埃塞俄比亚晚期宫癌呈现的决定因素:系统审查和元分析
Amare Zewdie1, Solomon Shitu2, Natnael Kebede3
1Department of Public Health, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia. amarezewdie23@gmail.com.
BMC cancer
|December 15, 2023
概括
在埃塞俄比亚,超过60%的宫癌病例是晚诊断的,这显著影响了生存率. 关键因素包括缺乏意识,延迟寻求护理和农村居住,突出了针对性干预的必要性.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 宫癌是全球女性第四常见的癌症.
- 它仍然是一个重要的生殖健康挑战,特别是在无法获得查和早期检测的地区.
- 晚期诊断是增加死亡率和降低生存率的主要原因之一.
研究的目的:
- 确定埃塞俄比亚晚期宫癌诊断的综合患病率.
- 确定与埃塞俄比亚人口晚期诊断子宫癌相关的关键因素.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在PubMed,Embase,Google Scholar和非洲在线杂志上进行文献搜索.
- 分析采用加权逆方差随机效应模型来汇集流行数据.
主要成果:
- 在最终分析中包括了10项研究,包括726篇文章.
- 埃塞俄比亚晚期宫癌诊断的综合患病率为60.45%.
- 晚期诊断的重要决定因素包括意识不足 (AOR=1.55),寻求护理的延迟 (AOR=1.02) 和农村居住 (AOR=2.07).
结论:
- 埃塞俄比亚的子宫癌病例中有很大一部分 (60.45%) 在晚期被诊断出来.
- 干预措施应侧重于提高公众意识,减少患者寻求医疗护理的延迟,并扩大查服务,特别是在农村地区.
- 通过提高认识和及时获得护理的早期检测对于改善埃塞俄比亚宫癌患者的生存结果至关重要.
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