肺癌查在年龄大于医疗保险上限年龄的成年人中
Monica Hernandez1, Kristin G Maki2, Hui Zhao3
1The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Cancer prevention research (Philadelphia, Pa.)
|July 8, 2025
概括
研究人员检查了老年人肺癌查率 (LCS). 78-79岁的成年人呈现较高的LCS,但慢性疾病影响了查决策,突出了对个性化护理的需求.
科学领域:
- 公共卫生 公共卫生
- 老年医学 老年医学
- 在瘤学瘤学.
背景情况:
- 医疗保险覆盖的肺癌查 (LCS) 已经发展,影响到老年人的获取.
- 了解77岁及以上的医疗保险受益人中的LCS模式对于公共卫生倡议至关重要.
- 之前的研究还没有完全探索最老的医疗保险受益人中的LCS趋势.
研究的目的:
- 检查不同年龄组 (65-70,71-77,78-79岁) 的符合Medicare资格的成年人肺癌查 (LCS) 模式.
- 确定与LCS年龄相关差异相关的社会人口统计和健康相关因素.
- 评估LCS覆盖面的潜在丧失对老年人群查率的影响.
主要方法:
- 利用了2022年行为风险因素监测系统 (BRFSS) 数据集中的数据.
- 进行了描述性分析,比较了三个年龄类别的LCS状态.
- 采用回归分析来探索影响LCS的因素,包括社会人口统计学变量和慢性健康状况.
主要成果:
- 在过去一年中,只有不到三分之一 (26.3%) 的样本报告了LCS.
- 78-79岁的成年人LCS率最高 (32.0%),其次是71-77岁 (28.3%) 和65-70岁 (24.2%).
- 慢性疾病如COPD,心脏病发作,脏病和冠状动脉心脏病在特定年龄组显著影响了LCS几率.
结论:
- 在这个BRFSS队列中,在78-79岁的成年人中,医疗保险对LCS的保险损失与较低的查无关.
- 临床医生应该考虑个体患者的因素,特别是慢性健康状况,在确定LCS适合老年人时.
- 需要进一步的研究,以了解覆盖率变化对弱势老年人群中LCS利用的长期影响.
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