眼睛瘤学的健康差异
Salvador Gomez1, Maura Di Nicola2, Nathan L Scott3
1The Ohio State University, College of Medicine, Columbus, OH.
概括
健康影响的社会决定因素 眼睛瘤学差异. 研究显示,在视网膜母细胞瘤,毛膜黑色素瘤和眼表面状瘤的护理和结果中存在种族和社会经济差距.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 健康的社会决定因素 (SDH) 在各种医学领域显著影响健康结果.
- 关于SDH,包括种族,种族,社会经济地位 (SES) 和保险如何影响眼部瘤学的研究有限.
- 现有的数据表明,视网膜母细胞瘤,脑膜黑色素瘤和眼表面状瘤的存活率和治疗水平存在差异.
研究的目的:
- 审查眼科瘤学中差异的当前文献.
- 突出SDH对疾病表现,治疗选择和眼部癌症的结果的影响.
- 发现眼科瘤学中关于SDH的数据缺口.
主要方法:
- 在眼科瘤学中检查SDH的研究的文献综述.
- 基于种族,种族,SES和保险状况的差异分析.
- 探索特定的眼睛癌症:视网膜母细胞瘤,脑膜黑色素瘤,眼睛表面状瘤和视网膜淋巴瘤 (使用中枢神经系统淋巴瘤作为代用物).
主要成果:
- 视网母细胞瘤生存率在低收入国家较低,并在美国显示种族/SES差异.
- 非白人和经济上处于不利地位的带状黑色素瘤患者更有可能接受核切除.
- 黑人患有OSSN的患者死亡率更高,无论瘤的特征如何.
结论:
- 在眼科瘤学中存在显著的种族和社会经济差异,影响了治疗和结果.
- 需要进一步的细粒度数据来充分理解和解决这些护理差距.
- 解决SDH对于改善眼癌管理中的公平至关重要.
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