在治疗甲状腺癌的时间上的不平等
Gabrielle Kowkabany1, Paola Berrios Jimenez2, Seema Sharan3
1University of Alabama, Tuscaloosa, AL, U.S.A.; gakowkabany@crimson.ua.edu.
Anticancer research
|November 1, 2023
概括
社会经济和人口因素导致甲状腺癌治疗的延迟. 解决这些差异对于公平的癌症护理至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 甲状腺癌治疗时间表可能会受到各种患者和系统因素的影响.
- 了解社会经济和人口影响是改善癌症护理公平的关键.
研究的目的:
- 确定与延迟启动甲状腺癌治疗相关的社会经济和人口因素.
- 分析不同甲状腺癌患者小组治疗时间的差异.
主要方法:
- 来自国家癌症数据库 (2004-2019) 的大量 (434,083) 甲状腺癌患者队列的分析.
- 从诊断到第一次治疗 (手术,放射治疗,化疗) 的时间比较,跨人口和社会经济变量.
- 包括所有主要的甲状腺癌亚型:乳头癌,卵泡癌,髓癌和形癌.
主要成果:
- 与非西班牙裔患者相比,西班牙裔患者对所有治疗方式的等待时间明显更长.
- 没有保险的患者,在学术机构接受治疗的患者,以及大都市地区的个人也面临着长时间的延误.
- 观察到的具体延迟:第一次治疗 (33.44 vs. 20.45天),手术 (40.06 vs. 26.49天),放射治疗 (114.68 vs. 96.42天) 和化疗 (92.70 vs. 58.71天).
结论:
- 甲状腺癌治疗的时间存在显著差异,与社会经济地位和人口统计有关.
- 进一步的调查对于解决和减轻癌症护理中的这些不平等是必不可少的.
- 研究结果强调需要有针对性的干预措施,以确保所有甲状腺癌患者及时和公平的治疗.
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