农村环境中乳腺癌治疗及时性的差异:乳腺癌治疗差异
Carolina Orsi1, Tyler Davis1, Rebecca Swindall2
1Department of Graduate Medical Education, General Surgery, The University of Texas at Tyler Health Science Center, Tyler, TX, USA.
Annals of surgical oncology
|April 17, 2025
概括
乳腺癌治疗的延迟,特别是从成像到活检和活检到手术的延迟,预测了更长的治疗时间和影响生存率. 了解这些延迟是改善危险患者护理的关键.
科学领域:
- 在瘤学瘤学.
- 医疗保健的质量 医疗保健的质量
- 健康差异 在健康上的差异
背景情况:
- 已建立的基准评估乳腺癌护理质量;治疗延迟与不良结果相关.
- 研究了影响东德克萨斯州农村卫生保健系统及时乳腺癌护理的因素.
研究的目的:
- 确定影响乳腺癌诊断和治疗及时性的因素.
- 根据国家乳腺中心联盟 (NCBC) 的建议,分析护理间隔.
主要方法:
- 对278例侵袭性乳腺癌病例 (2015-2022) 的回顾性分析.
- 在诊断成像到活检,活检到手术,乳房图像到手术间隔中评估及时性.
- 与治疗开始延迟相关的人口和临床因素.
主要成果:
- 近50%的患者达到成像到活检的时间表;只有13.3%的患者达到乳房造影到手术的时间表;10.3%的患者达到活检到手术的时间表.
- 早期的延迟预测了后期治疗阶段的延迟.
- 西班牙裔患者的癌症发病率高于第三阶段,死亡率高于非西班牙裔白人4.5倍.
结论:
- 乳腺癌治疗的连续延迟预示着整体治疗的及时性.
- 治疗的及时性显著影响了生存率,特别是在西班牙裔患者身上.
- 识别延迟因素可以指导针对高风险人群的有针对性的干预措施.
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