种族和民族差异在头部和部皮肤恶性瘤的治疗拒绝方面
Abraham Araya1, Willow Pastard2, Tatiana Ferraro3
1University of Cincinnati College of Medicine, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|October 8, 2024
概括
与白人患者相比,患有头皮肤癌的黑人和西班牙裔患者面临着显著的差异,包括更高的治疗拒绝率,延迟治疗和更差的结果.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 皮肤病学 皮肤病学
背景情况:
- 患有皮肤癌的种族和民族少数群体往往比非西班牙裔白人患者的预后和不良结果更差.
- 了解这些差异对于改善癌症护理公平至关重要.
研究的目的:
- 量化在头部和部皮肤恶性瘤的诊断和治疗中的种族和民族差异.
- 为了确定特定的结果差异,包括治疗拒绝,治疗时间,瘤深度和死亡率.
主要方法:
- 使用国家癌症数据库,分析了2010-2021年期间被诊断患有头皮肤癌的151,733名患者.
- 主要结局:拒绝治疗. 二次结果:从诊断到治疗的几天,瘤深度和死亡率.
主要成果:
- 黑人患者的头部和部皮肤癌的治疗拒绝几率 (4.166) 显着更高.
- 黑人和西班牙裔患者从诊断到治疗的延迟时间更长.
- 黑人患者的90天死亡率增加,黑人和西班牙裔患者的瘤深度比非西班牙裔白人患者更大.
结论:
- 在头部和部皮肤癌治疗中存在显著的种族和民族差异,黑人和西班牙裔患者面临更糟糕的结果.
- 这些差异可能与更高的治疗拒绝率,治疗延迟,增加瘤深度和更高的死亡率有关.
- 需要进一步的研究和干预来解决和减少癌症护理中的这些不平等现象.
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