乳腺癌女性的重建性手术和移民身份
Olivia Lovrics1, David Kirkwood1, Christopher J Coroneos1
1From the Department of General Surgery, McMaster University, Hamilton, Ont. (Lovrics, Coroneos, Hodgson, Doumouras, Bogach, Parvez); ICES, Toronto, Ont. (Kirkwood, Doumouras); the Escarpment Cancer Research Institute, Juravinski Hospital, Hamilton, Ont. (Pond); the Department of Oncology, McMaster University, Hamilton, Ont. (Levine).
Canadian journal of surgery. Journal canadien de chirurgie
|January 20, 2026
概括
与非移民相比,患有乳腺癌的移民女性在乳腺切除术后接受乳腺重建的可能性较低. 这种差异凸显了接受癌症治疗的所有妇女平等获得医疗保健的必要性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 移民面临医疗保健边缘化,乳房重建的差异.
- 乳腺切除术后的乳房重建是癌症护理的关键组成部分.
研究的目的:
- 在加拿大城市安大略省,与乳腺癌的移民和非移民妇女之间比较立即和延迟的乳房重建率.
- 确定获得乳腺重建服务的潜在差异.
主要方法:
- 基于人口的回顾性研究,使用链接的行政数据库 (ICES).
- 包括乳腺切除术治疗的I-III期乳腺癌女性患者 (2010年1月至2016年4月).
- 排除标准:局部疾病,缺少数据,其他癌症,没有省级覆盖,农村居住. 移民被定义为1985年以后抵达的移民.
主要成果:
- 确定了2174名移民和12052名非移民;移民年轻,患病率更高.
- 移民接受乳房重建的几率明显较低 (OR 0.54,95% CI 0.48-0.62).
- 差异在延迟重建方面更为明显,并因年龄组和原产地区而异,东亚/太平洋,南亚和撒哈拉以南非洲移民最不可能接受重建.
结论:
- 移民妇女经历乳房切除术后乳房重建率较低.
- 需要进一步的研究,以了解和解决面临不平等的子组在获得这一基本的医疗保健资源.
- 确保公平获得乳腺重建是全面癌症护理的关键.
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