数字患者报告的癌症症状管理:黑人和白人参与者的比较
Mary Gullatte1, Bridget Nicholson2, Elizabeth Sloss2
1Emory University, Atlanta, Georgia, USA.
Cancer medicine
|July 9, 2025
概括
数字症状监测有效地减少了跨种族群体的癌症治疗负担. 虽然黑人患者的坚持程度较低,但黑人和白人患者均获得了同等的症状减轻效益,这表明数字健康公平.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 数字症状监测有助于癌症患者,但种族群体之间的公平问题仍然存在.
- 关于数字健康干预对种族差异的好处的研究有限.
- 这项研究检查了黑白患者的参与度,满意度和症状减少,使用电子患者报告结果 (ePRO) 系统.
研究的目的:
- 为了比较黑人和白人的癌症患者与数字症状监测系统的参与度和满意度.
- 评估癌症症状减轻负担的好处是否在各种族群体之间是公平的.
- 在多样化的患者群体中评估Symptom Care at Home (SCH) ePRO系统的有效性.
主要方法:
- 在综合性癌症中心接受化疗的357名癌症患者的二次分析.
- 每天报告11种常见的瘤症状,使用0-10级的ePRO系统进行报告.
- 黑人和白人参与者之间的平均症状负担随时间的推移,坚持率和研究结束满意度的比较.
主要成果:
- 黑人参与者 (67%) 比白人参与者更有可能是女性,患有乳腺癌,教育程度较低.
- 与白人参与者 (72.75%;p=0.01) 相比,黑人参与者表现出较低的每日症状报告遵守率 (65.25%).
- 两组都实现了显著的症状减轻 (p<0.001),黑人和白人患者的好处相似 (p=0.27),总体满意度高.
结论:
- 数字健康技术,如ePRO系统,可以在减少黑人和白人癌症患者的症状负担方面有益和公平.
- 量身定制的鼓励策略可能会提高症状报告,特别是在黑人患者中.
- 在不延续健康不平等的情况下,ePRO报告系统有潜力使多样化癌症患者群体受益.
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