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高风险NMIBC的农村和城市患者的结果:来自加拿大膀癌信息系统 (CBCIS) 的结果
D Chung1, W Kassouf2, R Agnihotram3
1Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB.
The Journal of urology
|October 30, 2025
概括
患有高风险膀癌的农村患者在护理方面面临差异. 他们不太可能接受推的治疗和监测,导致与城市同行相比,结果更差.
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.
- 公共卫生 公共卫生
背景情况:
- 高风险的非肌肉侵入性膀癌 (NMIBC) 需要密集的监测和治疗.
- 对于农村或偏远地区的患者来说,获得护理可能是一个挑战.
- 调查地理偏远对NMIBC患者结果的影响至关重要.
研究的目的:
- 检查农村地区如何影响高风险NMIBC的呈现,管理和监测.
- 评估癌症特异性结果,包括生存率和进展率,与患者的位置相关.
主要方法:
- 使用了加拿大膀癌症信息系统 (CBCIS) 数据库.
- 使用加拿大统计局偏远指数 (RI ≥0.15) 定义的农村地区.
- 分析了2838名高风险NMIBC患者的数据,但不包括那些有非骨髓组织学或转移性疾病的患者.
主要成果:
- 农村患者 (30%) 更有可能出现高度T1瘤 (42%对37%).
- 较少的农村患者在90天内接受了经尿道切除膀瘤 (TURBT) 重复切除 (23%对29%) 和诱导BCG治疗 (52%对69%).
- 肌肉侵入性膀癌 (MIBC) 的五年无进展生存率在农村患者中较低 (80%与85%相比).
结论:
- 高风险NMIBC的农村患者不太可能满足指导方针一致的护理质量基准.
- 在管理和监督方面存在差异,基于地理偏远.
- 需要采取质量改善举措,以解决农村NMIBC患者的这些获取和结果差距.
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