2001年至2018年,脏移植接受者的宫癌查利用情况
Christine D Hsu1,2, Xiaoying Yu1,3, Fangjian Guo1,2
1Center for Interdisciplinary Research in Women's Health, School of Medicine, University of Texas Medical Branch at Galveston, Galveston, Texas.
概括
移植接受者 (KTRs) 在移植后的宫癌查率较低. 需要采取干预措施,以改善这种高风险人群的查.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 妇科瘤学 妇科瘤学
- 公共卫生 公共卫生
背景情况:
- 移植接受者 (KTRs) 面临子宫癌前期和癌症的风险增加.
- 目前在KTR中查宫癌的趋势尚不清楚.
- 指南建议加强对KTRs的查.
研究的目的:
- 描述女性KTR的宫癌查模式.
- 为了确定影响查利用移植后的因素.
主要方法:
- 德克萨斯州医疗保险覆盖范围 (2001-2017) 的女性KTR (20-65岁) 的回顾性队列研究.
- 使用ICD-9,ICD-10和CPT代码确定查的累积发病率.
- 用于评估与查吸收相关的因素的细色和灰色和分发危险模型.
主要成果:
- 一年,2年和3年的查启动累计发病率分别为31.7%,48.0%和58.5%.
- 较老的KTR (55-64岁) 与较年轻的KTR (<45岁) 相比,接受查的可能性较小.
- 移植后查尔森并发症得分较高与查率较低有关.
结论:
- 宫癌查率在移植后的最初几年特别低.
- 有针对性的干预措施是必要的,以提高KTRs的查遵守率.
- 解决查障碍对于早期发现和预防这一群体的宫癌至关重要.
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