在前列腺癌治疗决策中的预期寿命评估中的种族和种族差异
John M Masterson1, Renning Zheng1,2, Michael Luu3
1Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Prostate cancer and prostatic diseases
|October 7, 2025
概括
预期寿命显著影响西班牙裔男性的前列腺癌治疗决策,但非黑人男性. 黑人男性始终倾向于积极的治疗,无论预期寿命如何,这凸显了对文化敏感的沟通策略的需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 健康差异 在健康上的差异
背景情况:
- 预期寿命 (LE) 对于指导前列腺癌管理决策至关重要.
- 了解种族和民族群体如何在治疗选择中解释LE对于公平护理至关重要.
研究的目的:
- 调查黑人和西班牙裔男性在做出前列腺癌治疗决策时如何看待预期寿命 (LE) 的差异.
- 为了比较黑人,西班牙裔和其他种族/种族群体之间的LE对治疗选择的影响.
主要方法:
- 使用有针对性的众包来招募多样化的美国人口样本,采用了联合分析.
- 参与者在不同的LE场景中评估了治疗权衡 (瘤风险,副作用).
- 多项逻辑回归分析了LE和侵略性与保守性治疗偏好之间的关联,按种族/种族分层.
主要成果:
- 总的来说,较长的LE增加了选择侵袭性前列腺癌治疗的可能性.
- 黑人男性在LE和治疗选择之间没有任何关联,他们始终更喜欢积极的选择.
- 西班牙裔男性更有可能选择激进的治疗以增加LE,特别是当LE超过10年时.
结论:
- 预期寿命对西班牙裔男性的治疗决定产生重大影响,但对黑人男性则没有影响.
- 黑人男性对侵略性待遇的持续偏好需要进一步研究文化因素和沟通.
- 需要文化定制的方法来有效地沟通前列腺癌护理中的竞争性死亡风险.
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