残疾人经历的癌症不平等:一个系统审查协议
Yi Yang1,2, Nina Afshar3, Rebecca Bergin3
1Disability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia yang.y2@unimelb.edu.au.
BMJ open
|February 7, 2024
概括
残疾人面临着巨大的癌症护理差异,包括晚期诊断和较低的生存率. 本综述审查了关于癌症查,诊断阶段和生存不平等的证据,以了解这些差距.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症对个人和社会产生重大影响,在残疾人获得护理方面存在差异.
- 残疾可能导致癌症早期诊断和治疗的挑战,可能导致晚期疾病和降低生存率.
研究的目的:
- 系统地审查和评估有关癌症存活率和死亡率的现有证据,以及残疾人和无残疾人之间的不平等.
- 调查癌症查和诊断阶段的差异,这些差异有助于生存差距.
主要方法:
- 在MEDLINE,Embase,PsycInfo和Scopus数据库中进行全面的文献搜索,截至2023年5月.
- 包括报告癌症存活率,死亡率,查和诊断阶段不平等的定量研究在残疾和无残疾的成年人中.
- 使用"非随机性研究中的偏差风险 - 暴露工具"评估纳入研究的质量评估;基于研究异质性考虑的元分析.
主要成果:
- 本章节将总结包括的研究的特点和发现.
- 将介绍有关癌症结局,查和诊断阶段不平等的定量数据.
结论:
- 该审查将强调残疾人在癌症护理方面的不平等.
- 研究结果将为减少癌症差异的战略提供信息,并改善这一群体的结果.
相关概念视频
Cancer Survival Analysis
348
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
348
Cancer Prevention
6.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.2K
Nursing Ethical Principles II
979
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
979
Hazard Ratio
124
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
124
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K


