公平在移植瘤学中的重要性
Sudha Kodali1,2,3, Elizabeth W Brombosz4, Maen Abdelrahim1,2,3,4
1JC Walter Jr Transplant Center and Sherrie and Alan Conover Center for Liver Disease and Transplantation.
Current opinion in organ transplantation
|October 18, 2024
概括
对于肝癌患者来说,获得肝移植 (LT) 的机会是不平等的,特别是在少数群体和农村地区的人群中. 针对性推广和虚拟护理等干预措施显示出减少这些差异的希望.
科学领域:
- 移植瘤学 移植瘤学
- 肝胆道恶性瘤 肝胆道恶性瘤
- 健康 公平 卫生 公平
背景情况:
- 移植瘤学将肝移植 (LT) 与癌症护理相结合,以改善肝癌的治疗结果.
- 患者获得LT的机会存在显著差异,受健康的社会决定因素的影响.
- 了解和解决这些进入障碍对于公平的癌症护理至关重要.
研究的目的:
- 审查当前关于获得肝癌LT的差异的研究.
- 确定面临LT和移植瘤学障碍的患者群体.
- 突出旨在缓解这些获取差异的干预措施.
主要方法:
- 关于LT获取和肝癌差异的最近研究的文献综述.
- 对健康社会决定因素的分析,影响LT的资格和接收.
- 检查成功的干预措施,以改善获得移植瘤的机会.
主要成果:
- 种族/民族少数群体,土著群体,女性,社会经济弱势群体和农村患者不太可能接受LT.
- 有针对性的外展计划和虚拟医疗保健已经在缓解访问障碍方面取得了成功.
- 对于肝癌的LT接入现有的差异已经得到了充分证实.
结论:
- 虽然越来越多地认识到对肝癌的LT接入的差异,但进一步的研究是必不可少的.
- 需要有效的战略来解决和减少这些不平等在移植瘤学.
- 继续调查改善LT访问差异至关重要.
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