获得临床试验和下一代测序的机构和区域差异在土耳其瘤中心的下一代测序
Halil Göksel Güzel1, Arif Hakan Önder1, Yusuf İlhan2
1Department of Medical Oncology, Antalya Training and Research Hospital, Antalya, Turkey.
概括
临床试验和下一代测序 (NGS) 在土耳其的访问是不平等的. 主要的都市区提供了比其他城市更多的机会,突出了癌症护理的地理差异.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 基因组学就是基因组学.
背景情况:
- 临床试验提供了新的癌症治疗方法,特别是在发展中国家.
- 下一代测序 (NGS) 对现代癌症治疗策略至关重要.
- 了解这些资源在土耳其瘤诊所的可访问性至关重要.
研究的目的:
- 评估土耳其癌症患者临床试验的可用性和可访问性.
- 评估土耳其瘤中心下一代测序 (NGS) 服务的可访问性.
- 根据医院类型和地理位置识别出医院接入的差异.
主要方法:
- 在土耳其86个瘤中心对医疗瘤学家进行了横截面调查.
- 采用14项问卷收集数据,并根据中心特征分析答案.
- 这些中心按所有权 (公共/私人) 和位置 (大都市/其他城市) 分类.
主要成果:
- 公立和私立医院的临床试验数量没有显著差异.
- 大都市地区的医院报告说,正在进行的和积极招募的临床试验显著增加.
- 下一代测序 (NGS) 的可用性在大都市医院 (75.8%) 与其他城市 (20.8%) 相比显著更高.
结论:
- 地理位置显著影响了土耳其瘤中心对临床试验和NGS的访问.
- 这些不平等与统一的医疗保险覆盖面相反,表明需要有针对性的干预措施.
- 需要特定区域的战略来改善土耳其的癌症护理公平.
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