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医生对使用多种癌症早期检测血液测试来减少癌症查差异的看法

Garfield A Clunie¹, Sharon D Allison-Ottey², Joy D Calloway³

¹Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, White Plains Hospital, White Plains, New York.

Journal of the National Medical Association

|July 24, 2024

概括

多种癌症早期检测 (MCED) 测试对改善非裔美国患者的癌症查有前途. 医生认为MCED测试是有益的,特别是对于少数群体,但引用证据和获取作为采用关键因素.

科学领域:

在瘤学瘤学.
基因组学就是基因组学.
健康差异在健康上的差异

背景情况:

癌症是美国的主要死亡原因,非洲裔美国人经历了不成比例的高死亡率.
非洲裔美国人不太可能接受癌症查,这阻碍了早期发现和及时干预.
使用循环无细胞DNA (cfDNA) 的多种癌症早期检测 (MCED) 测试提供了一种新的方法来识别血液中的癌症信号.

研究的目的:

评估非裔美国医生和医学学生对使用多种癌症早期检测 (MCED) 测试的看法.
在非洲裔美国患者中识别医生认为的癌症查障碍.
了解影响MCED测试在临床实践中的潜在推和采用的因素.

主要方法:

对非裔美国医生和医学学生进行了一项匿名29个问题的调查.
调查参与者是通过包括国家医学协会在内的专业组织招募的.
数据分析包括描述性统计和千-平方测试以确定显著差异 (p<0.05).

主要成果:

完成了1196项调查,其中95.8%的受访者是执业医生.
癌症查的主要障碍包括缺乏理解 (33.8%),保险覆盖率 (23.5%),社会经济因素 (16.2%),以及种族主义/偏见 (7.4%).
大多数医生 (86.8%) 认为MCED测试将有利于所有患者,鼓励进一步查 (83.8%),并帮助少数群体 (83.8%).

结论:

MCED测试有可能成为癌症查策略中的一个有价值的工具,特别是在减少非洲裔美国人人口之间的差异方面.
医生对MCED测试的接受度很高,对早期检测和查遵守有所好处.
解决科学证据,测试有效性,可访问性和保险覆盖等障碍对于成功将MCED测试纳入临床实践至关重要.

关键词:

非洲裔美国人.黑色黑色黑色癌症查癌症查这就是为什么MCED是MCDED.多种癌症早期检测试验没有NMA,没有NMA.美国国家医疗协会.医生医生医生

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