美国退伍军人的住房状况,癌症护理和相关结果
Hannah C Decker1, Laura A Graham2,3, Ashley Titan4
1Department of Surgery, University of California, San Francisco.
JAMA network open
|December 21, 2023
概括
退伍军人的无家可归与晚期结直肠癌诊断有关. 虽然肺癌和结直肠癌的生存率存在差异,但在VA系统中,这些差异较小,这表明有改善护理的潜力.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 退伍军人健康 退伍军人的健康
背景情况:
- 癌症对经历无家可归的老年人产生重大影响.
- 了解住房状况与癌症结果之间的关联至关重要.
研究的目的:
- 根据住房状况分析癌症诊断,治疗,手术结果和死亡率.
- 专注于退伍军人事务 (VA) 卫生系统内的结肠直肠,乳腺和肺癌患者.
主要方法:
- 在2011年至2020年期间,对超过10万名被诊断患有肺癌,结直肠癌或乳腺癌的美国退伍军人进行了回顾性队列研究.
- 在诊断后12个月内根据特定指标被归类为无家可归的退伍军人.
- 分析包括治疗过程,手术结果和整体存活率,以多个共同变量进行调整.
主要成果:
- 患有癌症的无家可归退伍军人更有可能被诊断为第四阶段结直肠癌.
- 无家可归的患者经历了更长的术后停留时间,但治疗和手术结果相似.
- 在无家可归退伍军人的肺癌和结直肠癌中,在诊断后3个月内观察到更高的全因死亡率.
结论:
- 无家可归与晚期结直肠癌诊断有关.
- 在VA系统中的无家可归退伍军人中,肺癌和结肠直肠癌的生存差异比其他环境要小.
- VA系统可以为改善无家可归人口癌症护理提供见解.
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