人类发展指数类别对亚洲前列腺癌特征的影响
Shinichi Sakamoto1, Xue Zhao1, Mizuki Onozawa2
1Department of Urology, Graduate School of Medicine, Chiba University, Chiba, Japan.
The Prostate
|October 1, 2025
概括
通过人类发展指数 (HDI) 衡量的社会经济因素在亚洲显著影响前列腺癌的诊断和治疗. 较高的HDI国家显示出更好的结果和先进的护理,而较低的HDI国家面临差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 在亚洲国家,前列腺癌的发病率正在增加.
- 在亚洲的预期寿命,经济地位和教育水平上存在显著的差异.
- 人类发展指数 (HDI) 反映了这些社会经济因素,可用于分析健康结果变化.
研究的目的:
- 探索基于HDI的亚洲国家前列腺癌诊断,分期和初始治疗的差异.
- 揭示社会经济因素对亚洲前列腺癌患者结果的影响.
主要方法:
- 来自亚洲前列腺癌研究小组 (A-CaP) (2016-2018) 的35776名前列腺癌患者的分析.
- 患者被分为三个HDI组:中等,高和非常高.
- 对12个亚洲国家/地区的诊断方法和初始治疗方法的统计比较,按HDI分层.
主要成果:
- 非常高的HDI区域的患者PSA较低,ISUP 5级病例较少,转移性疾病较少 (M1).
- 先进的诊断成像 (CT,MRI,骨光学) 在非常高的HDI区域更频繁.
- 根据HDI的治疗方式有所不同:非常高的HDI国家倾向于放射治疗/主动监测;高/中等的HDI国家更倾向于对转移病例进行手术.
结论:
- 在12个亚洲国家和地区,前列腺癌管理存在显著差异.
- 人类发展指数 (HDI) 是影响亚洲前列腺癌诊断和治疗结果的关键决定因素.
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