基于收入和保险的差异,主要的软组织肉瘤的四肢
Charlotte F Wahle1, Sara Sakowitz2, Nicole J Newman-Hung1
1Department of Orthopaedic Surgery, University of California, Los Angeles, California, USA.
Journal of surgical oncology
|January 9, 2025
概括
软组织肉瘤 (STS) 的截肢率在年轻,黑人和医疗补助保险患者中较高,并且与延迟治疗和增加死亡风险有关.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 健康差距 研究 研究 研究 研究
背景情况:
- 软组织瘤 (STS) 是一种罕见但具有攻击性的恶性瘤.
- 肢体救援手术越来越常见,但对一些患者来说,截肢仍然是必要的.
- 影响STS截肢率的因素需要进一步调查.
研究的目的:
- 调查与截肢相关的患者,疾病和实践相关的因素.
- 为了确定截肢率和生存结果的差异.
- 为临床实践和多学科护理团队提供信息.
主要方法:
- 来自2004-2021年国家癌症数据库 (NCDB) 的成年患者接受截肢STS的分析.
- 利用多变量模型来识别截肢的风险因素.
- 检查了截肢与患者人口统计,临床表现和生存之间的关联.
主要成果:
- 在31,805名患者中,有6% (1880) 接受了截肢.
- 截肢患者更年轻,更常见的是黑人,以及医疗补助保险 (p < 0.001).
- 诊断到手术的延迟时间 (p < 0.001) 和截肢与10年死亡率的增加有关 (HR 1.66,p < 0.001).
结论:
- 在STS的截肢风险和生存方面,存在显著的基于种族,收入和保险的差异.
- 延迟临床表现会增加截肢的风险.
- 对这些差异的认识对于多学科的肉瘤护理团队至关重要.
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