到结肠癌诊断的时间收入差异
Laura E Davis1,2, Erin C Strumpf1,3, Sunil V Patel4
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada.
Cancer medicine
|August 3, 2024
概括
低收入患者面临更长的结肠癌诊断时间. 这项研究发现,低收入社区的个人在癌症诊断中出现了延迟,突出了基于收入的健康不平等.
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 公平 卫生 公平
背景情况:
- 低收入人群的癌症护理结果更糟糕.
- 人们对收入对癌症诊断间隔的影响知之甚少.
- 了解诊断差异对于改善癌症护理平等至关重要.
研究的目的:
- 以邻里收入来描述结肠癌诊断途径.
- 调查邻里收入与诊断间隔之间的关联.
主要方法:
- 在安大略省 (2007-2019) 的64,303名结肠癌患者进行了回顾性队列研究.
- 诊断间隔定义为从第一次接触到诊断的几天.
- 量子位回归分析了收入五分位数与诊断间隔的关联,控制共变量.
主要成果:
- 低收入社区的患者更有可能通过症状途径和急诊室进行诊断.
- 低收入社区与较长的症状诊断间隔 (第50个和第90个百分位数) 相关.
- 在收入最低的社区的患者中,诊断间隔的第90百分点比收入最高的社区的患者长15天.
结论:
- 在结肠癌诊断过程中存在重大的基于收入的不平等现象.
- 需要进一步的研究来减少诊断间隔不平等.
- 查和诊断计划需要从公平的角度进行评估.
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