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Jacquelyn Roth¹, Bernice Z Yu¹, Maxwell Godek¹

¹Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.

Journal of clinical medicine

|September 27, 2025

概括

乳房重建中的种族差异与黑人和"其他"种族患者的更长的护理间隔有关. 这些多个阶段的延迟可能会加剧健康结果的差异,突出了诸如护理碎片化和偏见等问题.

科学领域:

整形和重建手术整形和重建手术
健康差距研究研究研究研究
瘤病患者护理专业的患者护理

背景情况:

少数民族患者经历乳房重建后更高的并发症率.
长时间护理间隔对这些差异的影响尚不清楚.
调查种族作为乳房重建护理及时性的因素至关重要.

研究的目的:

评估种族是否影响乳腺癌诊断后的乳腺重建护理的及时性.
确定重建过程中出现延误的特定阶段.
了解导致乳房重建因种族原因延迟的因素.

主要方法:

对1662名乳房重建患者 (2017-2023) 的回顾性分析.
主要结局:从诊断到整形和重建手术 (PRS) 咨询,索引手术和最终手术的间隔.
多变量回归模型被用来分析种族对这些间隔的影响.

主要成果:

在种族群体之间观察到基线特征的显著差异 (p < 0.001).
黑人和"其他"种族患者在PRS咨询和初始重建手术的间隔显着更长.
黑人患者也面临着较长的时间间隔到最后的重建手术.

结论:

非白人患者在乳房重建期间遇到长时间的护理间隔.
这些多个阶段的延迟可能会加剧现有的结果差异.
后勤障碍和潜在的偏见有助于在及时的乳房重建护理中基于种族的差异.

关键词:

乳房重建乳房重建护理延迟,延迟的时间.临床时间表.种族差异是种族的差异.健康的社会决定因素

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