评估多学科癌症咨询对癌症质量指标的影响
Janeth I Sanchez1, Michelle Doose2, Chris Zeruto3
1Division of Medical and Scientific Research, All of Us Research Program.
American journal of clinical oncology
|January 6, 2025
概括
多学科癌症咨询增加了辅助治疗的接受率. 然而,种族差异仍然存在,黑人和西班牙裔乳腺癌患者尽管接受咨询,但接受激素和放射治疗的数量较少.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 提供癌症护理 提供癌症护理
背景情况:
- 多学科癌症咨询对于协作癌症护理规划和决策至关重要.
- 确保公平获得指南推的治疗方法是癌症护理提供的一个关键挑战.
研究的目的:
- 评估多学科癌症咨询与在乳腺,结肠直肠和非小细胞肺癌患者中接受指南推的辅助治疗之间的关联.
- 检查不同种族和族群之间的这些关联,以确定差异.
主要方法:
- 基于人口的回顾性队列研究,使用SEER-Medicare相关数据 (2006-2016).
- 确定的医疗保险受益者患有非转移性乳腺癌,结肠直肠癌或非小细胞肺癌.
- 定义多学科癌症咨询为在诊断后2个月内遇到≥2次瘤医生;评估接受指南推的辅助治疗.
主要成果:
- 接受多学科癌症咨询的患者更有可能接受跨种族和种族群体的辅助癌症治疗.
- 然而,与非西班牙裔白人患者相比,非西班牙裔黑人和西班牙裔乳腺癌患者的咨询分别减少了24%和41%的激素和放射治疗.
结论:
- 多学科癌症咨询与增加辅助癌症治疗接收有关,但并不能消除现有的种族和民族差异.
- 这些咨询是以团队为基础的护理模式的重要组成部分,旨在减少癌症结果不平等,尽管需要进一步的干预.
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