神经系统疾病遗传检测的差异
Aaron Baldwin1, Juliette Copeland1, Meron Azage1
1From the Department of Neurology (A.B., J.C., M.A., L.D., K.J., R.A.P., D.A.A., M.B., A.D., L.B.E., M.G., A.G.H., D.J.I., A.L., J.O.-M., C.C.Q., T.F.T., S.S.S., R.H.H., C.A.E.), Penn Statistics in Imaging and Visualization Center (PennSIVE) (R.T.S.), Department of Biostatistics, Epidemiology, and Informatics, and Center for Biomedical Image Computing and Analytics (R.T.S.), Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
种族和社会经济差异限制了对神经疾病的基因检测的获取. 然而,一旦获得,基因测试对所有人口群体都有同等的好处. 解决这些障碍对于健康公平至关重要.
科学领域:
- 神经学 神经学
- 遗传学 遗传学 是一个
- 健康差异 在健康上的差异
背景情况:
- 遗传检测是许多神经系统疾病的标准.
- 在美国,医疗保健差异很普遍.
- 神经遗传测试利用的差异没有得到充分研究.
研究的目的:
- 测试基因检测对神经疾病的获取和结果是否因种族,种族,性别,社会经济地位和保险而有所不同.
- 为了确定神经遗传学评估途径中的差异.
主要方法:
- 在神经遗传学计划 (2015-2022) 中对患者的回顾性分析.
- 研究了不同的人口群体在参加评估,完成测试和收到结果方面的差异.
- 使用单变量和多变量逻辑回归,与所有神经外科患者进行比较.
主要成果:
- 黑人患者被评估的可能性不到白人患者的一半 (OR 0.49,p < 0.001).
- 来自最低社会经济四分位数的患者不太可能被评估 (OR 0.67,p < 0.001).
- 在被评估者中,在完成测试或收到诊断结果方面没有发现差异.
结论:
- 对边缘化群体,特别是黑人患者观察到的神经遗传学服务的不平等利用.
- 当基因测试被指明并被访问时,所有人口群体都会从中受益.
- 消除接入障碍对于神经病治疗中的健康公平至关重要.
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