获得CAR T细胞疗法:关注多样性,公平性和包容性
Maria S Odstrcil1, Catherine J Lee2, Catherine Sobieski1
1Huntsman Cancer Institute, University of Utah, Division of Hematology and Hematologic Malignancies, Salt Lake City, UT, USA.
Blood reviews
|October 20, 2023
概括
化学抗原受体T细胞 (CAR T细胞) 疗法为血液癌症患者提供了新的希望,但面临着显著的进入障碍. 解决多样性,公平性和包容性 (DEI) 问题对于公平获得这种救命治疗至关重要.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 健康 公平 卫生 公平
背景情况:
- 化学抗原受体T细胞 (CAR T细胞) 疗法已经改变了复发/耐药患者的血液恶性瘤治疗.
- 在获得CAR T细胞治疗方面存在显著的差异,不成比例地影响少数群体和弱势群体.
研究的目的:
- 分析目前对CAR T细胞治疗的准入,重点关注多样性,公平性和包容性 (DEI) 的影响.
- 识别和解决阻碍细胞疗法和医疗保健公平获取的障碍.
主要方法:
- 关于CAR T细胞治疗的当前文献的综述.
- 分析影响获取的因素,包括产品相关问题和健康的社会决定因素.
- 检查在医疗保健获取中的DEI原则.
主要成果:
- 由于成本,复杂的物流和制造限制,对CAR T细胞治疗的准入是有限的.
- 社会和结构决定因素,以及DEI因素,显著影响医疗保健的获取.
- 在CAR T细胞治疗的必要性和患者获得治疗之间存在差距.
结论:
- 公平获得CAR T细胞疗法需要解决与产品相关的挑战和社会结构障碍.
- 优先考虑DEI对于确保公平获得新型细胞疗法至关重要.
- 需要采取积极的战略,以克服CAR T细胞治疗和未来创新的发现的获取差距.
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