基于居住地和距离医疗机构的距离,甲状腺癌诊断的差异
Sunita Regmi1,2, Paraskevi A Farazi2,3, Elizabeth Lyden4
1Kansas Department of Health and Environment, Bureau of Epidemiology and Public Health Informatics, Curtis State Office Building, 1000 SW Jackson ST., Suite 130, Topeka, KS 66612-1365, USA.
Journal of the Endocrine Society
|March 14, 2024
概括
生活在农村地区和居住在离治疗中心更远的地方独立地与晚期甲状腺癌诊断有关. 这凸显了在获得及时癌症护理方面存在的地理差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 农村健康差异 农村健康差异
背景情况:
- 癌症护理获取的农村和城市差异已被记录,但对甲状腺癌患者地理位置和居住影响的具体数据有限.
- 了解这些地理因素对于解决甲状腺癌诊断和治疗中的潜在不平等至关重要.
研究的目的:
- 调查农村或城市居住与治疗中心距离与诊断时甲状腺癌阶段之间的关联.
- 确定导致甲状腺癌患者诊断延迟的人口和地理因素.
主要方法:
- 来自iCaRe2注册表的800名成年差异化甲状腺癌患者的评估.
- 根据早期/晚期阶段 (AJCC分期) 和离治疗设施的居住距离 (短,中,长) 来对患者进行分类.
- 多变量逻辑回归分析,以确定与晚期诊断相关的因素.
主要成果:
- 29%的患者居住在农村地区,65.2%的患者生活在距离治疗中心很远 (≥50英里) 的地区,与城市患者相比 (P < .0001).
- 农村居住 (≥55年) 与晚期诊断的几率增加了2.56倍 (P = .03).
- 居住距离治疗中心50英里或更远,独立增加了晚期诊断的几率4.65倍 (P = .0075).
结论:
- 老年,农村居住和离治疗中心更远的距离是晚期甲状腺癌诊断的独立预测因素.
- 这些发现强调了甲状腺癌治疗和诊断的显著地理差异.
- 解决这些差异对于改善农村甲状腺癌患者的治疗结果至关重要.
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