甲状腺癌结果中的种族差异:系统性审查
Polina Zmijewski1, Chibueze Nwaiwu2, Hayato Nakanishi3
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
American journal of surgery
|October 12, 2024
概括
甲状腺癌结果的种族差异表明,非白人患者在诊断时可能面临更高的晚期疾病风险. 通过详细的种族数据进行进一步的研究对于理解和解决这些差异至关重要.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 手术结果的种族差异已被记录,但甲状腺癌的具体趋势未得到充分研究.
- 本系统性审查旨在澄清种族对甲状腺癌结果的影响.
研究的目的:
- 系统地审查有关甲状腺癌结果的现有文献,并分析种族的影响.
- 为了识别差异化甲状腺癌的呈现和结果的潜在种族差异.
主要方法:
- 按照PRISMA指南,对学术数据库进行了全面的系统搜索.
- 包括的研究集中在美国的成年差异化甲状腺癌上,报告种族,来自12项研究的7221名患者的数据.
- 使用奇平方统计数据来分析针对种族结果的编制数据.
主要成果:
- 非白人患者,特别是黑人和西班牙裔患者,与白人患者相比,甲状腺外延伸的发病率更高.
- 甲状腺癌T1a阶段和复发率在不同种族群体中是相似的.
- 在分析的甲状腺癌结局研究中,种族很少被报告.
结论:
- 非白人患者可能有更高级局部甲状腺癌的风险增加.
- 在甲状腺癌研究中对种族的报告有限,这阻碍了对差异的全面理解.
- 关于种族的细粒度数据对于制定减轻甲状腺癌结果种族差异的策略至关重要.
相关概念视频
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Synthesis and Regulation of Thyroid Hormones
4.3K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.3K
Hazard Ratio
91
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
91
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K


