通过肺癌查计划,为种族少数群体患者提供公平的护理
Azante Griffith1, Catherine G Pratt1, Jenna N Whitrock1
1Cincinnati Research in Outcomes and Safety in Surgery (CROSS), Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH.
The Annals of thoracic surgery
|August 14, 2025
概括
通过低剂量CT (LDCT) 进行肺癌查,改善了种族少数群体的准入,并提供了公平的护理. 结构化的查计划确保及时诊断和治疗,从而为所有患者带来更好的结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 种族少数群体的肺癌患者在诊断时经常面临晚期,切除率较低,生存率更差.
- 肺癌查 (LDCT) 可以降低死亡率,但其对获取机会的种族差异的影响尚不清楚.
- 这项研究调查了LDCT对少数群体诊断和治疗及时性的影响.
研究的目的:
- 评估结构化低剂量计算机断层扫描 (LDCT) 查计划对种族少数群体患者肺癌诊断和治疗的影响.
- 评估获得肺癌查和后续护理的种族差异.
- 将接受LDCT的黑人患者的结果与白人患者和城市/州平均值进行比较.
主要方法:
- 一项队列研究在2012年11月至2019年2月期间招募了2,552名在城市学术中心接受LDCT的患者.
- 分析了人口统计,癌症特异性和治疗特异性因素.
- 根据种族和性别进行了子组分析,将结果与大都会和州平均值进行了比较.
主要成果:
- 与一般大都市人口相比,黑人男性和女性的LDCT查率更高.
- 黑人和白人患者的肺癌发病率和诊断阶段在黑人和白人患者之间是相似的.
- 与白人患者相比,黑人患者在护理中没有显著的延迟,并且手术切除率相等.
结论:
- 一个结构化的LDCT计划有效地增加了种族少数群体的查机会.
- 实现了公平的诊断和及时的治疗,强调了优化查在减少差异方面的重要性.
- 这些发现强调了结构化查的潜力,以确保为所有人群提供肺癌护理的公平结果.
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