乡村状态和心血管事件/前列腺癌老年男性的生存率
Stephanie Jiang1, Vraj Patel1, Nickolas Stabellini2,3,4,5
1School of Medicine, Medical College of Georgia at Augusta University, Augusta, GA.
Journal of the National Comprehensive Cancer Network : JNCCN
|March 12, 2025
概括
生活在农村地区会增加前列腺癌患者患心血管疾病 (CVD) 和死亡的风险. 来自非大都会医疗机构的护理进一步提高了这些风险,突出了农村医疗保健获取的差异.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 农村人口的心血管疾病 (CVD) 发病率和死亡率较高.
- 农村生活对包括心血管疾病在内的前列腺癌 (PC) 患者结局的影响尚不清楚.
研究的目的:
- 研究患者和医疗服务提供者的乡村环境对前列腺癌老年男性心血管疾病发展和死亡率的影响.
- 分析前列腺癌后心血管疾病,心血管疾病死亡率 (CVDm),前列腺癌特定死亡率 (PCSm) 和全因死亡率的风险.
主要方法:
- 使用SEER-Medicare数据库 (2009-2017) 进行的回顾性队列研究.
- 对年龄≥65岁的被诊断患有PC的男性进行分析.
- 评估患者农村 (大都市,城市,农村) 和患者提供者农村.
- 多变量细灰和扩展的Cox模型来评估结果.
主要成果:
- 与大都市患者相比,农村患者患PCSm风险增加了28%,全因死亡风险增加了15%.
- 与城市患者相比,农村患者患心血管疾病的风险高出7%.
- 接受非大都会医疗机构护理的农村患者显示PCSm和全因死亡风险增加.
结论:
- 农村生活与前列腺癌患者心血管疾病,PCSm和全因死亡率的风险增加有关.
- 提供者所在地 (非大都市与大都市) 加剧了这些风险,这表明农村的健康差异很大.
- 改善农村地区的医疗保健获取和质量对于缓解这些差异至关重要.
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