对子宫内膜癌治疗后的患者监测遵守
Naixin Zhang1, Lila Marshall1, Sarah Thappa1
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, and the Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York.
O&G open
|September 26, 2025
概括
与治疗中心相距较远,收入较低的子宫内膜癌患者不太可能遵守推的监测. 解决这些差异对于改善患者的结果和减少健康不平等至关重要.
科学领域:
- 妇科瘤学 妇科瘤学
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 对子宫内膜癌的监测对于早期发现复发至关重要.
- 影响患者遵守治疗后监测的因素需要调查.
- 了解坚持障碍可以为有针对性的干预提供信息.
研究的目的:
- 确定与遵守子宫内膜癌监测指南相关的人口和社会经济因素.
- 评估护理距离和收入对后续合规性的影响.
- 为改善平等获得癌症随访护理的战略提供信息.
主要方法:
- 在2010-2017年期间接受治疗的870名子宫内膜癌患者的回顾性队列研究.
- 收集的数据包括患者人口统计,癌症特征和监测遵守情况.
- 从邮政编码中获得的收入中位数;依据每条指南的访问频率来定义的遵守率.
主要成果:
- 87.5%的患者遵守了推的监测计划.
- 不坚持的患者住在远离癌症中心 (39.2比20.7英里) 的距离更远.
- 不坚持的患者的中位收入明显较低 (74,015美元与80,435美元).
结论:
- 地理距离和较低的社会经济地位是对子宫内膜癌监测遵守的重大障碍.
- 调查结果突出了癌症护理获取和结果的差异.
- 需要进一步的研究和干预措施来解决这些社会经济和地理差异.
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