智力和发育障碍 (IDD) 和癌症症状报告:一个匹配的回顾性队列研究
Rachel Giblon1, Alyson Mahar2,3, Julie Hallet4,5,6
1Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
概括
患有癌症的智力或发育障碍 (IDD) 的成年人接受的症状评估比没有IDD的成年人少. 这种差异,特别是在晚期癌症阶段,表明这种人群的潜在医疗保健接入障碍.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
背景情况:
- 癌症症状评估对于管理患者负担至关重要.
- 智力或发育障碍 (IDD) 的成年人面临更糟糕的癌症结果.
- 在IDD患者的癌症症状查中存在潜在的差异.
研究的目的:
- 调查IDD和没有IDD的个体之间常规癌症症状评估的差异.
- 在公共卫生保健系统中,确定IDD成年人癌症护理中的潜在不平等.
主要方法:
- 在加拿大安大略省使用行政卫生数据 (2010-2019) 进行了匹配的回顾性队列研究.
- 1: 5 基于年龄,性别,诊断年份,癌症类型和区域癌症中心的IDD与无IDD个体的硬匹配.
- 用于估计症状评估率的累积发病率和危险模型,将死亡作为竞争风险.
主要成果:
- 患有IDD的个体的癌症症状评估发生率较低 (1年概率:0.62比0.77).
- 对于IDD患者来说,症状评估率较低 (子分布HR:0.63;特定原因HR:0.69).
- 这些差异在晚期癌症阶段更为明显.
结论:
- 与没有IDD的同行相比,IDD患者的癌症症状评估发生率明显较低.
- 研究结果表明,对于IDD癌症患者平等获得医疗保健的潜在系统性障碍.
- 在不同癌症阶段,差异的程度有所不同.
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