多样性,平等和多发性骨髓瘤的包容性:呼吁采取行动
Rebecca Lu1, Joseph D Tariman2, Donna Catamero3
1From The University of Texas MD Anderson Cancer Center, Houston, Texas.
Journal of the advanced practitioner in oncology
|January 13, 2025
概括
种族和社会经济不平等限制了少数群体获得多发性骨髓瘤治疗和临床试验的机会. 解决系统性问题和改善教育是确保所有患者得到公平护理的关键.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 健康 公平 卫生 公平
背景情况:
- 多发性骨髓瘤疗法已经进步,但种族和社会不平等阻碍了统一的患者福利.
- 在获得治疗和临床试验方面的差异影响着不同的人群.
- 健康不平等对多发性骨髓瘤护理的影响需要进一步了解和战略开发.
研究的目的:
- 根据种族,年龄,社会经济地位和性取向来确定多发性骨髓瘤护理中的差异.
- 探索代表性不足的群体参与临床试验的障碍.
- 为高级从业者推策略,以改善获得和减少骨髓瘤护理中的不足.
主要方法:
- 使用PubMed和CINAHL进行了一项文献审查.
- 搜索术语包括骨髓瘤,偏见,多样性,种族差异,不平等,社会经济因素,审判,老年人和性取向.
- 确定了相关的文章来分析差异,障碍和建议.
主要成果:
- 种族和社会经济不平等对代表性不足和老年患者的生存率和护理质量产生重大影响.
- 现有的不平等减少了临床试验招生,导致了不利的现实世界结果.
- 结构性,临床性和态度因素加剧了公平参与试验的挑战.
结论:
- 了解健康不平等对于提供适当的多发性骨髓瘤护理至关重要.
- 建议侧重于教育和改善治疗机会,以解决差异.
- 阐明治疗差异可以拆除障碍,为骨髓瘤患者提供更公平的未来.
更多相关视频
09:41An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
05:32Multimodal Bioluminescent and Positronic-emission Tomography/Computational Tomography Imaging of Multiple Myeloma Bone Marrow Xenografts in NOG Mice
Published on: January 7, 2019
相关概念视频
Cancer Therapies
7.5K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.5K
Treatment Resistant Cancers
3.2K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.2K
Differentiation of Common Myeloid Progenitor Cells
3.2K
Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
3.2K
Diversity in Cell Signaling Responses
6.4K
The physiological function of a cell and cellular communication are outcomes of a range of extrinsic signals, intracellular signaling pathways, and cellular responses. No two cell types express the same repertoire of signaling components. Receptors are highly selective for their cognate ligands, but once activated, they can alter multiple cellular processes such as DNA transcription, protein synthesis, and metabolic activity.
Graded and Abrupt Responses
Some signaling systems generate...
Graded and Abrupt Responses
Some signaling systems generate...
6.4K
Bone Marrow Sampling and Transplants
277
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
277
Tumor Immunotherapy
469
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
469
