儿童甲状腺癌的诊断,治疗和结果的差异
Roberto N Solis1, Sara H Duffus2, Sara K Bartz3
1Division of Pediatric Otolaryngology-Head and Neck, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
概括
儿童甲状腺癌的发病率正在增加,但由于种族和社会经济地位等因素,弱势群体面临治疗差异和较差的结果. 需要解决方案来解决儿童癌症护理中的这些不平等问题.
科学领域:
- 儿科瘤学 儿科瘤学
- 健康差距 研究 研究 研究 研究
- 癌症流行病学 癌症流行病学
背景情况:
- 儿童甲状腺癌的发病率正在上升,每年每10万名儿童中发生1.4例.
- 尽管总体生存率有利,但脆弱人群经历了晚期疾病和更糟糕的结果.
- 儿童甲状腺癌的差异与种族,语言,社会经济地位和获得护理的机会有关.
研究的目的:
- 审查影响小儿甲状腺癌呈现,治疗和结果的差异.
- 确定这些健康不平等的多因素原因.
- 提出解决方案,以改善受影响儿童的结果.
主要方法:
- 文献综述和现有关于儿科甲状腺癌差异研究的综合.
- 分析导致差异诊断和治疗的因素.
- 确定基于证据的策略,以减轻结果差距.
主要成果:
- 易受伤害的儿科患者群体有更先进的甲状腺癌.
- 种族/民族少数群体,非母语英语的人,以及具有较低社会经济地位的人面临着显著的差异.
- 获得护理的障碍加剧了特定疾病的低生存率.
结论:
- 解决社会经济和种族/民族差异对于改善儿科甲状腺癌的结果至关重要.
- 有必要采取多方面的干预措施,针对获得护理和具有文化能力的医疗保健.
- 减少结果差异需要采取系统方法,为所有儿童提供公平的癌症护理.
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