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在波兰的乌克兰难民中乳腺癌阶段
Jakub Skórniak1, Lukasz Rabalski2,3, Bartlomiej Szynglarewicz1,4
1Breast Unit, Wroclaw Comprehensive Cancer Centre, Wroclaw, Poland.
JAMA network open
|April 22, 2025
概括
与其他人口相比,波兰的乌克兰战争难民患有更先进的乳腺癌和更高等级的瘤. 这突显了医疗保健获取障碍,以及对难民进行有针对性的查和早期诊断的需要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 移民研究 移民研究
背景情况:
- 数以百万计的乌克兰难民因持续的战争而搬迁到波兰.
- 对流离失所人口及时获得癌症护理的机会面临重大挑战.
- 了解在难民中诊断乳腺癌的阶段对于资源分配和治疗规划至关重要.
研究的目的:
- 为了比较乌克兰战争难民 (UWRs) 与乌克兰永久居民 (UPRs) 和波兰普通人口 (GPP) 的乳腺癌临床表现.
- 确定与难民身份相关的乳腺癌诊断中的潜在差异.
主要方法:
- 从2021年2月到2024年2月在波兰的第三级瘤中心进行的回顾性队列研究.
- 包括被诊断为0-IV期乳腺癌的成年女性.
- 使用加权后勤回归来比较UWR,UPR和GPP之间的临床阶段,瘤等级和呈现时的年龄.
主要成果:
- 乌克兰战争难民 (43.2%) 与波兰普通人口 (27.0%) 相比,更有可能被诊断出III-IV阶段的乳腺癌.
- 难民也显示出3级瘤的几率显著增加 (2.42倍增加的几率).
- 该研究包括44个UWR,72个UPR和3143名GPP参与者.
结论:
- 波兰的战争难民身份与诊断时更高的晚期乳腺癌和侵袭性瘤等级的患病率有关.
- 这些发现表明,乌克兰难民中存在严重的医疗保健接入障碍和延迟提交.
- 定制策略,包括可访问的查和早期诊断干预措施,对于改善乌克兰难民的乳腺癌结果至关重要.
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