乳腺癌手术延迟:评估患者,医疗保健准入和社会脆弱性预测因素
Melanie Boyd1,2, Mandana Rezaeiahari3,4, Mario Schootman5,6,7
1University of Arkansas for Medical Sciences College of Public Health, Little Rock, AR, USA. mboyd@uams.edu.
Cancer causes & control : CCC
|February 10, 2026
概括
乳腺癌患者面临的手术延迟,特别是黑人患者和那些在脆弱的地区. 改善医疗保健和支持服务的获取对于及时治疗乳腺癌至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 临床指南建议在诊断后60天内开始治疗乳腺癌.
- 及时的手术干预对于乳腺癌患者的最佳治疗结果至关重要.
- 在获得医疗保健和健康的社会决定因素上的差异可能会影响治疗时间表.
研究的目的:
- 为了检查患者的特征,医疗保健的获取和与阿肯色州延迟的乳腺癌手术治疗相关的社会脆弱性.
- 确定导致乳腺癌患者手术时间差异的因素.
- 为旨在减少治疗延迟的干预措施提供信息.
主要方法:
- 利用了阿肯色州中央癌症登记和全付款人索赔数据库数据 (2013-2019) 的链接数据.
- 确定了6279名接受一线手术治疗的女性乳腺癌患者.
- 采用多变量逻辑回归来分析与患者和社区层面因素相关的手术时间 (TTS).
主要成果:
- 12%的乳腺癌患者经历了超过60天的手术延迟.
- 与非西班牙裔白人患者相比,非西班牙裔黑人患者手术延迟的几率高出82%.
- 较高的社会脆弱性 (住房/交通) 和较少的例行医生访问与延迟的可能性增加有关.
结论:
- 在乳腺癌手术治疗及时性方面,仍然存在显著的种族和社会经济差异.
- 社会脆弱性和有限的医疗保健准入是治疗延迟的关键驱动因素.
- 加强支持服务和改善护理连续性对于弱势群体至关重要.
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