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种族和民族之间的关联以及妇科癌症患者的治疗环境
Caitlin E Meade1, Jennifer A Sinnott2, Floor J Backes3
1Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, United States of America.
Gynecologic oncology
|June 29, 2024
概括
患有妇科癌症的种族和民族少数群体更有可能在学术机构接受护理. 然而,这些中心的生存结果因种族而异,这表明需要进一步研究设施内部的差异.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 在妇科癌症护理中的种族和民族差异已经得到了充分的证据.
- 学术设施与癌症患者的生存率提高有关.
- 没有先前的研究独立评估了种族/种族和妇科癌症患者的设施类型之间的关系.
研究的目的:
- 调查种族和种族之间的关联以及在学术与非学术机构接受妇科癌症治疗的可能性.
- 检查种族/种族和设施类型对妇科癌症患者整体存活时间的联合影响.
主要方法:
- 利用国家癌症数据库识别了2004年至2020年期间诊断的484,455名妇科癌症患者.
- 二元化的设施类型分为学术和非学术.
- 使用后勤回归来估计种族/种族和设施类型的几率比率 (OR),以及用于生存分析的Cox比例危险回归.
主要成果:
- 少数民族患者,包括美国印第安人/阿拉斯加原住民,亚洲人,黑人,西班牙裔,夏威夷原住民/太平洋岛民和其他种族,与白人患者相比,在学术机构接受治疗的几率更高.
- 在学术或非学术机构治疗的亚裔,西班牙裔和其他种族患者的整体生存率有所改善.
- 在学术或非学术机构接受治疗的黑人患者的生存结果更差.
结论:
- 少数妇科癌症患者在学术设施中得到不成比例的治疗.
- 学术机构的生存结果根据种族有很大差异,这凸显了调查机构内部差异的必要性.
- 进一步的研究对于了解和解决学术癌症中心内的种族生存差距至关重要.
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