探索癌症死亡的因素和趋势:巴西的一项基于人口的研究
Jessé Lopes da Silva1, Sarah Ananda Gomes2, Lívia Costa de Oliveira3
1Division of Clinical Research and Technological Development, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
Lancet regional health. Americas
|May 23, 2024
概括
在巴西,大多数癌症死亡发生在医院,而不是在家中. 家庭死亡与区域,种族和教育差异有关,最近的趋势显示,在之前的下降后,死亡人数有所增加.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会医学科学 社会医学科学
背景情况:
- 死亡地点对癌症患者的终身护理质量产生重大影响.
- 家庭护理可以改善支持,隐私和患者控制,潜在地降低医疗保健成本.
- 了解死亡趋势的位置对于优化巴西的息护理策略至关重要.
研究的目的:
- 分析与巴西癌症患者死亡地点相关的因素.
- 在近二十年的时间里,确定医院与家庭癌症死亡的趋势.
- 探索在家庭发生的癌症死亡的社会人口和区域差异.
主要方法:
- 利用来自巴西国家死亡信息系统 (2002-2021) 的数据.
- 提取了关于瘤地形,社会人口统计特征和死亡地点 (医院与家庭) 的信息.
- 分析了3,677,415个癌症死亡病例.
主要成果:
- 82.3%的癌症死亡发生在医院;17.7%在家中.
- 家庭死亡在北方和东北地区更为普遍,与人类发展指数相反相关.
- 在没有正规教育的个人,土著人口和来自特定地区的人群中观察到更高的家庭死亡率;与胃肠道瘤相比,在血液恶性瘤中观察到更低的比率.
结论:
- 在巴西,少数癌症死亡发生在家中,观察到明显的时间变化.
- 显著的区域,种族和教育差异影响了在家死亡的可能性.
- 调查结果强调需要有针对性的干预措施,以解决巴西终末癌症护理方面的不平等问题.
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