未满足的社会需求和乳腺癌查利用情况和呈现时的阶段
Neha Goel1,2,3,4,5, Maya Lubarsky4, Alexandra E Hernandez1
1Department of Surgery, Division of Surgical Oncology, University of Miami, Miami, Florida.
JAMA network open
|February 14, 2024
概括
未满足的社会需求与较低的查乳房扫描使用和晚期乳腺癌诊断有关. 解决这些需求对于改善癌症结果和减少差异至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 未满足的社会需求可能会阻碍癌症控制干预.
- 需要有针对性的干预措施来改善查利用率和早期诊断.
- 解决社会需求可能会减少乳腺癌存活率差异.
研究的目的:
- 评估市政府资助的查乳房镜及其利用之间的关联.
- 评估未得到满足的社会需求与查性乳房影像使用之间的关系.
- 确定未满足的社会需求是否与晚期乳腺癌诊断相关.
主要方法:
- 一项队列研究包括在学术医疗中心的侵袭性导管或叶囊癌患者.
- "健康引领社会需求查工具包"被用来确定社会需求.
- 单变量和多变量逻辑回归分析了查乳房影像的利用率和诊断时的癌症阶段.
主要成果:
- 越来越多的未满足的社会需求与较低的查乳房造影完成率有关 (OR,0.74).
- 出现在安全网医院的患者更有可能患有晚期疾病.
- 未满足的社会需求独立预测晚期诊断 (OR, 1.38).
结论:
- 查乳房镜检查的准入不保证使用,未满足的社会需求是障碍.
- 更高的未满足的社会需求与查减少和晚期诊断增加相关.
- 对未满足的社会需求进行查可能有助于克服进入障碍并改善早期诊断.
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