肺癌治疗过程中的差异:最新文献综述。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-07-01 Epub Date: 2024-02-23 DOI:10.1097/MCP.0000000000001064
Lauren Kearney, Tatyana Nguyen, Katrina Steiling
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引用次数: 0

摘要

审查目的:肺癌仍然是全球癌症死亡的主要原因。长期以来,肺癌发病率和存活率的健康差距一直存在,并且在整个治疗过程中持续存在。了解因肺癌风险、筛查、治疗和存活率方面的差异而产生的医疗差距,对于指导实现公平医疗至关重要:最近的文献继续显示,黑人、女性、社会经济地位低下或生活在农村地区的人在整个肺癌治疗过程中都存在差距。造成这种情况的因素包括结构性种族主义、教育水平和健康知识水平较低、保险类型、医疗设施的可及性、吸入性致癌物质暴露以及未满足的社会需求。改善肺癌治疗公平性的可行策略包括:减少烟草烟雾和有害污染物暴露的政策、更具包容性的肺癌筛查资格标准、改善肺癌筛查、诊断和治疗的可及性和患者导航、更谨慎地提供适当的手术和药物治疗,以及改善幸存者和姑息治疗的可及性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disparities across the continuum of lung cancer care: a review of recent literature.

Purpose of review: Lung cancer remains the leading cause of cancer mortality worldwide. Health disparities have long been noted in lung cancer incidence and survival and persist across the continuum of care. Understanding the gaps in care that arise from disparities in lung cancer risk, screening, treatment, and survivorship are essential to guiding efforts to achieve equitable care.

Recent findings: Recent literature continues to show that Black people, women, and people who experience socioeconomic disadvantage or live in rural areas experience disparities throughout the spectrum of lung cancer care. Contributing factors include structural racism, lower education level and health literacy, insurance type, healthcare facility accessibility, inhaled carcinogen exposure, and unmet social needs. Promising strategies to improve lung cancer care equity include policy to reduce exposure to tobacco smoke and harmful pollutants, more inclusive lung cancer screening eligibility criteria, improved access and patient navigation in lung cancer screening, diagnosis and treatment, more deliberate offering of appropriate surgical and medical treatments, and improved availability of survivorship and palliative care.

Summary: Given ongoing disparities in lung cancer care, research to determine best practices for narrowing these gaps and to guide policy change are an essential focus of future lung cancer research.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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