了解避免公平的肺癌护理的社会风险因素
Christopher M Kapp1, Chelsi Green2, Jeffrey Thiboutot3
1Northwestern University Department of Medicine, Division of Pulmonary and Critical Care Medicine, Section of Interventional Pulmonary, Chicago, IL.
Clinical lung cancer
|September 20, 2024
概括
黑人患者和低收入患者患有晚期肺癌,尽管诊断或治疗时间表没有延迟. 努力应针对风险人群的查和早期检测,以减少差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 肺癌是美国癌症死亡的主要原因之一.
- 健康的社会决定因素 (SDOH),包括种族和收入,影响癌症的结果.
- 黑人种族和低收入与较差的肺癌查遵守率和更晚的疾病发病阶段有关.
研究的目的:
- 研究种族,收入和诊断和治疗肺癌的时间之间的关联.
- 根据SDOH,识别肺癌治疗进展的潜在差异.
主要方法:
- 在城市学术中心对550名肺癌患者的回顾性评估 (2015-2021年).
- 收集的人口 (种族) 和临床数据 (诊断和治疗里程碑的时间).
- 使用家庭中位数收入的近似收入,按邮政编码划分.
主要成果:
- 基于种族或近似收入,没有观察到诊断或治疗进展的统计学意义上的延迟.
- 黑人患者占第四阶段诊断的72.7%.
- 低收入地区 (低于4万美元) 的患者占第四阶段诊断的76.0%.
结论:
- 种族和低收入不会导致肺癌诊断或治疗时间表的延迟.
- 黑人种族和低收入地位是晚期 (第四阶段) 肺癌呈现的预测因素.
- 针对性查和早期识别工作对于高风险社会群体来说至关重要,以减少肺癌差异.
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