与乳腺癌晚期诊断相关的社会决定因素
Madonna A Fekry1,2, Loay Kassem3,4, Justin C Yang2,5,6
1Clinical Research Department, Cairo Oncology Center, Cairo, Egypt.
JCO global oncology
|September 3, 2025
概括
埃及的乳腺癌患者常常呈现出晚期的疾病. 失业和农村居住是晚期诊断的关键因素,强调需要提高公众意识和早期检测举措.
科学领域:
- 癌症学
- 公共卫生
- 流行病学
背景情况:
- 在埃及, 乳腺癌常常是在晚期被诊断出来的.
- 了解导致晚诊的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 研究与埃及患者晚期乳腺癌呈现相关的社会人口学和临床因素.
- 确定针对性干预的迟诊断的关键预测因素.
主要方法:
- 一项回顾性队列研究分析了2011年至2020年间诊断的1,953名埃及乳腺癌患者的数据.
- 使用后勤回归模型评估患者特征与晚期BC之间的关联.
主要成果:
- 超过43%的患者被诊断为晚期乳腺癌.
- 多变量分析确定失业率 (aOR,1.44) 和农村居住率 (aOR,1.88) 是与高级BC相关的重要因素.
- 更高的Ki67% (aOR,1. 01) 也与晚期疾病呈现有关.
结论:
- 在埃及, 失业和居住在农村地区与晚期乳腺癌诊断有很强的联系.
- 宣传活动对于促进早期发现乳腺癌至关重要.
- 针对弱势群体的查和支持计划可以提高早期诊断率.
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