探索社会决定因素和肝细胞癌:证据和影响的范围审查
Tomas Escobar Gil1, Gicel Jacklin Aguilar1
1Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
概括
健康的社会决定因素 (SDH) 显著影响肝细胞癌 (HCC) 的结果,导致护理和生存的差异. 需要标准化指标来解决这些健康不平等问题.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
背景情况:
- 肝细胞癌 (HCC) 是全球癌症死亡的主要原因.
- 健康的社会决定因素 (SDH) 极大地影响HCC患者的治疗结果.
- 现有的研究缺乏对SDH对HCC的影响的全面理解.
研究的目的:
- 对SDH对HCC结果的影响进行范围审查.
- 确定和综合目前关于SDH和HCC的证据.
主要方法:
- 在遵守PRISMA-ScR指南的10个数据库 (PubMed,Scopus) 中进行系统搜索.
- 包括20项不同设计的研究 (1994-2024年) (横截面,队列,病例对照).
- 专注于人类参与者和与HCC和SDH相关的术语.
主要成果:
- 确定了与社会经济地位,医疗保健准入和种族/种族相关的显著的HCC结果差异.
- 弱势群体和边缘化种族群体经历了延迟治疗和较差的结果.
- 基于美国的研究显示出比阿根廷,法国和澳大利亚的差异更明显;SDH指标不一致.
结论:
- SDH极大地影响HCC的结果,突出了研究的差距.
- 未来的研究需要标准化的SDH指标,以改善HCC护理和减少健康差异.
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