通过探索手术治疗甲状腺癌的时间来调查潜在的差异
Dragan Vujovic1, Nina Rodriguez1, Mathilda Alsen1
1Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1468 Madison Ave, New York, NY, United States of America.
American journal of otolaryngology
|April 11, 2024
概括
这项研究发现,基于种族/种族,保险或收入,甲状腺癌的治疗没有显著的延迟. 这些发现表明,在不同患者群体之间,可以公平地获得外科护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差距 研究 研究 研究 研究
背景情况:
- 治疗延迟是评估医疗差异的一个关键指标.
- 关于治疗延迟的研究有限,特别是在甲状腺癌护理中.
- 了解及时手术治疗的差异对于公平的癌症护理至关重要.
研究的目的:
- 调查甲状腺癌手术治疗时间的潜在差异.
- 检查种族/种族,保险类型和社会经济地位 (SES) 与治疗延迟之间的关联.
- 确定人口和社会经济因素是否会影响获得及时的甲状腺癌手术.
主要方法:
- 在西奈山医院 (2018-2019) 接受手术的443名甲状腺癌患者的回顾性图表审查.
- 从诊断到手术干预的时间分析.
- 统计分析包括单变量和多变量线性回归来评估治疗时间的预测因素.
主要成果:
- 单变量分析表明,种族/种族,保险类型或SES对治疗时间没有统计学上显著的影响.
- 多变量回归证实,与非西班牙裔白人患者相比,基于种族/种族的手术时间没有显著差异.
- 对于医疗保险/医疗补助 versus 私人保险的患者或不同收入季度的患者,没有观察到显著的延迟.
结论:
- 该研究没有发现基于种族/种族,保险状况或社会经济地位的证据表明,甲状腺癌患者的手术治疗有显著的延迟.
- 这些发现表明,在不同患者群体中,甲状腺癌的及时外科干预是平等的.
- 进一步的研究可能会探索其他可能影响甲状腺癌治疗时间表和结果的潜在因素.
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