邮政编码水平的缺点作为转移性乳腺癌在诊断和延迟治疗开始时的预测因素
Priyanka Parmar1, Jessica Lin2, Fardeen Bhimani1
1Department of Surgery, Montefiore Medical Center, Bronx, NY, USA.
Annals of surgical oncology
|December 1, 2025
概括
较高的经济困难,通过困境社区指数 (DCI) 来衡量,与转移性乳腺癌和延迟治疗的可能性更高有关. 这凸显了针对弱势社区进行有针对性的干预的必要性.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 转移性乳腺癌带来了重大的公共卫生挑战,治疗选择有限.
- 社会和地理差异有助于晚期诊断.
- 困难社区指数 (DCI) 提供了在邮政编码层面全面衡量经济困难的指标.
研究的目的:
- 评估较高的DCI得分与诊断时转移性乳腺癌阶段之间的关联.
- 评估DCI得分是否与乳腺癌治疗开始的延迟相关.
- 独立于临床和人口因素来确定这些关联.
主要方法:
- 对2024名被诊断/接受乳腺癌治疗的妇女 (2018-2022) 的回顾性队列研究.
- 与DCI分数相关联的邮政编码;用于分析的多项逻辑回归和ANCOVA.
- 根据年龄,种族,种族,保险,瘤亚型和可触摸的质量进行调整.
主要成果:
- 76.8%的患者居住在高DCI地区.
- 高的DCI与诊断时转移性疾病的可能性翻倍相关 (aOR 2.16).
- 高DCI患者在启动辅助化疗,放射治疗和手术方面经历了显著的延迟.
结论:
- 困难社区指数 (DCI) 是识别乳腺癌风险高的地理区域的一个有价值的工具.
- 使用DCI可以告知有针对性的查策略,以减轻乳腺癌结果的差异.
- 解决经济困难对于减少晚期诊断和改善治疗及时性至关重要.
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