移民患者和丹麦出生的患有血液癌症患者的生存结果和医疗保健利用率:一项基于丹麦人口的研究
Joachim Baech1,2, Lasse Hjort Jakobsen3, Mikkel Runason Simonsen3
1Department of Haematology, Clinical Cancer Research Unit, Aalborg University Hospital, Mølleparkvej 4, 9000, Aalborg, Denmark. j.baech@rn.dk.
European journal of epidemiology
|July 4, 2024
概括
移民和丹麦出生的血液癌症患者的整体存活率相似. 非西方移民在诊断前和诊断后的医疗保健利用率略高.
科学领域:
- 血液学 血液学 血液学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 血液癌症的存活率可能在移民和丹麦出生的人口之间有所不同.
- 社会经济地位,健康素养和语言能力的差异可能会影响结果.
研究的目的:
- 调查移民与丹麦出生的血液癌症患者的整体存活率 (OS) 和住院率.
- 控制影响生存和医疗保健利用的潜在混因素.
主要方法:
- 一项全国性的队列研究确定了丹麦在2000-2020年间被诊断患有血液癌症的患者.
- 患者被分为丹麦出生的,西方移民和非西方移民群体.
- 灵活的参数模型,Cox回归和Poisson回归被用于分析生存和住院数据.
主要成果:
- 标准化的五年工作经验在所有群体中都是相似的:58%的丹麦出生者,57%的西方移民,56%的非西方移民.
- 亚组分析显示了特定患者群体的OS差异.
- 与丹麦出生的患者相比,非西方移民在诊断前和诊断后的住院日数略高.
结论:
- 在调整混杂因子后,在移民和丹麦出生的患者之间没有观察到血液癌症存活率的显著整体差异.
- 在非西方移民患者中,医疗保健利用率略高,个人层面的差异很小.
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