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社会经济贫困与头部和部癌症的放射治疗不完全相关

R Brooker¹, P Parvulescu², L Jones³

¹The Clatterbridge Cancer Centre NHS Foundation Trust, Clatterbridge Road, Bebington, Wirral, CH63 4JY, UK; Liverpool Head & Neck Centre, Department of Molecular and Clinical Cancer Medicine, University of Liverpool, William Henry Duncan Building, 6 West Derby Street, Liverpool, L7 8TX, UK.

Clinical oncology (Royal College of Radiologists (Great Britain))

|November 8, 2024

概括

默西塞德的社会经济贫困与头部和部状细胞癌 (HNSCC) 的较差结果有关. 了解治疗坚持的障碍,如计划外入院和运输问题,对于改善患者护理至关重要.

科学领域:

在瘤学瘤学.
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

默西塞德面临着高度的社会经济贫困,与较差的癌症结局相关,特别是头部和部状细胞癌 (HNSCC).
患有HNSCC的患者往往会遇到复杂的治疗途径,这些途径受到健康素养,社会支持和交通等因素的影响,影响了坚持.

研究的目的:

调查社会经济贫困对接受化疗 (CRT) 或放射治疗 (RT) 的HNSCC患者的影响.
在贫困地区的HNSCC患者中识别治疗坚持的特定障碍.

主要方法:

在2022年6月至2023年6月期间接受治疗的359名HNSCC患者的回顾性评估.
变量分析包括多重剥夺 (IMD) 指数,计划外入院,医院运输使用,社会支持和临时预约,与错过的放射治疗预约相关.

主要成果:

71%的CRT和55%的RT患者有未计划的医疗专业人员预约.
11%的患者错过了放射治疗预约,最常见的原因是意外入院.
非计划入院,医院运输和犯罪剥夺五分位数显著增加了错过预约的可能性.

结论:

高率的意外医疗接触支持坚持非手术性HNSCC治疗.
临时任命的正式化可以创造一个更公平的服务.
医院运输使用与错过预约有关;改善运输服务和患者体验洞察力对于遵守至关重要.

关键词:

化学疗法或放射疗法头部和部状细胞癌瘤社会经济差距,社会经济差距.

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