多种族和民族妇女的乳腺癌生存计划的偏好
Lisa Anderson1, Oindrila Bhattacharyya2, Akia Clark2
1Deptartment of Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
Clinical breast cancer
|August 30, 2025
概括
乳腺癌幸存者计划显示出不同种族和年龄的参与差异. 黑人患者参加非临床治疗的次数较少,但临床治疗转诊的次数增加,这表明需要提供更公平的治疗.
科学领域:
- 癌症学
- 公共卫生
- 医疗服务研究
背景情况:
- 提高乳腺癌存活率需要全面的生存计划 (SPs),以满足各种患者的需求.
- 从历史上看, 少数民族和老年妇女在获得医疗服务方面存在差异.
- 医疗专家提供临床和非临床支持,以提供整体的癌症护理和预防复发.
研究的目的:
- 根据年龄和种族分析幸存者参与计划的趋势.
- 确定SP内部使用临床和非临床支持服务的差异.
- 为未来的项目发展提供信息,以提高包容性和公平的获取.
主要方法:
- 在高等学术癌症中心对2019-2022年乳腺癌患者数据的回顾性分析.
- 参与临床 (如息护理,心理社会支持) 和非临床 (如营养,运动) SP 服务的评估.
- 用于概括年龄,种族和种族的参与模式的描述性统计数据.
主要成果:
- 营养和运动是使用最多的非临床服务.
- 大多数参与者都是60至69岁的白人女性.
- 黑人患者参与率从2019年的9.9%下降到2022年的5.7%,尽管息治疗转诊率从11%上升到21%.
结论:
- 根据年龄和种族,临床转诊模式存在显著差异.
- 年龄较大的妇女获得的转诊次数较少,而黑人患者获得的息治疗转诊次数较多.
- 在非临床的SP参与是公平的,但未来的努力必须优先考虑所有人群的包容性和获取.
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