据目前的指南,肺癌查资格因种族而异. 与白人相比,黑人男性和黑人女性不太可能符合肺癌查的条件,这凸显了持续存在的差异.
科学领域:
- 肺部医学 肺部医学
- 健康差距 研究 研究 研究 研究
- 在瘤学瘤学.
背景情况:
- 肺癌查指南的目的是通过早期检测来降低死亡率.
- 现有的指导方针,包括美国预防服务工作组 (USPSTF) 和国家综合癌症网络 (NCCN),随着时间的推移而演变.
- 人们仍然担心不同的人口群体对肺癌查的公平准入.
研究的目的:
- 为了比较肺癌查资格的种族和性别差异.
- 在2013年USPSTF,2021年USPSTF和NCCN指南中评估资格.
- 为了确定黑人和白人男性和女性肺癌查获取的差异.
主要方法:
- 分析了被诊断患有肺癌的南方社区队列研究 (2002-2021) 的参与者.
- 根据种族和性别分层评估诊断时的年龄和吸烟特征 (黑人男性,黑人女性,白人男性,白人女性).
- 根据不同版本的指南,对选资格的比较.
主要成果:
- 根据2021年USPSTF指南,与白人男性和女性相比,黑人男性的查资格率降低了46%,黑人女性的查资格率降低了66%.
- 根据2013年和2021年USPSTF指南,在资格方面观察到显著的差异.
- 根据NCCN的指导方针,在所有受研究的人口群体中扩大了查资格.
结论:
- 根据2021年USPSTF指南,肺癌查资格的种族差异仍然存在.
- 只有大约50%的黑人女性和63%的黑人男性被诊断患有肺癌,符合资格标准.
- 需要进一步的研究和指导方针的完善,以确保公平的肺癌查访问.
关键词:
NCCNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN美国PSTFTF癌症查资格和资格.计算机断层扫描 (CT) 是一种计算机断层扫描.不同的差异,不平等的差异.早期检测 早期检测肺癌查 肺癌查 肺癌查更多相关视频
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