肺癌治疗的模式和差异:美国,2015-2020年
Christine M Kava1, David A Siegel2, Jin Qin2
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA.
Chest
|November 4, 2024
概括
肺癌治疗费用因社会人口统计学因素而异. 某些种族/民族群体和经济地位较低的县群体接受的治疗较少,突出了癌症护理方面的差异.
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:
- 尽管治疗进展,肺癌的生存率仍然很低.
- 了解治疗差异对于改善患者治疗结果至关重要.
- 大规模的数据分析可以揭示癌症护理的人口水平趋势.
研究的目的:
- 调查成年人的社会人口统计学特征的基础上,肺癌治疗费用如何不同.
- 确定在癌症治疗中存在差异的特定人口子组.
主要方法:
- 利用2015-2020年国家癌症计划注册数据,覆盖89%的美国人口.
- 分析了20岁以上被诊断患有肺癌和支气管癌的人的第一疗程治疗数据.
- 采用多变量后勤回归来评估社会人口统计和治疗接收之间的关联.
主要成果:
- 在超过100万肺癌患者中,75%接受了至少四种常见治疗方法 (手术,化疗,辐射,免疫疗法) 的一种.
- 在老年人 (≥45岁),美国印第安人/阿拉斯加本土人,黑人和西班牙裔个人中,接受任何治疗的几率较低.
- 非大都市县,经济地位较低的地区和西部人口普查地区的患者也显示治疗收益减少.
结论:
- 化疗和放射治疗是最常见的初始肺癌治疗方法.
- 在种族/民族少数群体和社会经济弱势群体中,在治疗机会方面发现了显著的差异.
- 需要进行进一步的研究,以了解和解决导致癌症治疗中观察到这些差异的潜在因素.
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