在患有胃肠道癌症的无家可归者中,手术结果
Areesh Mevawalla1, Zayed Rashid1, Mujtaba Khalil1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, United States.
概括
患有胃肠道 (GI) 癌症而无家可归的人接受的手术较少,结果更差. 解决这些差异对于公平的癌症护理和减少财务负担至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 无家可归是一个日益严重的公共卫生危机.
- 癌症是无家可归人口死亡的主要原因.
- 有限的数据存在于胃肠道 (GI) 癌症治疗和无家可归的个体的结果.
研究的目的:
- 调查无家可归者接受胃肠道癌症治疗情况.
- 为了比较无家可归者与有住所的人患有胃肠道癌症的结果.
主要方法:
- 利用国家住院样本数据库 (2016-2019) 来识别肠胃癌患者.
- 雇用平衡和多变量回归来分析住房状况和接受治疗.
- 评估了无家可归与外科手术,停留时间和出院状态等结果之间的关联.
主要成果:
- 患有胃肠道癌的无家可归者比较年轻,更有可能是男性,而且不成比例的黑人.
- 无家可归的患者接受手术的可能性显著降低 (9.0%与23.0%相比),住院时间更长.
- 无家可归与更高的延长住院几率,违背医疗建议出院以及医疗费用增加有关.
结论:
- 无家可归的患者有较差的胃肠道癌症治疗收件和低于最佳的结果.
- 在这种脆弱人群中,手术治疗和整体结果存在显著差异.
- 需要紧急干预,以确保公平的癌症护理,并减轻无家可归者的经济负担.
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