非英语语言偏好和乳腺癌结果
Daphna Y Spiegel1, Josephine Levey2, Anna Modest3
1Department of Radiation Oncology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
JAMA network open
|June 5, 2025
概括
非英语语言偏好 (NELP) 的患者经历了更长的等待时间进行乳腺癌手术. 然而,针对疾病特异性生存率 (DSS),无疾病生存率 (DFS) 和整体生存率 (OS) 的生存率在NELP和英语语言偏好 (ELP) 组之间是相似的.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 非英语语言偏好 (NELP) 在医疗保健提供中存在重大障碍,可能导致患者结果的差异.
- 了解NELP的影响对于改善不同患者群体的护理质量至关重要.
研究的目的:
- 调查非英语语言偏好 (NELP) 与乳腺癌相关结果之间的关联.
- 为了比较患有NELP和英语语言偏好 (ELP) 的患者的疾病特异性生存率 (DSS),无疾病生存率 (DFS) 和整体生存率 (OS).
主要方法:
- 一个单一中心的队列研究包括2261名乳腺癌患者,从2000年至2020年治疗治疗意图.
- 语言偏好 (NELP与ELP) 是主要的暴露.
- 卡普兰-梅尔分析和日志等级测试被用来比较生存结果,调整临床和人口因素.
主要成果:
- 与ELP患者相比,NELP患者的活检到最终手术的中位时间明显长 (49 vs. 38天;P <.001).
- 这种延迟对于有医疗保险的患者来说尤其明显.
- 五年DSS,DFS和OS率在NELP和ELP组之间没有显著差异 (DSS:98.5%与99.0%;DFS:93.9%与95.6%;OS:94.4%与96.7%).
结论:
- 尽管手术管理出现了显著的延迟,但非英语语言偏好 (NELP) 在这个队列中没有对乳腺癌生存结果产生不利影响.
- 这些发现强调了强大的支持系统的重要性,以减轻与语言有关的差异,并确保公平的癌症护理.
- 需要进一步的研究来确定可以解决NELP患者治疗延迟的具体干预措施.
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