癌症患者下一代基因测序中的差异
Muhammad Muntazir Mehdi Khan1, Mujtaba Khalil1, Hunter Stecko1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, 395 W. 12th Ave., Suite 670, Columbus, OH, USA.
Annals of surgical oncology
|November 10, 2024
概括
少数族裔癌症患者,包括黑人和西班牙裔患者,以及那些在社会脆弱地区的人,不太可能接受下一代遗传测序 (NGS). 解决这些差异对于公平的癌症护理至关重要.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 下一代基因测序 (NGS) 提供了个性化的癌症护理见解.
- 了解NGS的利用差异对于公平的瘤治疗至关重要.
研究的目的:
- 调查常见癌症亚型的人口群体在NGS利用中的差异.
- 在NGS测试中识别种族,种族和基于性别的不平等.
主要方法:
- 对患有胃肠道,肺或乳腺癌的65岁以上患者的医疗保险数据 (2015-2020年) 的分析.
- 利用倾向得分匹配和后勤回归来评估NGS使用中的差异.
- 根据种族,种族,性别和社区社会经济脆弱性,对NGS利用的差异进行了检查.
主要成果:
- 在1466105名患者中,只有1.8%接受了NGS.
- 非西班牙裔黑人和西班牙裔患者接受NGS的可能性明显低.
- 在社会脆弱的社区和男性中的个人也显示出NGS利用的几率较低.
结论:
- 在NGS利用方面存在显著差异,少数群体和弱势群体服务不足.
- 解决这些不平等问题对于为所有患者提供公平,个性化的癌症护理至关重要.
- 确保平等地获得NGS对于促进瘤学中的健康公平至关重要.
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